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A 32 kb critical region excluding Y402H in CFH mediates risk for age-related macular degeneration.

PloS one | 2011

Complement factor H shows very strong association with Age-related Macular Degeneration (AMD), and recent data suggest that multiple causal variants are associated with disease. To refine the location of the disease associated variants, we characterized in detail the structural variation at CFH and its paralogs, including two copy number polymorphisms (CNP), CNP147 and CNP148, and several rare deletions and duplications. Examination of 34 AMD-enriched extended families (N = 293) and AMD cases (White N = 4210 Indian = 134; Malay = 140) and controls (White N = 3229; Indian = 117; Malay = 2390) demonstrated that deletion CNP148 was protective against AMD, independent of SNPs at CFH. Regression analysis of seven common haplotypes showed three haplotypes, H1, H6 and H7, as conferring risk for AMD development. Being the most common haplotype H1 confers the greatest risk by increasing the odds of AMD by 2.75-fold (95% CI = [2.51, 3.01]; p = 8.31×10(-109)); Caucasian (H6) and Indian-specific (H7) recombinant haplotypes increase the odds of AMD by 1.85-fold (p = 3.52×10(-9)) and by 15.57-fold (P = 0.007), respectively. We identified a 32-kb region downstream of Y402H (rs1061170), shared by all three risk haplotypes, suggesting that this region may be critical for AMD development. Further analysis showed that two SNPs within the 32 kb block, rs1329428 and rs203687, optimally explain disease association. rs1329428 resides in 20 kb unique sequence block, but rs203687 resides in a 12 kb block that is 89% similar to a noncoding region contained in ΔCNP148. We conclude that causal variation in this region potentially encompasses both regulatory effects at single markers and copy number.

Pubmed ID: 22022419 RIS Download

Associated grants

  • Agency: NCRR NIH HHS, United States
    Id: P41 RR003655
  • Agency: NEI NIH HHS, United States
    Id: U10 EY006594
  • Agency: Howard Hughes Medical Institute, United States
  • Agency: NCI NIH HHS, United States
    Id: P30 CA043703
  • Agency: NEI NIH HHS, United States
    Id: EY015810
  • Agency: NHLBI NIH HHS, United States
    Id: HL07567
  • Agency: NIGMS NIH HHS, United States
    Id: T32 GM07250
  • Agency: NEI NIH HHS, United States
    Id: U10EY06594
  • Agency: NIGMS NIH HHS, United States
    Id: T32 GM007266
  • Agency: NEI NIH HHS, United States
    Id: EY10605
  • Agency: NEI NIH HHS, United States
    Id: EY13438
  • Agency: NEI NIH HHS, United States
    Id: T32 EY007157
  • Agency: NCI NIH HHS, United States
    Id: P30CA43703
  • Agency: NEI NIH HHS, United States
    Id: R01 EY015286
  • Agency: NCRR NIH HHS, United States
    Id: RR03655
  • Agency: NHLBI NIH HHS, United States
    Id: T32 HL007567
  • Agency: NEI NIH HHS, United States
    Id: R01 EY015810
  • Agency: NIDDK NIH HHS, United States
    Id: U01 DK057292
  • Agency: NIGMS NIH HHS, United States
    Id: T32 GM007250
  • Agency: NEI NIH HHS, United States
    Id: EY015286
  • Agency: NIDDK NIH HHS, United States
    Id: U01DK057292

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