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Human Molecular Genetics Advance Access originally published online on August 11, 2006
Human Molecular Genetics 2006 15(18):2784-2790; doi:10.1093/hmg/ddl220
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© The Author 2006. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Systematic review and meta-analysis of the association between complementary factor H Y402H polymorphisms and age-related macular degeneration

Ammarin Thakkinstian1,3,*, Pearline Han2, Mark McEvoy1, Wayne Smith1, Josephine Hoh4, Kristinn Magnusson5, Kang Zhang6 and John Attia1

1 Centre for Clinical Epidemiology and Biostatistics and 2 Clinical Pharmacology Unit, School of Medical Practice and Population Health, University of Newcastle, Newcastle, NSW, Australia, 3 Clinical Epidemiology Unit, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, 4 Department of Epidemiology and Public Health, Yale University School of Medicine, USA, 5 deCODE Genetics Inc., Reykjavik, Iceland and 6 Eccles Institute of Human Genetics, University of Utah, Salt Lake City, UT, USA

* To whom correspondence should be addressed at: Centre for Clinical Epidemiology and Biostatistics, University of Newcastle, Newcastle, NSW 2300, Australia. Tel: +66 61249236857; Fax: +66 61249236148; Email: ammarin.thakkinstian{at}newcastle.edu.au

Received April 23, 2006; Accepted August 3, 2006

Age-related macular degeneration (AMD) is the leading cause of blindness in the developed world and complement factor H (CFH) polymorphism has been found to associated with the AMD. We performed a meta-analysis to estimate the magnitude of the gene effect and the possible mode of action. A meta-analysis of eight studies assessing association between the CFH Y402H polymorphism and AMD was performed. Data extraction and study quality assessment were performed in duplicate, and heterogeneity and publication bias were explored. There was strong evidence for association between CFH and AMD, with those having CC and TC genotypes being roughly six and 2.5 times more likely to have AMD than patients with TT genotype, suggesting a co-dominant, multiplicative genetic model. The population attributable risk for the CC/TC genotype is 58.9%, i.e. the CFH polymorphism is involved in over half of all AMD. This meta-analysis summarizes the strong evidence for an association between CFH and AMD and indicates a multiplicative model with each C allele increasing the odds of AMD by ~2.5-fold. This result is at least as important at the population level as ApoE4 and Alzheimer's disease, playing a role in almost 60% of AMD at the population level.


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