Genetics and Age-Related Macular Degeneration: A Practical Review for Clinicians.

Julia Nguyen, Milam A Brantley, Stephen G Schwartz
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Abstract

Age-related macular degeneration (AMD) is a multifactorial genetic disease, with at least 52 identifiable associated gene variants at 34 loci, including variants in complement factor H (CFH) and age-related maculopathy susceptibility 2/high-temperature requirement A serine peptidase-1 (ARMS2/HTRA1). Genetic factors account for up to 70% of disease variability. However, population-based genetic risk scores are generally more helpful for clinical trial design and stratification of risk groups than for individual patient counseling. There is some evidence of pharmacogenetic influences on various treatment modalities used in AMD patients, including Age-Related Eye Disease Study (AREDS) supplements, photodynamic therapy (PDT), and anti-vascular endothelial growth factor (anti-VEGF) agents. However, there is currently no convincing evidence that genetic information plays a role in routine clinical care.

遗传学与老年性黄斑变性:临床医师实用综述》。
老年性黄斑变性(AMD)是一种多因素遗传病,在 34 个基因位点上至少有 52 个可识别的相关基因变异,包括补体因子 H(CFH)和老年性黄斑病变易感性 2/高温要求 A 丝氨酸肽酶-1(ARMS2/HTRA1)的变异。遗传因素占疾病变异的 70%。然而,基于人群的遗传风险评分通常更有助于临床试验设计和风险群体分层,而不是为个别患者提供咨询。有一些证据表明,药物遗传学对用于 AMD 患者的各种治疗方式有影响,包括老年性眼病研究(AREDS)补充剂、光动力疗法(PDT)和抗血管内皮生长因子(anti-VEGF)药物。然而,目前还没有令人信服的证据表明遗传信息在常规临床治疗中发挥了作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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