PMID- 18515590 OWN - NLM STAT- MEDLINE DCOM- 20080718 LR - 20231213 IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 49 IP - 6 DP - 2008 Jun TI - Association analysis of CFH, C2, BF, and HTRA1 gene polymorphisms in Chinese patients with polypoidal choroidal vasculopathy. PG - 2613-9 LID - 10.1167/iovs.07-0860 [doi] AB - PURPOSE: Polypoidal choroidal vasculopathy (PCV) is a major cause of serosanguinous maculopathy in Chinese patients with age-related macular degeneration (AMD). Variants in the CFH and HTRA1/LOC387715 genes are strongly associated with AMD in Caucasians and Chinese. Variants in the C2 and BF genes have been found to confer a significantly reduced risk of AMD. This study was undertaken to determine whether these associations occur in Chinese patients with PCV. METHODS: Patients of Chinese ethnicity with clinically and angiographically diagnosed PCV and normal control subjects were recruited from the Singapore National Eye Centre. Five single-nucleotide polymorphisms (SNPs) in the CFH gene, two each within the C2 and BF genes and two variants located in the LOC387715 and HTRA1 genes, were screened in all patients and control subjects. RESULTS: Seventy-two patients with PCV and 93 normal control subjects were studied. A significant association was noted with CFH variants rs3753394 and rs800292 among the PCV cases (P = 0.0015 and P = 0.0045, respectively). Individuals homozygous for the TT genotype of rs3753394 had a significantly higher risk (P = 0.0076) of PCV (OR = 4.29; 95% CI: 1.47-12.50) than those carrying a single copy of the T allele (P = 0.3210; OR = 1.69; 95% CI: 0.60-4.78), after adjustment for such risk factors as age and sex. The genotype frequencies of rs11200638 and rs10490924 in HTRA1 and LOC387715, respectively, were also found to be significantly different between patients with PCV and normal control subjects (P = 0.00032 and P = 0.003, respectively). The AA genotype of rs11200638 and TT genotype of rs10490924 conferred a 4.9-fold (95% CI: 1.85-12.95) and 4.89-fold (95% CI: 1.85-12.90) increased risk of PCV, respectively, after adjustment for age and sex. The Y402H variant of CFH (rs1061170) and the BF and C2 variants were not significantly different in patients and normal control subjects. CONCLUSIONS: The SNPs rs3753394 and rs800292 of CFH and rs11200638 of HTRA1 are significantly associated with the risk of PCV in Chinese patients. FAU - Lee, Kelvin Y AU - Lee KY AD - Singapore National Eye Centre, Singapore. FAU - Vithana, Eranga N AU - Vithana EN FAU - Mathur, Ranjana AU - Mathur R FAU - Yong, Victor H AU - Yong VH FAU - Yeo, Ian Y AU - Yeo IY FAU - Thalamuthu, Anbupalam AU - Thalamuthu A FAU - Lee, Mun-Wai AU - Lee MW FAU - Koh, Adrian H AU - Koh AH FAU - Lim, Marcus C AU - Lim MC FAU - How, Alicia C AU - How AC FAU - Wong, Doric W AU - Wong DW FAU - Aung, Tin AU - Aung T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (CFH protein, human) RN - 0 (Complement C2) RN - 80295-65-4 (Complement Factor H) RN - EC 3.4.21.- (High-Temperature Requirement A Serine Peptidase 1) RN - EC 3.4.21.- (HTRA1 protein, human) RN - EC 3.4.21.- (Serine Endopeptidases) RN - EC 3.4.21.47 (Complement Factor B) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Asian People/genetics MH - Choroid/blood supply MH - Choroid Diseases/*genetics MH - Complement C2/*genetics MH - Complement Factor B/*genetics MH - Complement Factor H/genetics MH - Female MH - Fluorescein Angiography MH - Gene Frequency MH - Genotype MH - Haplotypes MH - High-Temperature Requirement A Serine Peptidase 1 MH - Humans MH - Linkage Disequilibrium MH - Macular Degeneration/genetics MH - Male MH - Middle Aged MH - Peripheral Vascular Diseases/*genetics MH - Polymerase Chain Reaction MH - *Polymorphism, Single Nucleotide MH - Risk Factors MH - Serine Endopeptidases/*genetics MH - Singapore/epidemiology EDAT- 2008/06/03 09:00 MHDA- 2008/07/19 09:00 CRDT- 2008/06/03 09:00 PHST- 2008/06/03 09:00 [pubmed] PHST- 2008/07/19 09:00 [medline] PHST- 2008/06/03 09:00 [entrez] AID - 49/6/2613 [pii] AID - 10.1167/iovs.07-0860 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2008 Jun;49(6):2613-9. doi: 10.1167/iovs.07-0860.