Preprint / Version 1

Expression Patterns of Cataract-Associated Crystallin Genes in Uveal Melanoma

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  • Esha Cheedella Polygence

DOI:

https://doi.org/10.58445/rars.3950

Keywords:

medicine, ophthalmology, cancer, genetics, statsitics

Abstract

Cataracts are the number one cause of blindness worldwide. Cataracts occur when the lens of the eye becomes cloudy due to the accumulation of damaged crystallin proteins. When undamaged, crystallins allow the lens to maintain transparency, helping with clear vision. While the genetic basis of cataracts is well documented, there is little research on how the expression levels of cataract-causing genes might be modified in other ocular diseases such as in uveal melanoma. This study analyzes potential genetic correlations between uveal melanoma and cataract-causing genes.

We hypothesize that if uveal melanoma alters the lens environment, then patients with uveal melanoma will exhibit significantly different expression levels of crystallin genes associated with cataract formation.

Using 81 uveal melanoma patient cases sourced from The Cancer Genome Atlas (TCGA), we conducted a comparative genomic analysis by focusing on ten genes from the crystallin family and standardizing their expression levels. Expression levels of the crystallin genes CRYAA, CRYAB, CRYBA1, CRYBA2, CRYBA4, CRYBB1, CRYBB2, CRYBB3, CRYGC, and CRYGS in all TCGA uveal melanoma cases were determined using the gene expression tool. After refining the dataset by removing outliers exceeding 1.5 times the interquartile range, the model achieved a statistically significant p-value. This value was found when testing correlations between uveal melanoma and cataract formation. 

These results supported a genetic correlation between uveal melanoma and cataract expression. Moving forward, more detailed analyses can be done for specific cataract genes (such as CRYBA) allowing for connections to be made about molecular interactions leading to specific expression levels.

References

Lee, S. Y., & Mesfin, F. B. (2020). Blindness. Retrieved from PubMed website: https://www.ncbi.nlm.nih.gov/books/NBK448182/

Slingsby, C., & Wistow, G. J. (2014). Functions of crystallins in and out of lens: Roles in elongated and post-mitotic cells. Progress in Biophysics and Molecular Biology, 115(1), 52–67. https://doi.org/10.1016/j.pbiomolbio.2014.02.006

Shiels, A., & Hejtmancik, J. F. (2021). Inherited cataracts: Genetic mechanisms and pathways new and old. Experimental Eye Research, 209, 108662. https://doi.org/10.1016/j.exer.2021.108662

Berry, V., Ionides, A., Nikolas Pontikos, Georgiou, M., Yu, J., Ocaka, L., … Michaelides, M. (2020). The genetic landscape of crystallins in congenital cataract. Orphanet Journal of Rare Diseases, 15(1). https://doi.org/10.1186/s13023-020-01613-3

Berry, V., Georgiou, M., Fujinami, K., Quinlan, R., Moore, A., & Michaelides, M. (2020). Inherited cataracts: molecular genetics, clinical features, disease mechanisms and novel therapeutic approaches. British Journal of Ophthalmology, 104(10), 1331–1337. https://doi.org/10.1136/bjophthalmol-2019-315282

Hoiom, V., & Helgadottir, H. (2016). The genetics of uveal melanoma: current insights. The Application of Clinical Genetics, Volume 9, 147–155. https://doi.org/10.2147/tacg.s69210

Clinic, C. (2023, September 6). Blurry Vision, Ocular Motility Issues: Cancer Metastasis to the Eye Takes Many Forms. Retrieved April 7, 2026, from Cleveland Clinic website: https://consultqd.clevelandclinic.org/blurry-vision-ocular-motility-issues-cancer-metastasis-to-the-eye-takes-many-forms

Eye Cancer: Symptoms, Types & Treatment. (2022, December 8). Retrieved from Cleveland Clinic website: https://my.clevelandclinic.org/health/diseases/17292-eye-cancer

Uveal Melanoma: What You Need to Know. (n.d.). Retrieved from Melanoma Research Alliance website: https://www.curemelanoma.org/about-melanoma/types/uveal-melanoma

Krantz, B. A., Dave, N., Komatsubara, K. M., Marr, B. P., & Carvajal, R. D. (2017). Uveal melanoma: epidemiology, etiology, and treatment of primary disease. Clinical Ophthalmology, Volume 11, 279–289. https://doi.org/10.2147/opth.s89591

Nagarkatti-Gude, N., Wang, Y., Ali, M. J., Honavar, S. G., Jager, M. J., & Chan, C.-C. (2012). Genetics of Primary Intraocular Tumors. Ocular Immunology and Inflammation, 20(4), 244–254. https://doi.org/10.3109/09273948.2012.702843

What Causes Eye Cancer? | Ocular Melanoma Causes. (n.d.). Retrieved from www.cancer.org website: https://www.cancer.org/cancer/types/eye-cancer/causes-risks-prevention/what-causes.html

The Ohio State University Wexner Medical Center. (2026). Retrieved April 7, 2026, from Osu.edu website: https://wexnermedical.osu.edu/departments/innovations/ophthalmology/eye-cancer

Wu, S., Zhou, J., Zhang, K., Chen, H., Luo, M., Lu, Y., … Chen, Y. (2020). Molecular Mechanisms of PALB2 Function and Its Role in Breast Cancer Management. Frontiers in Oncology, 10. https://doi.org/10.3389/fonc.2020.00301

Abdel-Rahman, M. H., Sample, K. M., Pilarski, R., Walsh, T., Grosel, T., Kinnamon, D., … Fewings, E. (2020). Whole exome sequencing identifies candidate genes associated with hereditary predisposition to uveal melanoma. Ophthalmology, 127(5), 668–678. https://doi.org/10.1016/j.ophtha.2019.11.009

Derrien, A.-C., Rodrigues, M., Eeckhoutte, A., Dayot, S., Houy, A., Mobuchon, L., … Stern, M.-H. (2020). Germline MBD4 Mutations and Predisposition to Uveal Melanoma. JNCI: Journal of the National Cancer Institute, 113(1), 80–87. https://doi.org/10.1093/jnci/djaa047

MBD4-Associated Neoplasia Syndrome (PDQ®). (2024, October 29). Retrieved from Cancer.gov website: https://www.cancer.gov/publications/pdq/information-summaries/genetics/mbd4-hp-pdq

Karimi, S., & Daneshvar, K. (2025). Intraocular Lymphoma: A Review. Journal of Ophthalmic and Vision Research, 20, 1–22. https://doi.org/10.18502/jovr.v20.17181

National Cancer Institute. (2022, May 13). The Cancer Genome Atlas Program (TCGA) - NCI. Retrieved from www.cancer.gov website: https://www.cancer.gov/ccg/research/genome-sequencing/tcga

Ehrlich, M. (2019). DNA hypermethylation in disease: mechanisms and clinical relevance. Epigenetics, 14(12), 1141–1163. https://doi.org/10.1080/15592294.2019.1638701

Zhou, P., Luo, Y., Liu, X., Fan, L., & Lü, Y. (2012). Down‐regulation and CpG island hypermethylation of CRYAA in age‐related nuclear cataract. The FASEB Journal, 26(12), 4897–4902. https://doi.org/10.1096/fj.12-213702

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Posted

2026-07-12