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Published on: July 14, 2016
Association of CFH and CFB gene polymorphisms with retinopathy in type 2 diabetic patients
Jun Wang1, Ming Ming Yang, Yan Bo Li
1Department of Endocrinology, First Affiliated Hospital of Harbin Medical University, 23 Post Road, Nangang Region, Harbin, Heilongjiang 150001, China.
Insights
Genetic variations in complement factor H (CFH) and complement factor B (CFB) genes are linked to diabetic retinopathy (DR). Specific CFH and CFB gene polymorphisms are associated with DR presence and progression.
Area of Science:
- Immunogenetics
- Ophthalmology
- Genetics
Background:
- The complement system is crucial for innate immunity and implicated in diabetic retinopathy (DR) pathogenesis.
- Investigating genetic factors influencing DR is vital for understanding disease mechanisms.
Purpose of the Study:
- To examine the association between polymorphisms in complement factor H (CFH) and complement factor B (CFB) genes and diabetic retinopathy (DR).
Main Methods:
- Genotyping of Tag-SNPs (rs1048709, rs537160, rs4151657, rs2072633 in CFB; rs800292 in CFH) in 552 type 2 diabetes subjects (277 DR patients, 275 controls) using TaqMan assays.
Main Results:
- Significant associations found between DR and alleles/genotypes of CFB-rs1048709 (increased risk) and CFH-rs800292 (decreased risk).
- The CFH-rs800292 AA genotype correlated with delayed DR progression.
- A joint effect of CFH and CFB loci on DR was identified.
Conclusions:
- CFH-rs800292 and CFB-rs1048709 polymorphisms are associated with diabetic retinopathy.
- These findings reinforce the significant role of the complement system in DR development.
Objectives:
The complement system is a key component of innate immunity and has been implicated in the pathogenesis of diabetic retinopathy (DR). This study aimed at investigating whether polymorphisms of two genes in the complement pathway, complement factor H (CFH) and complement factor B (CFB), are associated with DR.
Methods:
552 well-defined subjects with type 2 diabetes, consisting of 277 DR patients and 275 diabetic controls, were recruited. Four Tag-SNPs rs1048709, rs537160, rs4151657, and rs2072633 in CFB and rs800292 (I62V) in CFH were examined using TaqMan Genotyping Assays.
Results:
There were significant increases in the frequencies of A allele and AA genotype for rs1048709 in DR patients compared with diabetic controls (P(corr) = 0.035, OR = 1.42; P(corr) = 0.02, OR = 2.27, resp.): meanwhile, significant decreases in the frequencies of A allele and AA genotype for rs800292 were observed in DR patients compared with diabetic controls (P(corr) = 0.04, OR = 0.72; P(corr) = 0.015, OR = 0.51, resp.). Joint effect of these two loci was also identified. Moreover, rs800292/AA genotype was found to be related with delayed progression to DR.
Conclusions:
CFH-rs800292 and CFB-rs1048709 are associated with the presence of DR, which strengthens the concept that complement system plays an important role in the pathogenesis of DR.
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