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[The complement system and its possible role in the pathogenesis of age-related macular degeneration (AMD)]
P Charbel Issa1, H P N Scholl, F G Holz
1Augenklinik, Universität, Bonn.
Insights
Genetic variations in complement factor H (CFH) link the complement system to age-related macular degeneration (AMD). This overview explores the complement system and its role in AMD immunopathogenesis.
Area of Science:
- Immunology
- Ophthalmology
- Genetics
Background:
- Age-related macular degeneration (AMD) is a leading cause of vision loss.
- The complement system, a key part of innate immunity, is implicated in AMD pathogenesis.
- A specific polymorphism in complement factor H (CFH) strongly suggests a causative role.
Purpose of the Study:
- To provide an overview of the complement system.
- To discuss the immunopathogenetic processes in AMD, considering new data on CFH.
- To explore the link between complement system dysregulation and AMD.
Main Methods:
- Literature review of complement system function.
- Analysis of genetic data linking CFH polymorphism to AMD.
- Synthesis of current understanding of immune mechanisms in AMD.
Main Results:
- The complement system plays a significant role in the inflammatory processes underlying AMD.
- CFH polymorphism is a major genetic risk factor for AMD.
- Evidence suggests complement dysregulation contributes to retinal damage in AMD.
Conclusions:
- The complement system is critically involved in the pathogenesis of age-related macular degeneration.
- Targeting complement pathways represents a potential therapeutic strategy for AMD.
- Further research into complement-mediated inflammation in AMD is warranted.
Abstract:
The discovery of the complement factor H (CFH) polymorphism in age-related macular degeneration (AMD) strongly suggests a causative role of the complement system in the pathogenesis of this disease. The complement system is part of the innate immune system and is closely associated with the cellular response and the adaptive immune system. This article provides an overview of the complement system and, taking the new data into account, of possible immunopathogenetic processes in AMD.
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