Cited by 254Retinal Diseases and TreatmentsGenetic Associations and EpidemiologyRetinal Development and Disorders

The DOI matches its Crossref record; 53 of the 54 references it cites were found in a registry or an index; 2 of the 23 sources its claims cite were checked for support.

Common variants near FRK/COL10A1 and VEGFA are associated with advanced age-related macular degeneration

Open access

Abstract

Despite significant progress in the identification of genetic loci for age-related macular degeneration (AMD), not all of the heritability has been explained. To identify variants which contribute to the remaining genetic susceptibility, we performed the largest meta-analysis of genome-wide association studies to date for advanced AMD. We imputed 6 036 699 single-nucleotide polymorphisms with the 1000 Genomes Project reference genotypes on 2594 cases and 4134 controls with follow-up replication of top signals in 5640 cases and 52 174 controls. We identified two new common susceptibility alleles, rs1999930 on 6q21-q22.3 near FRK/COL10A1 [odds ratio (OR) 0.87; P = 1.1 × 10(-8)] and rs4711751 on 6p12 near VEGFA (OR 1.15; P = 8.7 × 10(-9)). In addition to the two novel loci, 10 previously reported loci in ARMS2/HTRA1 (rs10490924), CFH (rs1061170, and rs1410996), CFB (rs641153), C3 (rs2230199), C2 (rs9332739), CFI (rs10033900), LIPC (rs10468017), TIMP3 (rs9621532) and CETP (rs3764261) were confirmed with genome-wide significant signals in this large study. Loci in the recently reported genes ABCA1 and COL8A1 were also detected with suggestive evidence of association with advanced AMD. The novel variants identified in this study suggest that angiogenesis (VEGFA) and extracellular collagen matrix (FRK/COL10A1) pathways contribute to the development of advanced AMD.

Overview

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Written from the paper’s full text.

TL;DR

This large meta-analysis of genome-wide association studies for advanced age-related macular degeneration (AMD) identified two novel common susceptibility loci, near FRK/COL10A1 and VEGFA, and confirmed 10 previously reported loci. The findings implicate angiogenesis and extracellular collagen matrix pathways in advanced AMD.

Key findings

  • rs1999930 near FRK/COL10A1 was associated with reduced risk of advanced AMD (combined OR 0.87, 95% CI 0.83–0.91, P = 1.1 × 10−8); rs4711751 near VEGFA was associated with increased risk (combined OR 1.15, 95% CI 1.10–1.21, P = 8.7 × 10−9).
  • Ten previously reported loci were confirmed with genome-wide significant signals in the combined analysis, including ARMS2/HTRA1 (rs10490924, P = 3.6 × 10−322), CFH (rs1061170, P = 1.3 × 10−261; rs1410996, P = 7.4 × 10−235), CFB (rs641153, P = 5.5 × 10−31), C3 (rs2230199, P = 4.6 × 10−29), C2 (rs9332739, P = 2.4 × 10−23), CFI (rs10033900, P = 4.1 × 10−10), LIPC (rs10468017, P = 2.7 × 10−12), TIMP3 (rs9621532, P = 2.2 × 10−15), and CETP (rs3764261, P = 6.9 × 10−9).
  • Both novel variants had similar effect sizes for geographic atrophy and neovascular AMD subtypes in the TMMG samples.
  • A risk score using 14 validated or suggested variants estimated a >50-fold difference in advanced AMD risk between high-risk (score >2) and low-risk (score <−2) individuals; the associated loci explained ∼39% of total variance, or 55% of the heritability, of advanced AMD.

Methods

  • Meta-analysis of GWAS in the TMMG data set: 2594 advanced AMD cases and 4134 controls of European ancestry, with 6,036,699 high-quality SNPs imputed using 1000 Genomes Project reference genotypes.
  • Replication in 5640 cases and 52,174 controls from 10 independent cohorts; top signals were tested with fixed-effects meta-analysis, and heterogeneity was assessed by Cochran’s Q-test.
  • Cases had advanced AMD (geographic atrophy or neovascular disease); controls were without macular degeneration. Analyses adjusted for genotyping platform and genetic ancestry principal components.

Limitations

  • The paper states that discovery effect sizes for both novel SNPs were larger than replication effect sizes, possibly due to a “winner’s curse” phenomenon.
  • The paper notes that the genome-wide significance threshold assumes ∼1,000,000 independent SNPs, but 1000 Genomes imputation tested many more correlated SNPs, and no empirical studies address genome-wide significance for 1000 Genomes-derived data.
  • The paper states that the genetic risk score’s clinical utility needs further evaluation in independent samples, and that associations may exist for other endophenotypes such as macular drusen; evident from the text, all cohorts were of European ancestry, limiting generalizability, and not all replication cohorts contributed to every SNP analysis (e.g., Rotterdam Study was not genotyped for rs4711751).

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Integrity signals

Registry

Crossref · 10.1093/hmg/ddr270

Cites

53 of 53 references verified0 citation errors · 0 not checkable

Statistics

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Figures

Figure 1. Manhattan plot. Log (P) values of association results from the cleaned TMMG data set are plotted for SNPs on each chromosome. SNPs with P < 5 × 10–7 are colored in red and the representative genes for each associated region are labeled.
Figure 1. Manhattan plot. Log (P) values of association results from the cleaned TMMG data set are plotted for SNPs on each chromosome. SNPs with P < 5 × 10–7 are colored in red and the representative genes for each associated region are labeled.CC BY-NC · PubMed Central
Figure 2. FRK/COL10A1 and VEGFA regions and association with AMD. (A) Observed association in the 500 kb region surrounding the FRK/COL10A1 locus in meta-analysis of TMMG data sets. The representative SNP (rs1999930) for this region with P = 3.1 × 10−7 is shown by a small purple circle. In the combined analysis including all 11 cohorts, this SNP was associated with AMD at P= 1.1 × 10−8 (large purple diamond). (B) Forest plot for rs1999930 association across 11 cohorts. (C) Observed association in the 500 kb region surrounding the VEGFA locus in meta-analysis of TMMG data sets. The represented SNP (rs4711751) for this region of P = 2.2 × 10−5 is shown by a small purple circle. In the combined analysis including all 10 cohorts, this SNP was associated with AMD at P = 8.7 × 10−9 (large purple diamond). (D) Forest plot for rs4711751 association across 10 cohorts.
Figure 2. FRK/COL10A1 and VEGFA regions and association with AMD. (A) Observed association in the 500 kb region surrounding the FRK/COL10A1 locus in meta-analysis of TMMG data sets. The representative SNP (rs1999930) for this region with P = 3.1 × 10−7 is shown by a small purple circle. In the combined analysis including all 11 cohorts, this SNP was associated with AMD at P= 1.1 × 10−8 (large purple diamond). (B) Forest plot for rs1999930 association across 11 cohorts. (C) Observed association in the 500 kb region surrounding the VEGFA locus in meta-analysis of TMMG data sets. The represented SNP (rs4711751) for this region of P = 2.2 × 10−5 is shown by a small purple circle. In the combined analysis including all 10 cohorts, this SNP was associated with AMD at P = 8.7 × 10−9 (large purple diamond). (D) Forest plot for rs4711751 association across 10 cohorts.CC BY-NC · PubMed Central
Figure 3. rs934080 in a putative CRX transcription factor-binding site. rs4711751 is in strong LD with rs934080, a variant which resides in a highly evolutionarily conserved region (UCSC genome browser) and disrupts a putative CRX transcription factor-binding site (CAA[T/C]C).
Figure 3. rs934080 in a putative CRX transcription factor-binding site. rs4711751 is in strong LD with rs934080, a variant which resides in a highly evolutionarily conserved region (UCSC genome browser) and disrupts a putative CRX transcription factor-binding site (CAA[T/C]C).CC BY-NC · PubMed Central

Verification

Claims the paper makes

25 Own result · 15 Own method · 14 Not checked yet · 6 Own interpretation · 3 No basis given · 1 Supported

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  • It may state two separate claims as one. 14
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  • The authors state this as an assumption.

    There are no empirical studies that address levels of genome-wide significance for 1000 Genomes Project-derived data.

    “To our knowledge, there are no empirical studies that address levels of genome-wide significance for the 1000 Genomes Project-derived data.”
  • The paper relies on this without support.

    The generally accepted genome-wide significance threshold of P < 5 × 10−8 is appropriate for this study despite the larger number of SNPs tested.

    “For this study, we utilized the generally accepted genome-wide level of significance (P < 5 × 10−8) as our threshold for association.”
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Metadata

Authors
Yu, Y., Bhangale, T. R., Fagerness, J., Ripke, S., Thorleifsson, G., Tan, P. L., Souied, E. H., Richardson, A. J., Merriam, J. E., Buitendijk, G. H. S., Reynolds, R., Raychaudhuri, S., Chin, K. A., Sobrin, L., Evangelou, E., Lee, P. H., Lee, A. Y., Leveziel, N., Zack, D. J., Campochiaro, B., Campochiaro, P., Smith, R. T., Barile, G. R., Guymer, R. H., Hogg, R., Chakravarthy, U., Robman, L. D., Gustafsson, O., Sigurdsson, H., Ortmann, W., Behrens, T. W., Stefansson, K., Uitterlinden, A. G., van Duijn, C. M., Vingerling, J. R., Klaver, C. C. W., Allikmets, R., Brantley, M. A., Baird, P. N., Katsanis, N., Thorsteinsdottir, U., Ioannidis, J. P. A., Daly, M. J., Graham, R. R., & Seddon, J. M.
Affiliations
  • Tufts University (US)
  • Broad Institute (US)
  • Duke University (US)
  • Université Paris-Est Créteil (FR)
  • The University of Melbourne (AU)
  • Columbia University (US)
  • Tufts Medical Center (US)
  • Massachusetts Eye and Ear Infirmary (US)
  • Washington University in St. Louis (US)
  • Institut de la Vision (FR)
  • Johns Hopkins University (US)
  • Queen's University Belfast (GB)
  • Genentech (US)
  • Erasmus MC (NL)
Corresponding author
Seddon, Johanna M.
Venue
Human Molecular Genetics
Published
2011-06-10
Volume
20
Issue
18
Pages
3699-3709
ISSN
  • 0964-6906 (ISSN-L)
  • 1460-2083
OpenAlex
W2099989980
Cited by
254
References
54
Citations by year
2026: 3 · 2025: 5 · 2024: 7 · 2023: 5 · 2022: 12 · 2021: 14 · 2020: 10 · 2019: 18 · 2018: 7 · 2017: 15 · 2016: 23 · 2015: 27 · 2014: 32 · 2013: 41 · 2012: 27
FWCI
5.92
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Human Molecular Genetics (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion, cc-by-nc)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • Research Portal (Queen's University Belfast) (submittedVersion)
  • Hirsla (Landspítali University Hospital) (submittedVersion)
Funders
  • Research to Prevent Blindness
  • Brigham and Women's Hospital
  • Tufts Medical Center
  • Macula Vision Research Foundation
  • Northwestern University
  • Massachusetts Lions Eye Research Fund
  • State Government of Victoria
  • National Institutes of Health (5k12ey016335-17, K12EY16335, RO1-EY11309)
  • Tufts University School of Medicine
  • Medical Research Council
  • National Health and Medical Research Council (529923)
  • National Institute of Mental Health (MH59566, R01 MH61675, U01-MH79470, MH-60870, R01 MH-59571, R01MH59588, U01MH46276, R01-MH59566, R01-MH60879, U01MH046276, R01-MH60870, MH-59586, R01-MH59586, R01MH059566, MH79470, MH60879, R01 MH81800, R01MH59587, U01MH046318, R01-MH59565, MH81800, R01MH059571, MH 61675, R01MH060879, R01MH059565, U01MH46289, MH67257, MH46289, R01MH081800, R01 MH-67257, MH46318, R01MH060870, U01MH079469, R01MH061675, R01MH059586, MH59571, R01MH059588, R01MH067257, U01MH079470, MH59588, MH79469, U01MH46318, MH-59587, MH59565, R01MH059587, MH-46276, U01MH-79469)
  • National Eye Institute (K12 EY16335, EY-017404, R01EY013435, R01 EY13435, EY16335, EY-13435, K12-EY016335, R01 EY 11309, EY11309, P30EY001765, R01EY011309, R24EY017404)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (K08AR055688)
  • Alcon Research Institute
Topics
  • Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Health Sciences › Medicine › Ophthalmology › Retinal Development and Disorders
Keywords
advanced age-related macular degeneration, genetic susceptibility, common genetic variants, VEGF-A, angiogenesis, collagen matrix, complement factor H, complement system, hepatic lipase, TIMP-3, cholesteryl ester transfer protein, ABCA1, COL8A1, genetic loci
MeSH terms
Female, Genotype, Humans, Macular Degeneration, Male, Neoplasm Proteins, Protein-Tyrosine Kinases, Genetic Variation, Cohort Studies, Case-Control Studies, Polymorphism, Single Nucleotide, Collagen Type X, Vascular Endothelial Growth Factor A, White People, Genome-Wide Association Study

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