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Published on: July 14, 2016
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.
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.
Objective:
To examine phenotypes of age-related macular degeneration (AMD) patients with the complement factor H (CFH) variant (Y402H, C allele at rs1061170).
Design:
Clinic-based case series study.
Participants:
The data set contained a total of 956 unrelated cases of AMD.
Methods:
Age-related macular degeneration phenotypes of 796 carriers of the CFH Y402H variant were compared with the AMD phenotypes of 160 noncarriers.
Main Outcome Measures:
Presence or absence of 34 phenotypic features.
Results:
Of the 34 features analyzed, only peripheral reticular pigmentary change (PRPC) was associated with this CFH variant (P = 0.0006). The proportion of AMD cases with PRPC correlated with the number of CFH risk C alleles in a dose-response fashion.
Conclusions:
The CFH Y402H polymorphism is associated with PRPC, suggesting that AMD changes are not limited to the macula. Current AMD grading methods assess only the macula and should consider incorporating peripheral retinal changes. Phenotypes that suggest a high-risk genotype may prove valuable for diagnostic, therapeutic, and research purposes.
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