Ersoy, L., Schick, T., de Graft, D., Felsch, M., Hoyng, C. B., den Hollander, A. I., Kirchhof, B., Fauser, S. and Liakopoulos, S. (2016). Extramacular drusen are highly associated with age-related macular degeneration, but not with CFH and ARMS2 genotypes. Br. J. Ophthalmol., 100 (8). S. 1047 - 1052. LONDON: BMJ PUBLISHING GROUP. ISSN 1468-2079

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Abstract

Background To evaluate the association of extramacular drusen (EMD) with age-related macular degeneration (AMD) and with complement factor H (CFH rs1061170) and age-related maculopathy susceptibility 2 (ARMS2 rs10490924) polymorphisms in individuals with and without AMD. Methods In this case-control study, AMD staging was performed in 622 individuals. EMD were defined as >= 10 drusen (including >= 1 intermediate drusen) outside the Early Treatment of Diabetic Retinopathy Study Grid within field 2. Genotype associations for CFH and ARMS2 variants were assessed using logistic regression analysis. Results EMD (n=213) showed a strong association with AMD (OR=3.85; p=1.66x10(-13)). AMD (n=316) was strongly associated with CFH (p=1.78x10(-7)) and ARMS2 genotypes (p=1.67x10(-8)). After adjustment for AMD, age and gender, EMD were neither associated with CFH (p=0.11) nor with ARMS2 (p=0.45) genotypes. In individuals without AMD, the groups with and without EMD showed no differences regarding both genetic variants. Conclusions The strong association between drusen within and outside of the macula suggests a common pathogenesis. However, EMD were not AMD-independently associated with CFH or ARMS2 genotypes. Our results indicate that patients without AMD but with EMD can serve as controls in studies evaluating AMD risk factors. Further studies are required to elucidate the aetiology and clinical relevance of EMD.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Ersoy, L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schick, T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Graft, D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Felsch, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoyng, C. B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
den Hollander, A. I.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kirchhof, B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fauser, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Liakopoulos, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-268241
DOI: 10.1136/bjophthalmol-2015-306806
Journal or Publication Title: Br. J. Ophthalmol.
Volume: 100
Number: 8
Page Range: S. 1047 - 1052
Date: 2016
Publisher: BMJ PUBLISHING GROUP
Place of Publication: LONDON
ISSN: 1468-2079
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
COMPLEMENT FACTOR-H; GRADING SYSTEM; MACULOPATHY; GENE; EYE; POLYMORPHISM; RISK; CLASSIFICATION; PROGRESSION; DISEASEMultiple languages
OphthalmologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/26824

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