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Peer-reviewedCC BY 4.0Open Biology

Interaction of genetic and environmental risk factors in the aetiology of keratoconus

  1. 1Center for Biotechnology and Genomic Medicine, Augusta University 1 , Augusta, GA, USA
  2. 2Department of Ophthalmology, Mayo Clinic 2 , Rochester, MN, USA

Abstract

Keratoconus (KC) is a multifactorial corneal ectasia disorder that is influenced by genetic and environmental risk factors. The manner and degree to which any risk factor contributes mechanistically to KC pathogenesis is not fully understood, despite epidemiological associations. Likewise, the relationship between genetic and environmental risk factors and how they may interact or compound upon one another to precipitate KC is largely unknown. In this review, we discuss existing research surrounding the genetic and environmental risk factors for KC, as well as the probable mechanisms driving individual risk factors such as ultraviolet radiation exposure and eye-rubbing. Additionally, we discuss the interplay between underlying genetic susceptibility to KC and contributory environmental factors. This review highlights advances in existing research in vivo and in vitro, potential underlying mechanisms and avenues for future inquiry to elucidate the multifactorial aetiology of KC.

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BibTeX
@article{hadvina2026interaction,
  title = {{Interaction of genetic and environmental risk factors in the aetiology of keratoconus}},
  author = {Rachel Hadvina and Yutao Liu},
  journal = {Open Biology},
  year = {2026},
  month = sep,
  doi = {10.1098/rsob.260068},
  url = {https://royalsocietypublishing.org/rsob/article/16/9/260068/483443/Interaction-of-genetic-and-environmental-risk},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Interaction of genetic and environmental risk factors in the aetiology of keratoconus
AU  - Rachel Hadvina
AU  - Yutao Liu
PY  - 2026
DA  - 2026/09/30
JO  - Open Biology
DO  - 10.1098/rsob.260068
UR  - https://royalsocietypublishing.org/rsob/article/16/9/260068/483443/Interaction-of-genetic-and-environmental-risk
AB  - Keratoconus (KC) is a multifactorial corneal ectasia disorder that is influenced by genetic and environmental risk factors. The manner and degree to which any risk factor contributes mechanistically to KC pathogenesis is not fully understood, despite epidemiological associations. Likewise, the relationship between genetic and environmental risk factors and how they may interact or compound upon one another to precipitate KC is largely unknown. In this review, we discuss existing research surrounding the genetic and environmental risk factors for KC, as well as the probable mechanisms driving individual risk factors such as ultraviolet radiation exposure and eye-rubbing. Additionally, we discuss the interplay between underlying genetic susceptibility to KC and contributory environmental factors. This review highlights advances in existing research in vivo and in vitro, potential underlying mechanisms and avenues for future inquiry to elucidate the multifactorial aetiology of KC.
SN  - 2046-2441
ER  -