91 Circulating inflammatory proteins and the risk of age-related macular degeneration: A bidirectional Mendelian

Tianyu Wang1, Jinbo Chen1, Junliang Wang1

  • 1Department of Ophthalmology, Ningbo Eye Institute, Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, China.

Insights

This study reveals that higher levels of certain inflammatory proteins increase age-related macular degeneration (AMD) risk, while others decrease it. AMD also appears to lower levels of many inflammatory proteins.

Area of Science:

  • Ophthalmology
  • Immunology
  • Genetics

Background:

  • Observational studies suggest a link between inflammatory proteins and age-related macular degeneration (AMD).
  • The causal relationship between circulating inflammatory proteins and AMD remains unclear.

Purpose of the Study:

  • To investigate the causal relationship between circulating inflammatory proteins and AMD using a bidirectional two-sample Mendelian randomization approach.

Main Methods:

  • Bidirectional two-sample Mendelian randomization analysis.
  • Utilized genetic variants as instrumental variables for circulating inflammatory proteins and AMD.

Main Results:

  • Elevated levels of C-C Motif Chemokine Ligand 11 (CCL11), Signaling Lymphocytic Activation Molecule Family Member 1 (SLAMF1), TNF Superfamily Member 11 (TRANCE), and Vascular Endothelial Growth Factor A (VEGF-A) were associated with increased AMD risk.
  • Increased levels of Fibroblast Growth Factor 19 (FGF-19) and Interleukin 10 Receptor Subunit Alpha (IL-10RA) were linked to decreased AMD risk.
  • Reverse Mendelian randomization indicated that AMD presence reduces levels of 15 circulating inflammatory proteins.

Conclusions:

  • Findings support a causal association between specific circulating inflammatory proteins and AMD risk.
  • AMD may lead to a reduction in circulating inflammatory protein levels.
  • CCL11, SLAMF1, TRANCE, and VEGF-A are potential therapeutic targets for AMD prevention and treatment.