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Complement factor H polymorphism p.Tyr402His and cuticular Drusen.

Michael A Grassi1, James C Folk, Todd E Scheetz

  • 1Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, USA.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|January 11, 2007
PubMed
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The Tyr402His variant in the complement factor H (CFH) gene is strongly linked to the cuticular drusen phenotype of age-related macular degeneration (AMD). This finding suggests a significant role for the complement cascade in this specific AMD subtype.

Area of Science:

  • Genetics and Ophthalmology
  • Molecular Biology and Disease Mechanisms

Background:

  • Age-related macular degeneration (AMD) is a leading cause of vision loss.
  • The cuticular drusen phenotype is a specific subtype of AMD.
  • Genetic factors, including variants in the complement factor H (CFH) gene, are implicated in AMD pathogenesis.

Purpose of the Study:

  • To investigate the frequency of the histidine allele (a variant of the CFH gene) in patients with the cuticular drusen phenotype of AMD.
  • To compare this frequency with that in typical AMD cases and healthy controls.

Main Methods:

  • Genotyping of DNA samples from 50 individuals with the cuticular drusen phenotype using a polymerase chain reaction-based restriction digest assay.
  • Comparison with 700 individuals with typical AMD and 252 controls.

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  • Statistical analysis using Fisher exact test to determine allele frequency differences.
  • Main Results:

    • The histidine allele frequency was significantly higher in the cuticular drusen cohort (70%) compared to typical AMD cases (55%) and controls (34%).
    • A strong association was found between the cuticular drusen phenotype and the histidine allele (P = .003 vs AMD; P<.001 vs controls).
    • Genotype distribution also showed significant differences across the three groups (P<.001).

    Conclusions:

    • The cuticular drusen phenotype is strongly associated with the Tyr402His variant of the CFH gene.
    • The elevated histidine allele frequency in cuticular drusen suggests a more prominent role for the complement cascade in this AMD subtype.
    • The c.1204T>C, p.Tyr402His variant confers a 3-fold increased risk for AMD and is also linked to membranoproliferative glomerulonephritis type II.