Complement Factor H Variant Y402H Is a Major Risk Determinant for Geographic Atrophy and Choroidal Neovascularization in Smokers and Nonsmokers

The complement factor H (CFH) gene polymorphism Y402H (1277T-->C) has been associated with susceptibility to age-related macular degeneration (AMD). The purpose of this study was to confirm this association in a U.K. population, to determine whether the association holds for both geographic atrop...

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Veröffentlicht in:Investigative ophthalmology & visual science 2006-02, Vol.47 (2), p.536-540
Hauptverfasser: Sepp, Tiina, Khan, Jane C, Thurlby, Deborah A, Shahid, Humma, Clayton, David G, Moore, Anthony T, Bird, Alan C, Yates, John R. W, Genetic Factors in AMD Study Group
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container_end_page 540
container_issue 2
container_start_page 536
container_title Investigative ophthalmology & visual science
container_volume 47
creator Sepp, Tiina
Khan, Jane C
Thurlby, Deborah A
Shahid, Humma
Clayton, David G
Moore, Anthony T
Bird, Alan C
Yates, John R. W
Genetic Factors in AMD Study Group
description The complement factor H (CFH) gene polymorphism Y402H (1277T-->C) has been associated with susceptibility to age-related macular degeneration (AMD). The purpose of this study was to confirm this association in a U.K. population, to determine whether the association holds for both geographic atrophy (GA) and choroidal neovascularization (CNV), and to investigate interactions with smoking. A case-control study was undertaken in 443 cases of AMD, with 262 spouses as control subjects. All subjects completed a health and lifestyle questionnaire, had an ophthalmic assessment with fundus photography, and were genotyped. The frequencies of the C allele and CC genotype were significantly higher in cases than in controls. In comparison to the TT genotype, the odds ratios for AMD associated with the CT and CC genotypes were 3.1 (CI 2.0-4.6) and 6.3 (CI 3.8-10.4), respectively. The results were similar in subgroup analyses confined to cases with GA or CNV. The findings were also similar for subgroup analyses restricted to subjects who had never smoked, moderate smokers, or heavier smokers (>20 pack years of smoking). Heavier smokers with the CC genotype may be particularly at risk. The frequency of the CC genotype did not differ significantly between cases with and without a family history of AMD. There was no evidence that genotype had any influence on age at onset of disease. The CFH Y402H variant is strongly associated with both GA and CNV in the U.K. population. This association is similar in smokers and nonsmokers. Heavier smokers with the CC genotype may be at particular risk.
doi_str_mv 10.1167/iovs.05-1143
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W ; Genetic Factors in AMD Study Group</creator><creatorcontrib>Sepp, Tiina ; Khan, Jane C ; Thurlby, Deborah A ; Shahid, Humma ; Clayton, David G ; Moore, Anthony T ; Bird, Alan C ; Yates, John R. W ; Genetic Factors in AMD Study Group</creatorcontrib><description>The complement factor H (CFH) gene polymorphism Y402H (1277T--&gt;C) has been associated with susceptibility to age-related macular degeneration (AMD). The purpose of this study was to confirm this association in a U.K. population, to determine whether the association holds for both geographic atrophy (GA) and choroidal neovascularization (CNV), and to investigate interactions with smoking. A case-control study was undertaken in 443 cases of AMD, with 262 spouses as control subjects. All subjects completed a health and lifestyle questionnaire, had an ophthalmic assessment with fundus photography, and were genotyped. The frequencies of the C allele and CC genotype were significantly higher in cases than in controls. In comparison to the TT genotype, the odds ratios for AMD associated with the CT and CC genotypes were 3.1 (CI 2.0-4.6) and 6.3 (CI 3.8-10.4), respectively. The results were similar in subgroup analyses confined to cases with GA or CNV. The findings were also similar for subgroup analyses restricted to subjects who had never smoked, moderate smokers, or heavier smokers (&gt;20 pack years of smoking). Heavier smokers with the CC genotype may be particularly at risk. The frequency of the CC genotype did not differ significantly between cases with and without a family history of AMD. There was no evidence that genotype had any influence on age at onset of disease. The CFH Y402H variant is strongly associated with both GA and CNV in the U.K. population. This association is similar in smokers and nonsmokers. 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The frequencies of the C allele and CC genotype were significantly higher in cases than in controls. In comparison to the TT genotype, the odds ratios for AMD associated with the CT and CC genotypes were 3.1 (CI 2.0-4.6) and 6.3 (CI 3.8-10.4), respectively. The results were similar in subgroup analyses confined to cases with GA or CNV. The findings were also similar for subgroup analyses restricted to subjects who had never smoked, moderate smokers, or heavier smokers (&gt;20 pack years of smoking). Heavier smokers with the CC genotype may be particularly at risk. The frequency of the CC genotype did not differ significantly between cases with and without a family history of AMD. There was no evidence that genotype had any influence on age at onset of disease. The CFH Y402H variant is strongly associated with both GA and CNV in the U.K. population. This association is similar in smokers and nonsmokers. 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Psychology</subject><subject>Gene Frequency</subject><subject>Genetic Variation</subject><subject>Genotype</subject><subject>Humans</subject><subject>Macular Degeneration - genetics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Photoreceptor Cells, Vertebrate - pathology</subject><subject>Pigment Epithelium of Eye - pathology</subject><subject>Polymerase Chain Reaction</subject><subject>Polymorphism, Single Nucleotide - genetics</subject><subject>Risk Factors</subject><subject>Smoking - genetics</subject><subject>Tobacco, tobacco smoking</subject><subject>Toxicology</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>0146-0404</issn><issn>1552-5783</issn><issn>1552-5783</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0c9PFDEUB_DGaGRFb55NL3JysL9neyQrsCSIiaCJp-bRdpjCzHRsZ9nAP8G_bNfdZE9NXz_5pu89hD5Sckypqr-G-JiPiawoFfwVmlEpWSXrOX-NZoQKVRFBxAF6l_M9IYxSRt6iA6oEp1rUM_SyiP3Y-d4PEz4DO8WEl_g3pACl8EcQtsQXGQP-Dvfl6WfID_ibn3zqw7ARTSme-3iXYGyDxSdTimP7hGFweNHGFIODDl_5-AjZrroS-wxTiAMOA77u44NP-b-9ikPeXt-jNw102X_YnYfo19npzWJZXf44v1icXFaWCz1VSksqFVN-7nijmZ0L60p3SmnKhbx1UjhahFaegGKkJk6z0rF1tRYCuOKH6GibO6b4d-XzZPqQre86GHxcZVMTpQujBX7ZQptizsk3Zkyhh_RkKDGbBZjNAgyRZrOAwj_tcle3vXd7vJt4AZ93oIwEuibBYEPeu1pIKbjeuzbcteuQvMk9dF2JpWa9XovaMCPLD_8BrLObKw</recordid><startdate>20060201</startdate><enddate>20060201</enddate><creator>Sepp, Tiina</creator><creator>Khan, Jane C</creator><creator>Thurlby, Deborah A</creator><creator>Shahid, Humma</creator><creator>Clayton, David G</creator><creator>Moore, Anthony T</creator><creator>Bird, Alan C</creator><creator>Yates, John R. 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W ; Genetic Factors in AMD Study Group</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c349t-69515626e8d3f92c84cd0216691345bd54d151596e0a62070d92319cd7944a363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alleles</topic><topic>Atrophy</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Choroidal Neovascularization - genetics</topic><topic>Complement Factor H - genetics</topic><topic>Eye and associated structures. Visual pathways and centers. Vision</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gene Frequency</topic><topic>Genetic Variation</topic><topic>Genotype</topic><topic>Humans</topic><topic>Macular Degeneration - genetics</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Photoreceptor Cells, Vertebrate - pathology</topic><topic>Pigment Epithelium of Eye - pathology</topic><topic>Polymerase Chain Reaction</topic><topic>Polymorphism, Single Nucleotide - genetics</topic><topic>Risk Factors</topic><topic>Smoking - genetics</topic><topic>Tobacco, tobacco smoking</topic><topic>Toxicology</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sepp, Tiina</creatorcontrib><creatorcontrib>Khan, Jane C</creatorcontrib><creatorcontrib>Thurlby, Deborah A</creatorcontrib><creatorcontrib>Shahid, Humma</creatorcontrib><creatorcontrib>Clayton, David G</creatorcontrib><creatorcontrib>Moore, Anthony T</creatorcontrib><creatorcontrib>Bird, Alan C</creatorcontrib><creatorcontrib>Yates, John R. W</creatorcontrib><creatorcontrib>Genetic Factors in AMD Study Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Investigative ophthalmology &amp; visual science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sepp, Tiina</au><au>Khan, Jane C</au><au>Thurlby, Deborah A</au><au>Shahid, Humma</au><au>Clayton, David G</au><au>Moore, Anthony T</au><au>Bird, Alan C</au><au>Yates, John R. W</au><au>Genetic Factors in AMD Study Group</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complement Factor H Variant Y402H Is a Major Risk Determinant for Geographic Atrophy and Choroidal Neovascularization in Smokers and Nonsmokers</atitle><jtitle>Investigative ophthalmology &amp; visual science</jtitle><addtitle>Invest Ophthalmol Vis Sci</addtitle><date>2006-02-01</date><risdate>2006</risdate><volume>47</volume><issue>2</issue><spage>536</spage><epage>540</epage><pages>536-540</pages><issn>0146-0404</issn><issn>1552-5783</issn><eissn>1552-5783</eissn><coden>IOVSDA</coden><abstract>The complement factor H (CFH) gene polymorphism Y402H (1277T--&gt;C) has been associated with susceptibility to age-related macular degeneration (AMD). The purpose of this study was to confirm this association in a U.K. population, to determine whether the association holds for both geographic atrophy (GA) and choroidal neovascularization (CNV), and to investigate interactions with smoking. A case-control study was undertaken in 443 cases of AMD, with 262 spouses as control subjects. All subjects completed a health and lifestyle questionnaire, had an ophthalmic assessment with fundus photography, and were genotyped. The frequencies of the C allele and CC genotype were significantly higher in cases than in controls. In comparison to the TT genotype, the odds ratios for AMD associated with the CT and CC genotypes were 3.1 (CI 2.0-4.6) and 6.3 (CI 3.8-10.4), respectively. The results were similar in subgroup analyses confined to cases with GA or CNV. The findings were also similar for subgroup analyses restricted to subjects who had never smoked, moderate smokers, or heavier smokers (&gt;20 pack years of smoking). Heavier smokers with the CC genotype may be particularly at risk. The frequency of the CC genotype did not differ significantly between cases with and without a family history of AMD. There was no evidence that genotype had any influence on age at onset of disease. The CFH Y402H variant is strongly associated with both GA and CNV in the U.K. population. This association is similar in smokers and nonsmokers. Heavier smokers with the CC genotype may be at particular risk.</abstract><cop>Rockville, MD</cop><pub>ARVO</pub><pmid>16431947</pmid><doi>10.1167/iovs.05-1143</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Aged
Aged, 80 and over
Alleles
Atrophy
Biological and medical sciences
Case-Control Studies
Choroidal Neovascularization - genetics
Complement Factor H - genetics
Eye and associated structures. Visual pathways and centers. Vision
Female
Fundamental and applied biological sciences. Psychology
Gene Frequency
Genetic Variation
Genotype
Humans
Macular Degeneration - genetics
Male
Medical sciences
Photoreceptor Cells, Vertebrate - pathology
Pigment Epithelium of Eye - pathology
Polymerase Chain Reaction
Polymorphism, Single Nucleotide - genetics
Risk Factors
Smoking - genetics
Tobacco, tobacco smoking
Toxicology
Vertebrates: nervous system and sense organs
title Complement Factor H Variant Y402H Is a Major Risk Determinant for Geographic Atrophy and Choroidal Neovascularization in Smokers and Nonsmokers
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