Peripheral reticular pigmentary change is associated with complement factor H polymorphism (Y402H) in age-related

R Keith Shuler1, Silke Schmidt, Paul Gallins

  • 1Duke University Eye Center, Durham, North Carolina 27710, USA.

Ophthalmology
|December 11, 2007
PubMed

Insights

The complement factor H (CFH) Y402H variant is linked to peripheral reticular pigmentary changes in age-related macular degeneration (AMD) patients. This suggests AMD affects more than just the macula, potentially impacting diagnosis and treatment.

Area of Science:

  • Ophthalmology
  • Genetics
  • Molecular Biology

Background:

  • Age-related macular degeneration (AMD) is a leading cause of vision loss.
  • The complement factor H (CFH) gene, specifically the Y402H variant (rs1061170), is a known genetic risk factor for AMD.

Purpose of the Study:

  • To investigate the association between the CFH Y402H variant and specific phenotypic features in AMD patients.
  • To determine if AMD phenotypes associated with the CFH variant extend beyond the macula.

Main Methods:

  • A clinic-based case series study involving 956 unrelated AMD patients.
  • Comparison of AMD phenotypes between 796 carriers and 160 non-carriers of the CFH Y402H variant.
  • Analysis of 34 phenotypic features to identify associations with the CFH variant.

Main Results:

  • Peripheral reticular pigmentary change (PRPC) was significantly associated with the CFH Y402H variant (P = 0.0006).
  • A dose-response relationship was observed between the number of CFH risk C alleles and the proportion of AMD cases with PRPC.

Conclusions:

  • The CFH Y402H polymorphism is associated with PRPC, indicating AMD pathology is not confined to the macula.
  • Current AMD grading systems may need to incorporate peripheral retinal changes.
  • Identifying high-risk genotypes could aid in AMD diagnosis, therapy, and research.
Abstract

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