Abstract
Purpose: :
Dysregulation of complement cascade has been implicated in the pathogenetic mechanisms of age related macular degeneration (AMD). Significant association between AMD and several complement associated genes including complement factor H (CFH), complement component 2 (C2), complement component 3 (C3), and complement factor B (CFB) were demonstrated. Complement component 5 (C5) is a key regulator of final pathway of complement cascade. The aim of this study is to evaluate the association of variants in C5 and AMD.
Methods: :
Unrelated AMD patients (n=335), including neovascular AMD (n=171) and Geographic Atrophy (n=164), and age-matched control subjects (n=186) were analyzed for six single nucleotide polymorphisms (SNPs) in C5: rs10733650, rs2416811, rs7031128, rs3815467, rs17216529, rs10739585, rs17611. SNPs were selected with minor allele frequency (MAF) >5% in Caucasian population. Genotyping was undertaken on a multiplexed SNaPshot technology platform (ABI). Association analysis was performed using Pearson’s X2 test.
Results: :
All SNPs showed similar allele frequencies in both cases and controls. No statistic significant association was observed between C5 and AMD: rs10733650 (MAF=0.42 in case and 0.41 in control, Pallele=0.68), rs2416811 (MAF= 0.44 in case and 0.45 in control, Pallele =0.77), rs7031128 (MAF=0.23 in case and 0.22 in control, Pallele =0.55), rs3815467 (MAF=0.20 in case and 0.22 in control, Pallele =0.38), rs17216529 (MAF=0.06 in case and 0.08 in control, Pallele =0.20), rs10739585 (MAF=0.24 in case and 0.26 in control, Pallele =0.36). Subgroup analysis did not show any association either when comparing neovascular AMD and Geographic Atrophy with controls separately.
Conclusions: :
In our preliminary analysis of a small cohort of patients, variations in C5 do not contribute to a major risk of AMD. Genotyping more SNPs with better coverage and investigation of possible allelic and haplotype interactions may further clarify the role of C5 in AMD risk.
Keywords: age-related macular degeneration • genetics