Abstract | PURPOSE: We investigated the association of single nucleotide polymorphism (SNP) in the cholesterol-24S-hydroxylase ( CYP46A1) gene, according to CFH and LOC387715 SNPs, with age-related macular degeneration (AMD). METHODS: We enrolled 1388 AMD patients with neovascular AMD or geographic atrophy and 487 unrelated control subjects. SNPs were genotyped in the CYP46A1 (rs754203), LOC387715 (rs10490924), and CFH (rs1061170) genes. Plasma 24S-hydroxycholesterol, the metabolic product of CYP46A1, was quantified by gas chromatography-mass spectrometry using an authentic deuterated internal standard in subgroups of patients and controls. The χ(2) test was used to compare categoric allelic and genotype distributions between cases and controls. The odds ratio (OR) with a 95% confidence interval (95% CI) was calculated for AMD risk, and adjusted for age and gender. Significance levels were set at P < 0.05. RESULTS: The rs754203 SNP in the CYP46A1 gene was not associated with AMD (crude OR = 1.2, 95% CI = 0.9-1.4, P = 0.2). The crude OR for risk of AMD was 2.9 (95% CI = 2.4-3.4, P < 0.0001) according to the number of rs10490924 T alleles in the LOC387715 gene, and 2.0 (95% CI = 1.7-2.3, P < 0.0001) according to the number of rs1061170 C alleles in the CFH gene. After adjustment for age and gender, an OR of 2.2 (95% CI = 1.1-4.1, P = 0.04) was obtained for AMD cases with the C allele in the CYP46A1 gene, and carrying no risk alleles in the CFH and LOC387715 genes. CONCLUSIONS: The rs754203 C allele in the CYP46A1 gene may confer a higher risk for exudative AMD in patients who carry no risk alleles in the CFH and LOC387715 genes. Additional studies with larger sample sizes are needed in AMD subjects at no risk in CFH and LOC387715.
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Authors | Cynthia Fourgeux, Brice Dugas, Florence Richard, Ingemar Björkhem, Niyazi Acar, Alain M Bron, Jean-François Korobelnik, Nicolas Leveziel, Jennyfer Zerbib, Nathalie Puche, Catherine P Creuzot-Garcher, Eric Souied, Lionel Bretillon |
Journal | Investigative ophthalmology & visual science
(Invest Ophthalmol Vis Sci)
Vol. 53
Issue 11
Pg. 7026-33
(Oct 09 2012)
ISSN: 1552-5783 [Electronic] United States |
PMID | 22977134
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- ARMS2 protein, human
- CFH protein, human
- Hydroxycholesterols
- Proteins
- 24-hydroxycholesterol
- Complement Factor H
- Cholesterol
- Steroid Hydroxylases
- Cholesterol 24-Hydroxylase
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Topics |
- Aged
- Alleles
- Cholesterol
(blood)
- Cholesterol 24-Hydroxylase
- Complement Factor H
(genetics)
- Female
- Gas Chromatography-Mass Spectrometry
- Genotyping Techniques
- Geographic Atrophy
(blood, genetics)
- Humans
- Hydroxycholesterols
(blood)
- Male
- Odds Ratio
- Polymorphism, Single Nucleotide
(genetics)
- Proteins
(genetics)
- Risk Factors
- Steroid Hydroxylases
(genetics)
- Wet Macular Degeneration
(blood, genetics)
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