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Human Molecular Genetics Advance Access published online on June 1, 2005

Human Molecular Genetics, doi:10.1093/hmg/ddi204
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© The Author 2005. Published by Oxford University Press. All rights reserved
Received March 11, 2005
Revised May 12, 2005
Accepted May 23, 2005

Article

Candidate gene analysis suggests a role for fatty acid biosynthesis and regulation of the complement system in the etiology of age-related maculopathy

Yvette P. Conley 1, Anbupalam Thalamuthu 2, Johanna Jakobsdottir 3, Daniel E. Weeks 4, Tammy Mah 5, Robert E. Ferrell 2, and Michael B. Gorin 6*

1 Department of Health Promotion and Development, School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261; Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, PA 15261
2 Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, PA 15261
3 Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, PA 15261
4 Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, PA 15261; Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, PA 15261
5 Department of Ophthalmology, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15261
6 Departments of Ophthalmology and Human Genetics, University of Pittsburgh School of Medicine and Graduate School of Public Health, The Eye and Ear Institute Building, 203 Lothrop Street, Pittsburgh, PA 15213

* To whom correspondence should be addressed.
Michael B. Gorin, E-mail: gorinmb{at}upmc.edu


   Abstract

Age-related maculopathy (ARM) is a leading cause of visual impairment in elderly Americans and is a complex genetic disorder. Hypothesized pathways for the etiology of ARM include cholesterol and lipoprotein metabolism and transport, extracellular matrix integrity, oxidative stress and inflammatory/immunologic processes. This study investigates 21 polymorphisms within 15 candidate genes whose products function within these pathways by performing family and case-control genetic association studies using clearly affected familial cases (n=338 families, 796 individuals), clearly affected, unrelated sporadic cases (n=196) and clearly unaffected, unrelated controls (n=120). Two genes demonstrated significant association with ARM status. A Met299Val variant in the elongation of very long chain fatty acids-like 4 (ELOVL4) gene was significantly associated with ARM in the case-control allele (p=0.001), case-control genotype (p=0.001) and case-control family (p<0.0001) tests. A Tyr402His variant in exon 9 in the complement factor H (CFH) gene was also significantly association with ARM in the case-control allele (p<0.0001), case-control genotype (p<0.0001) and case-control family (p<0.0001) tests. All of these results remain significant after adjusting for false discovery rates to control for the impact of multiple testing. Additionally, the CFH variant appears to play a role in exudative and atrophic disease, while the ELOVL4 variant may play a greater role in exudative disease in our population. These results support a potential role for multiple pathways in the etiology of ARM, including pathways involved with fatty acid biosynthesis and the complement system.


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