LOXL1 rs1048661: What Your Genotype Means
The rs1048661 variant is a genetic change in the LOXL1 gene that has been extensively studied for its association with pseudoexfoliation syndrome (XFS) and secondary glaucoma. Research indicates that the risk associated with this variant is complex and varies significantly depending on an individual's ancestral background.
What each genotype means
Increased glaucoma risk profile
This genotype is associated with a higher statistical risk of developing pseudoexfoliation syndrome and secondary glaucoma compared to other genotypes. Research suggests this variant, also known as R141L, may influence the function of the LOXL1 enzyme, which is critical for maintaining elastic fibers in the eye. Please discuss your eye health and any family history of glaucoma with your ophthalmologist.
The G allele is very common, with a frequency of approximately 0.80 in European populations and up to 0.99 in East Asian populations.
Elevated glaucoma risk profile
Carrying one copy of the G allele is associated with an increased statistical susceptibility to pseudoexfoliation syndrome and related glaucoma compared to the TT genotype. This variant affects the LOXL1 gene, which plays a role in the structural integrity of connective tissues in the eye. You should maintain regular comprehensive eye exams and discuss your risk profile with an eye care professional.
This heterozygous genotype is found in a significant portion of the population, particularly in groups where the G allele is highly prevalent.
Reduced glaucoma risk profile
This genotype is associated with a lower statistical risk of developing pseudoexfoliation syndrome and secondary glaucoma compared to those carrying the G allele. While this genotype is considered the lower-risk version of this specific variant, it does not eliminate the possibility of developing eye conditions. Continue to follow standard recommendations for routine eye health screenings.
This genotype is less common in populations where the G allele is dominant, such as in East Asian cohorts.
Understanding the rs1048661 Variant
The rs1048661 variant is a single nucleotide polymorphism (SNP) located within the LOXL1 gene. In genetic databases, this variant is often referred to as a missense mutation, specifically resulting in an amino acid change known as R141L. This means that at a specific position in the protein sequence, the genetic code is altered, potentially changing the resulting protein's structure or function. Because this variant is located in a gene critical for maintaining the structural integrity of tissues in the eye, researchers have focused on it as a primary candidate for understanding the genetic basis of eye-related conditions. It is important to note that while this SNP is a well-documented marker in genetic studies, it is just one of many factors that contribute to the overall health of the eye and the development of complex conditions like glaucoma.
The Role of the LOXL1 Gene
The LOXL1 gene provides instructions for making an enzyme called lysyl oxidase-like 1. This enzyme plays a vital role in the formation and maintenance of elastic fibers, which are essential components of the extracellular matrix—the structural framework that supports cells and tissues throughout the body. In the eye, these elastic fibers are particularly important for the health of the lens capsule and the drainage structures that regulate eye pressure. When the LOXL1 enzyme does not function correctly, or when its production is disrupted, it can lead to the accumulation of abnormal protein deposits. This process is a hallmark of pseudoexfoliation syndrome (XFS), a condition where these deposits build up in the eye, potentially leading to increased intraocular pressure and the development of secondary glaucoma, a condition that can damage the optic nerve and impair vision.
Research and Population Associations
The association between rs1048661 and eye disease is notably complex and ancestry-specific. Early studies in European populations identified specific alleles as risk factors for XFS. However, subsequent research in Asian populations, such as in Japan and China, revealed that the risk alleles and their effects can be quite different, sometimes showing an inverse relationship compared to European cohorts. Meta-analyses have highlighted that the strength of this association is controversial and inconclusive, as the genetic architecture of XFS involves multiple variants and environmental factors. Because the risk profile changes significantly based on ethnicity, researchers emphasize that findings from one population cannot be directly applied to another. The evidence for this variant's role in disease susceptibility is considered limited in a global context, as it is part of a larger, intricate network of genetic and non-genetic influences that determine individual risk.
Interpreting Your Genetic Information
If you have information about your rs1048661 genotype, it is important to understand that this data does not constitute a medical diagnosis. Genetic associations are statistical observations made across large groups of people and cannot predict an individual's health outcome with certainty. Many people carry variants associated with higher risk without ever developing the condition, while others may develop the condition without carrying the common risk alleles. This variant is only one piece of a much larger puzzle involving your overall health, family history, and lifestyle. You should never use genetic test results to make decisions about your medical care or to ignore symptoms. If you have concerns about your vision, the risk of glaucoma, or your family history of eye disease, the most appropriate step is to consult with an ophthalmologist or a qualified eye care professional who can provide a comprehensive clinical evaluation.
How common is this variant?
The frequency of the rs1048661 alleles varies widely by ancestry, with the G allele frequency reported at approximately 0.80 in European populations and 0.99 in East Asian populations.
Frequently asked questions
Is rs1048661 a direct cause of glaucoma?
No, rs1048661 is not a direct cause of glaucoma. It is a genetic variant associated with an increased statistical risk of developing pseudoexfoliation syndrome, which is a risk factor for secondary glaucoma.
Does having the risk genotype mean I will get eye disease?
No, having a specific genotype does not guarantee that you will develop a disease. Genetic risk is complex, and many factors, including environment and other genes, influence whether a condition develops.
Why do the risk associations differ between populations?
Genetic associations often vary by ancestry due to differences in the overall genetic background and the presence of other linked variants. This is why findings in one population may not be the same in another.
What should I do if I am concerned about my eye health?
If you are concerned about your vision or glaucoma risk, you should schedule an appointment with an ophthalmologist. They can perform a clinical exam, which is the only way to accurately assess your eye health.
Sources & further reading
Educational information only, last refreshed 10/14/2026. Not medical advice — these associations describe population statistics, not individual predictions.
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This LOXL1 variant is associated with exfoliation syndrome (XFS) and exfoliation glaucoma (XFG), though recent evidence suggests it may act as a proxy for other functional variants in the locus rather than being directly causative.
Common missense variant (Arg141Leu) in LOXL1 historically associated with pseudoexfoliation syndrome; recent evidence suggests these variants may be proxies for other causative regulatory variants.
Exonic missense variant (p.Gly153Asp) in LOXL1 conferring major risk for pseudoexfoliation syndrome and secondary glaucoma.
Missense variant in LOXL1 strongly associated with pseudoexfoliation syndrome and secondary glaucoma.
Common missense variant (Arg141Leu) in LOXL1; strongly associated with exfoliation syndrome and glaucoma.
A missense variant (p.Gly153Asp) in LOXL1 strongly associated with pseudoexfoliation syndrome and secondary open-angle glaucoma.
