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Coding variant Met72Thr in the PEDF gene and risk of neovascular age-related macular degeneration and polypoidal
Hiroaki Bessho1, Naoshi Kondo, Shigeru Honda
1Department of Surgery, Division of Ophthalmology, Kobe University Graduate School of Medicine, Chuo-ku, Kobe, Japan.
Purpose:
Using a candidate-gene approach, a recent case-control study identified a previously unknown association between neovascular age-related macular degeneration (AMD) and the coding Met72Thr variant in the pigment epithelium-derived factor (PEDF) gene in a Taiwan Chinese population. However, a subsequent replication study failed to see this association in a white European population. We noted an important difference in the sample ascertainment scheme between these two studies. The original study did not consider findings of indocyanine green (ICG) angiography for disease classification, which is the only way to obtain a clear image of polypoidal choroidal vasculopathy (PCV) lesions. This suggests that their cohort might include a considerable amount of PCV, given its high prevalence in the Chinese population. In contrast, the replication study intentionally excluded PCV from the case cohort on the basis of ICG angiograms. Therefore, the inconsistent finding might be caused by potential sample heterogeneity between these two studies. In this respect, this association needed to be examined in a case series of clearly defined individuals with neovascular AMD and PCV. The aim of this study was to validate the previously reported association of the PEDF Met72Thr variant in a well characterized Japanese population with neovascular AMD and PCV.
Methods:
We genotyped the Met72Thr variant (rs1136287) in 116 patients with neovascular AMD, 140 patients with PCV, and 189 control participants in a Japanese population. Genotyping was performed using TaqMan technology. We tested for an association of this variant with neovascular AMD and PCV separately. We also evaluated population stratification in our study cohort.
Results:
We found no statistically significant evidence for association between rs1136287 and either neovascular AMD or PCV under any genetic models (trend, genotypic, dominant, and recessive genetic models; p>0.05). Population structure analyses excluded stratification artifact in our study population.
Conclusions:
We report a lack of association between the PEDF Met72Thr variant and either neovascular AMD or PCV in a Japanese population. We conclude that the Met72Thr variant does not play a significant role in the risk of developing neovascular AMD or PCV.
Insights
The pigment epithelium-derived factor (PEDF) Met72Thr variant is not associated with neovascular age-related macular degeneration (AMD) or polypoidal choroidal vasculopathy (PCV) in the Japanese population. This finding suggests the variant does not significantly impact the risk of developing these eye conditions.
Area of Science:
- Ophthalmology
- Genetics
- Molecular Biology
Background:
- A prior study suggested an association between the PEDF Met72Thr variant and neovascular AMD in a Taiwanese Chinese population.
- Replication studies in a European population did not confirm this association, potentially due to differences in disease classification and patient selection, particularly regarding polypoidal choroidal vasculopathy (PCV).
Purpose of the Study:
- To validate the association of the PEDF Met72Thr variant with neovascular age-related macular degeneration (AMD) and polypoidal choroidal vasculopathy (PCV) in a well-characterized Japanese population.
Main Methods:
- Genotyping of the PEDF Met72Thr variant (rs1136287) was performed in 116 Japanese patients with neovascular AMD, 140 with PCV, and 189 controls using TaqMan technology.
- Statistical analyses tested for associations under various genetic models, and population stratification was evaluated.
Main Results:
- No statistically significant association was found between the rs1136287 variant and either neovascular AMD or PCV in the Japanese cohort across all tested genetic models (p > 0.05).
- Population structure analyses confirmed the absence of stratification artifacts in the study population.
Conclusions:
- The PEDF Met72Thr variant does not appear to play a significant role in the risk of developing neovascular AMD or PCV in the Japanese population.
- These findings do not support the previously reported association, highlighting the importance of population-specific genetic studies.
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