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Association of HLA class I and class II polymorphisms with age-related macular degeneration
Journal article   Peer reviewed

Association of HLA class I and class II polymorphisms with age-related macular degeneration

Srini V Goverdhan, Martin W Howell, Robert F Mullins, Clive Osmond, Peter R Hodgkins, James Self, Kim Avery and Andrew J Lotery
Investigative ophthalmology & visual science, Vol.46(5), pp.1726-1734
05/2005
DOI: 10.1167/iovs.04-0928
PMID: 15851575

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Abstract

To evaluate whether HLA genotypes are associated with age-related macular degeneration (AMD). HLA class I-A, -B, and -Cw and class II DRB1 and DQB1 principal allele groups were genotyped in two stages: initially for principal allele groups in a cohort of 100 AMD cases and 92 control subjects, and then, in the next 100 cases and controls from the same cohort, for alleles or allele groups with P < 0.1 on initial typing. Genotype frequencies were compared by 2 x 2 contingency tables. The strongest associations for individual HLA alleles were calculated with two-locus stratification analysis and logistic regression for all possible pair-wise HLA combinations. Bonferroni corrections were applied for multiple measurements (P(c)). Each HLA allele was subjected to logistic regression for known AMD covariates. HLA immunohistochemistry for class I antigens was performed on elderly donor eyes. Allele Cw*0701 (P = 0.004, P(c) = 0.036) correlated positively with AMD, whereas alleles B*4001 (P = 0.003, P(c) = 0.027) and DRB1*1301(P = 0.001, P(c) = 0.009) were negatively associated. These HLA associations were independent of any linkage disequilibrium. Immunohistochemistry demonstrated differential HLA class I expression in choriocapillary endothelial cells. Significant positive and negative associations exist between HLA alleles and AMD. HLA polymorphisms influence the development of AMD, possibly via modulating choroidal immune function.
Humans Middle Aged Risk Factors Genotype Male Histocompatibility Antigens Class I - genetics HLA Antigens - genetics Polymorphism, Genetic Macular Degeneration - genetics Alleles Polymerase Chain Reaction Aged, 80 and over Female Aged Histocompatibility Antigens Class II - genetics Fluorescent Antibody Technique, Indirect

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