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Complement factor H polymorphism in age-related maculopathy in the Chinese population: the Beijing Eye Study
1Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Capital Medical University, Beijing, China.
Retina (Philadelphia, Pa.)
|December 30, 2009
Summary
The Y402H polymorphism in complement factor H is linked to soft drusen in the Chinese population, a key sign of age-related maculopathy. This finding holds true despite lower C allele frequencies compared to white populations.
Area of Science:
- Ophthalmology
- Genetics
- Population Health
Background:
- Age-related maculopathy (ARM) is a leading cause of vision loss.
- Soft drusen are a hallmark of early ARM.
- The complement factor H (CFH) gene, particularly the Y402H polymorphism, is implicated in ARM pathogenesis.
Purpose of the Study:
- To investigate the association between the Y402H polymorphism in the CFH gene and soft drusen in the Chinese population.
- To determine if this genetic association is present in an Asian demographic.
Main Methods:
- Population-based Beijing Eye Study.
- Ophthalmic examination with fundus photography graded using the Wisconsin Grading System.
- Genotyping of Y402H polymorphism in CFH gene via polymerase chain reaction (PCR) and allele-specific digestion.
Main Results:
- A significant association was found between the Y402H polymorphism and bilateral soft drusen.
- The odds ratio for this association was 2.29 (95% CI, 1.06-4.95).
- The frequency of the C allele was markedly lower in the Chinese population compared to white populations.
Conclusions:
- The Y402H polymorphism in the CFH gene is associated with soft drusen in the Chinese population.
- This genetic link to ARM is observed across different ethnicities.
- Further research may explore the role of CFH in ARM across diverse populations.

