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Cumulative association between age-related macular degeneration and less studied genetic variants in PLEKHA1/ARMS2/HTRA1: a meta and gene-cluster analysis

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Abstract

The objective of this study is to examine the cumulative effect of the less studied genetic variants in PLEKHA1/ARMS2/HTRA1 on age-related macular degeneration (AMD). We performed an extensive literature search for studies on the association between AMD and the less studied genetic variants in PLEKHA1/ARMS2/HTRA1. Multiple meta-analyses were performed to evaluate the association between individual genetic variants and AMD. A gene-cluster analysis was used to investigate the cumulative effect of these less studied genetic variants on AMD. A total of 23 studies from 20 published papers met the eligibility criteria and were included in our analyses. Several genetic variants in the gene cluster are significantly associated with AMD in our meta-analyses or in individual studies. Gene-cluster analysis reveals a strong cumulative association between these genetic variants in this gene cluster and AMD (p < 10−5). However, two previously suspected SNPs in ARMS2, including rs2736911, the SNP having the largest number of studies in our meta-analyses; and rs3793917, the SNP with the largest sample size, were not significantly associated with AMD (both p’s > 0.12). Sensitivity analyses reveal significant association of AMD with rs2736911 in Chinese but not in Caucasian, with c.372_815del443ins54 in Caucasian but not in Chinese, and with rs1049331 in both ethnic groups. These less studied genetic variants have a significant cumulative effect on wet AMD. Our study provides evidence of the joint contribution of genetic variants in PLEKHA1/ARMS2/HTRA1 to AMD risk, in addition to the two widely studied genetic variants whose association with AMD was well established.

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References

  1. Pascolini D, Mariotti SP, Pokharel GP, Pararajasegaram R, Etya’ale D, Negrel AD, Resnikoff S (2004) 2002 global update of available data on visual impairment: a compilation of population-based prevalence studies. Ophthalmic Epidemiol 11(2):67–115

    Article  PubMed  CAS  Google Scholar 

  2. Resnikoff S, Pascolini D, Etya’ale D, Kocur I, Pararajasegaram R, Pokharel GP, Mariotti SP et al (2004) Global data on visual impairment in the year 2002. Bull World Health Organ 82(11):844–851. doi::/S0042-96862004001100009

    PubMed  Google Scholar 

  3. Friedman DS, O’Colmain BJ, Munoz B, Tomany SC, McCarty C, de Jong PT, Nemesure B, Mitchell P, Kempen J (2004) Prevalence of age-related macular degeneration in the United States. Arch Ophthalmol 122(4):564–572. doi:10.1001/archopht.122.4.564

    Article  PubMed  Google Scholar 

  4. Cheung CM, Tai ES, Kawasaki R, Tay WT, Lee JL, Hamzah H, Wong TY (2012) Prevalence of and risk factors for age-related macular degeneration in a multiethnic Asian cohort. Arch Ophthalmol 130(4):480–486. doi:10.1001/archophthalmol.2011.376

    Article  PubMed  Google Scholar 

  5. Congdon N, O’Colmain B, Klaver CC, Klein R, Munoz B, Friedman DS, Kempen J, Taylor HR, Mitchell P (2004) Causes and prevalence of visual impairment among adults in the United States. Arch Ophthalmol 122(4):477–485. doi:10.1001/archopht.122.4.477

    Article  PubMed  Google Scholar 

  6. Jager RD, Mieler WF, Miller JW (2008) Age-related macular degeneration. N Engl J Med 358(24):2606–2617. doi:10.1056/NEJMra0801537

    Article  PubMed  CAS  Google Scholar 

  7. VanNewkirk MR, Nanjan MB, Wang JJ, Mitchell P, Taylor HR, McCarty CA (2000) The prevalence of age-related maculopathy: the visual impairment project. Ophthalmology 107(8):1593–1600

    Article  PubMed  CAS  Google Scholar 

  8. Thornton J, Edwards R, Mitchell P, Harrison RA, Buchan I, Kelly SP (2005) Smoking and age-related macular degeneration: a review of association. Eye (Lond) 19(9):935–944. doi:10.1038/sj.eye.6701978

    Article  CAS  Google Scholar 

  9. Adams MK, Simpson JA, Aung KZ, Makeyeva GA, Giles GG, English DR, Hopper J, Guymer RH, Baird PN, Robman LD (2011) Abdominal obesity and age-related macular degeneration. Am J Epidemiol 173(11):1246–1255. doi:10.1093/aje/kwr005

    Article  PubMed  Google Scholar 

  10. Klein R, Peto T, Bird A, Vannewkirk MR (2004) The epidemiology of age-related macular degeneration. Am J Ophthalmol 137(3):486–495. doi:10.1016/j.ajo.2003.11.069

    Article  PubMed  Google Scholar 

  11. Bressler SB, Munoz B, Solomon SD, West SK (2008) Racial differences in the prevalence of age-related macular degeneration: the Salisbury Eye Evaluation (SEE) Project. Arch Ophthalmol 126(2):241–245. doi:10.1001/archophthalmol.2007.53

    Article  PubMed  Google Scholar 

  12. Klein RJ, Zeiss C, Chew EY, Tsai JY, Sackler RS, Haynes C, Henning AK, SanGiovanni JP, Mane SM, Mayne ST, Bracken MB, Ferris FL, Ott J, Barnstable C, Hoh J (2005) Complement factor H polymorphism in age-related macular degeneration. Science 308(5720):385–389. doi:10.1126/science.1109557

    Article  PubMed  CAS  Google Scholar 

  13. Thakkinstian A, Han P, McEvoy M, Smith W, Hoh J, Magnusson K, Zhang K, Attia J (2006) Systematic review and meta-analysis of the association between complement factor H Y402H polymorphisms and age-related macular degeneration. Hum Mol Genet 15(18):2784–2790. doi:10.1093/hmg/ddl220

    Article  PubMed  CAS  Google Scholar 

  14. Edwards AO, Ritter R 3rd, Abel KJ, Manning A, Panhuysen C, Farrer LA (2005) Complement factor H polymorphism and age-related macular degeneration. Science 308(5720):421–424. doi:10.1126/science.1110189

    Article  PubMed  CAS  Google Scholar 

  15. Haines JL, Hauser MA, Schmidt S, Scott WK, Olson LM, Gallins P, Spencer KL, Kwan SY, Noureddine M, Gilbert JR, Schnetz-Boutaud N, Agarwal A, Postel EA, Pericak-Vance MA (2005) Complement factor H variant increases the risk of age-related macular degeneration. Science 308(5720):419–421. doi:10.1126/science.1110359

    Article  PubMed  CAS  Google Scholar 

  16. Shaw PX, Zhang L, Zhang M, Du H, Zhao L, Lee C, Grob S, Lim SL, Hughes G, Lee J, Bedell M, Nelson MH, Lu F, Krupa M, Luo J, Ouyang H, Tu Z, Su Z, Zhu J, Wei X, Feng Z, Duan Y, Yang Z, Ferreyra H, Bartsch DU, Kozak I, Lin F, Sun H, Feng H, Zhang K (2012) Complement factor H genotypes impact risk of age-related macular degeneration by interaction with oxidized phospholipids. Proc Natl Acad Sci USA 109(34):13757–13762. doi:10.1073/pnas.1121309109

    Article  PubMed  CAS  Google Scholar 

  17. Rivera A, Fisher SA, Fritsche LG, Keilhauer CN, Lichtner P, Meitinger T, Weber BH (2005) Hypothetical LOC387715 is a second major susceptibility gene for age-related macular degeneration, contributing independently of complement factor H to disease risk. Hum Mol Genet 14(21):3227–3236. doi:10.1093/hmg/ddi353

    Article  PubMed  CAS  Google Scholar 

  18. Kanda A, Chen W, Othman M, Branham KE, Brooks M, Khanna R, He S, Lyons R, Abecasis GR, Swaroop A (2007) A variant of mitochondrial protein LOC387715/ARMS2, not HTRA1, is strongly associated with age-related macular degeneration. Proc Natl Acad Sci USA 104(41):16227–16232. doi:10.1073/pnas.0703933104

    Article  PubMed  CAS  Google Scholar 

  19. Yang Z, Camp NJ, Sun H, Tong Z, Gibbs D, Cameron DJ, Chen H, Zhao Y, Pearson E, Li X, Chien J, Dewan A, Harmon J, Bernstein PS, Shridhar V, Zabriskie NA, Hoh J, Howes K, Zhang K (2006) A variant of the HTRA1 gene increases susceptibility to age-related macular degeneration. Science 314(5801):992–993. doi:10.1126/science.1133811

    Article  PubMed  CAS  Google Scholar 

  20. Dewan A, Liu M, Hartman S, Zhang SS, Liu DT, Zhao C, Tam PO, Chan WM, Lam DS, Snyder M, Barnstable C, Pang CP, Hoh J (2006) HTRA1 promoter polymorphism in wet age-related macular degeneration. Science 314(5801):989–992. doi:10.1126/science.1133807

    Article  PubMed  CAS  Google Scholar 

  21. Tong Y, Liao J, Zhang Y, Zhou J, Zhang H, Mao M (2010) LOC387715/HTRA1 gene polymorphisms and susceptibility to age-related macular degeneration: a HuGE review and meta-analysis. Mol Vis 16:1958–1981

    PubMed  CAS  Google Scholar 

  22. Vierkotten S, Muether PS, Fauser S (2011) Overexpression of HTRA1 leads to ultrastructural changes in the elastic layer of Bruch’s membrane via cleavage of extracellular matrix components. PLoS One 6(8):e22959. doi:10.1371/journal.pone.0022959

    Article  PubMed  CAS  Google Scholar 

  23. Borenstein M (2009) Introduction to meta-analysis. Wiley, Chichester

    Book  Google Scholar 

  24. Fisher RA (1932) Statistical methods for research workers. In: Biological monographs and manuals, 5th edn. Oliver and Boyd, Edinburgh

  25. Simes RJ (1986) An improved Bonferroni procedure for multiple tests of significance. Biometrika 73(3):751–754

    Article  Google Scholar 

  26. Zaykin DV, Zhivotovsky LA, Westfall PH, Weir BS (2002) Truncated product method for combining P-values. Genet Epidemiol 22(2):170–185. doi:10.1002/gepi.0042

    Article  PubMed  CAS  Google Scholar 

  27. Sheng X, Yang J (2012) Truncated product methods for panel unit root tests. Oxf Bull Econ Stat. doi:10.1111/j.1468-0084.2012.00705.x

    Google Scholar 

  28. Moher D, Cook DJ, Eastwood S, Olkin I, Rennie D, Stroup DF (1999) Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. Quality of reporting of meta-analyses. Lancet 354(9193):1896–1900

    Article  PubMed  CAS  Google Scholar 

  29. Liang XY, Lai TY, Liu DT, Fan AH, Chen LJ, Tam PO, Chiang SW, Ng TK, Lam DS, Pang CP (2012) Differentiation of exudative age-related macular degeneration and polypoidal choroidal vasculopathy in the ARMS2/HTRA1 locus. Invest Ophthalmol Vis Sci 53(6):3175–3182. doi:10.1167/iovs.11-8135

    Article  PubMed  CAS  Google Scholar 

  30. Teper SJ, Nowinska A, Wylegala E (2012) A69S and R38X ARMS2 and Y402H CFH gene polymorphisms as risk factors for neovascular age-related macular degeneration in Poland - a brief report. Med Sci Monit 18(2):PR1-3

    Article  PubMed  Google Scholar 

  31. Gotoh N, Yamashiro K, Nakanishi H, Saito M, Iida T, Yoshimura N (2010) Haplotype analysis of the ARMS2/HTRA1 region in Japanese patients with typical neovascular age-related macular degeneration or polypoidal choroidal vasculopathy. Jpn J Ophthalmol 54(6):609–614. doi:10.1007/s10384-010-0865-2

    Article  PubMed  Google Scholar 

  32. Richardson AJ, Islam FM, Aung KZ, Guymer RH, Baird PN (2010) An intergenic region between the tagSNP rs3793917 and rs11200638 in the HTRA1 gene indicates association with age-related macular degeneration. Invest Ophthalmol Vis Sci 51(10):4932–4936. doi:10.1167/iovs.09-5114

    Article  PubMed  Google Scholar 

  33. Chen W, Stambolian D, Edwards AO, Branham KE, Othman M, Jakobsdottir J, Tosakulwong N, Pericak-Vance MA, Campochiaro PA, Klein ML, Tan PL, Conley YP, Kanda A, Kopplin L, Li Y, Augustaitis KJ, Karoukis AJ, Scott WK, Agarwal A, Kovach JL, Schwartz SG, Postel EA, Brooks M, Baratz KH, Brown WL, Brucker AJ, Orlin A, Brown G, Ho A, Regillo C, Donoso L, Tian L, Kaderli B, Hadley D, Hagstrom SA, Peachey NS, Klein R, Klein BE, Gotoh N, Yamashiro K, Ferris Iii F, Fagerness JA, Reynolds R, Farrer LA, Kim IK, Miller JW, Corton M, Carracedo A, Sanchez-Salorio M, Pugh EW, Doheny KF, Brion M, Deangelis MM, Weeks DE, Zack DJ, Chew EY, Heckenlively JR, Yoshimura N, Iyengar SK, Francis PJ, Katsanis N, Seddon JM, Haines JL, Gorin MB, Abecasis GR, Swaroop A (2010) Genetic variants near TIMP3 and high-density lipoprotein-associated loci influence susceptibility to age-related macular degeneration. Proc Natl Acad Sci USA 107(16):7401–7406. doi:10.1073/pnas.0912702107

    Article  PubMed  CAS  Google Scholar 

  34. Wang G, Spencer KL, Scott WK, Whitehead P, Court BL, Ayala-Haedo J, Mayo P, Schwartz SG, Kovach JL, Gallins P, Polk M, Agarwal A, Postel EA, Haines JL, Pericak-Vance MA (2010) Analysis of the indel at the ARMS2 3′UTR in age-related macular degeneration. Hum Genet 127(5):595–602. doi:10.1007/s00439-010-0805-8

    Article  PubMed  CAS  Google Scholar 

  35. Goto A, Akahori M, Okamoto H, Minami M, Terauchi N, Haruhata Y, Obazawa M, Noda T, Honda M, Mizota A, Tanaka M, Hayashi T, Tanito M, Ogata N, Iwata T (2009) Genetic analysis of typical wet-type age-related macular degeneration and polypoidal choroidal vasculopathy in Japanese population. J Ocul Biol Dis Inform 2(4):164–175. doi:10.1007/s12177-009-9047-1

    Article  Google Scholar 

  36. Yang Z, Tong Z, Chen Y, Zeng J, Lu F, Sun X, Zhao C, Wang K, Davey L, Chen H, London N, Muramatsu D, Salasar F, Carmona R, Kasuga D, Wang X, Bedell M, Dixie M, Zhao P, Yang R, Gibbs D, Liu X, Li Y, Li C, Campochiaro B, Constantine R, Zack DJ, Campochiaro P, Fu Y, Li DY, Katsanis N, Zhang K (2010) Genetic and functional dissection of HTRA1 and LOC387715 in age-related macular degeneration. PLoS Genet 6(2):e1000836. doi:10.1371/journal.pgen.1000836

    Article  PubMed  Google Scholar 

  37. Ricci F, Zampatti S, D’Abbruzzi F, Missiroli F, Martone C, Lepre T, Pietrangeli I, Sinibaldi C, Peconi C, Novelli G, Giardina E (2009) Typing of ARMS2 and CFH in age-related macular degeneration: case-control study and assessment of frequency in the Italian population. Arch Ophthalmol 127(10):1368–1372. doi:10.1001/archophthalmol.2009.237

    Article  PubMed  CAS  Google Scholar 

  38. Gotoh N, Nakanishi H, Hayashi H, Yamada R, Otani A, Tsujikawa A, Yamashiro K, Tamura H, Saito M, Saito K, Iida T, Matsuda F, Yoshimura N (2009) ARMS2 (LOC387715) variants in Japanese patients with exudative age-related macular degeneration and polypoidal choroidal vasculopathy. Am J Ophthalmol 147(6):1037–1041. doi:10.1016/j.ajo.2008.12.036 e1031–1032

    Article  PubMed  CAS  Google Scholar 

  39. Bergeron-Sawitzke J, Gold B, Olsh A, Schlotterbeck S, Lemon K, Visvanathan K, Allikmets R, Dean M (2009) Multilocus analysis of age-related macular degeneration. Eur J Hum Genet 17(9):1190–1199. doi:10.1038/ejhg.2009.23

    Article  PubMed  CAS  Google Scholar 

  40. Zhang H, Morrison MA, Dewan A, Adams S, Andreoli M, Huynh N, Regan M, Brown A, Miller JW, Kim IK, Hoh J, Deangelis MM (2008) The NEI/NCBI dbGAP database: genotypes and haplotypes that may specifically predispose to risk of neovascular age-related macular degeneration. BMC Med Genet 9:51. doi:10.1186/1471-2350-9-51

    Article  PubMed  Google Scholar 

  41. Fritsche LG, Loenhardt T, Janssen A, Fisher SA, Rivera A, Keilhauer CN, Weber BH (2008) Age-related macular degeneration is associated with an unstable ARMS2 (LOC387715) mRNA. Nat Genet 40(7):892–896. doi:10.1038/ng.170

    Article  PubMed  CAS  Google Scholar 

  42. Kaur I, Katta S, Hussain A, Hussain N, Mathai A, Narayanan R, Reddy RK, Majji AB, Das T, Chakrabarti S (2008) Variants in the 10q26 gene cluster (LOC387715 and HTRA1) exhibit enhanced risk of age-related macular degeneration along with CFH in Indian patients. Invest Ophthalmol Vis Sci 49(5):1771–1776. doi:10.1167/iovs.07-0560

    Article  PubMed  Google Scholar 

  43. Tam PO, Ng TK, Liu DT, Chan WM, Chiang SW, Chen LJ, DeWan A, Hoh J, Lam DS, Pang CP (2008) HTRA1 variants in exudative age-related macular degeneration and interactions with smoking and CFH. Invest Ophthalmol Vis Sci 49(6):2357–2365. doi:10.1167/iovs.07-1520

    Article  PubMed  Google Scholar 

  44. Deangelis MM, Ji F, Adams S, Morrison MA, Harring AJ, Sweeney MO, Capone A Jr, Miller JW, Dryja TP, Ott J, Kim IK (2008) Alleles in the HtrA serine peptidase 1 gene alter the risk of neovascular age-related macular degeneration. Ophthalmology 115(7):1209–1215. doi:10.1016/j.ophtha.2007.10.032 e1207

    Article  PubMed  Google Scholar 

  45. Leveziel N, Souied EH, Richard F, Barbu V, Zourdani A, Morineau G, Zerbib J, Coscas G, Soubrane G, Benlian P (2007) PLEKHA1-LOC387715-HTRA1 polymorphisms and exudative age-related macular degeneration in the French population. Mol Vis 13:2153–2159

    PubMed  Google Scholar 

  46. Fisher SA, Rivera A, Fritsche LG, Babadjanova G, Petrov S, Weber BH (2007) Assessment of the contribution of CFH and chromosome 10q26 AMD susceptibility loci in a Russian population isolate. Br J Ophthalmol 91(5):576–578. doi:10.1136/bjo.2006.105577

    Article  PubMed  Google Scholar 

  47. Kanda A, Stambolian D, Chen W, Curcio CA, Abecasis GR, Swaroop A (2010) Age-related macular degeneration-associated variants at chromosome 10q26 do not significantly alter ARMS2 and HTRA1 transcript levels in the human retina. Mol Vis 16:1317–1323

    PubMed  CAS  Google Scholar 

  48. International HapMap Consortium. (2003) The International HapMap Project. Nature 426(6968):789–796. doi:10.1038/nature02168

    Article  Google Scholar 

  49. Cheng Y, Huang L, Li X, Zhou P, Zeng W, Zhang C (2013) Genetic and functional dissection of ARMS2 in age-related macular degeneration and polypoidal choroidal vasculopathy. PLoS One 8(1):e53665. doi:10.1371/journal.pone.0053665

    Article  PubMed  CAS  Google Scholar 

  50. Liu MM, Agron E, Chew E, Meyerle C, Ferris FL 3rd, Chan CC, Tuo J (2011) Copy number variations in candidate genes in neovascular age-related macular degeneration. Invest Ophthalmol Vis Sci 52(6):3129–3135. doi:10.1167/iovs.10-6735

    Article  PubMed  CAS  Google Scholar 

  51. Park JH, Lee S, Yu HG, Kim JI, Seo JS (2012) Copy number variation of age-related macular degeneration relevant genes in the Korean population. PLoS One 7(2):e31243. doi:10.1371/journal.pone.0031243

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This research was supported by Award Number P50DA010075-16 from the National Institute on Drug Abuse (NIDA) and NIH/NCI R01 CA168676. The content is solely the responsibility of the authors and does not necessarily represent the official views of NIDA or the National Institutes of Health. The sponsor or funding organization had no role in the design or conduct of this research.

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Correspondence to Weihong Yu or Jingyun Yang.

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Weihong Yu and Shuqian Dong contributed equally to this paper.

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Yu, W., Dong, S., Zhao, C. et al. Cumulative association between age-related macular degeneration and less studied genetic variants in PLEKHA1/ARMS2/HTRA1: a meta and gene-cluster analysis. Mol Biol Rep 40, 5551–5561 (2013). https://doi.org/10.1007/s11033-013-2656-6

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