失明性眼疾患のリスク要因に関連する遺伝的基盤を特定(Researchers find genetic basis for important risk factor in blinding eye disease)

ad

2025-12-08 アメリカ国立衛生研究所 (NIH)

新しい国際共同研究により、加齢黄斑変性症(Age‑related Macular Degeneration, AMD)患者のうち、網状偽ドルーゼン(Reticular pseudodrusen, RPD)という眼内にできる沈着物を持つタイプに対して、「遺伝的な関与」が明らかになった。RPD は一般的なドルーゼンとは異なり、網膜色素上皮(RPE)の上側にリボンまたは点状に現れる沈着で、RPDがあると地理的萎縮(光受容体を支える組織の死)による失明のリスクが高い。研究では、AMD+RPD 群、AMD-RPD 群、健常対照群の DNA を比較。従来の補体経路(complement pathway)に関わる遺伝子以外に、RPD 出現に強く関与する新たな遺伝子変異が見つかり、AMD が単一疾患ではなく複数の病態を内包することが示された。この発見は、AMD のサブタイプごとに異なる治療アプローチが必要であることを裏付ける。

失明性眼疾患のリスク要因に関連する遺伝的基盤を特定(Researchers find genetic basis for important risk factor in blinding eye disease)
Image of a reticular pseudodrusen appears as a cone-shaped structure with its base at the retinal pigment epithelium, and it disrupts the outer retina (red).Dr. Erica Fletcher, University of Melbourne

<関連情報>

HTRA1 /lncRNA HTRA1-AS1は加齢黄斑変性の網状偽洞の遺伝的リスクにおいて補体関与なしで優位である HTRA1/lncRNA HTRA1-AS1 dominates in age-related macular degeneration reticular pseudodrusen genetic risk with no complement involvement

Samaneh Farashi,Carla J. Abbott,Brendan R. E. Ansell,Zhichao Wu,Lebriz Altay,Ella Arnon,Louis Arnould,Yelena Bagdasarova,Konstantinos Balaskas,Fred K. Chen,Emily Chew,Itay Chowers,Steven Clarke,Catherine Cukras,Cécile Delcourt,Marie-Noëlle Delyfer,Anneke I. den Hollander,Sascha Fauser,Robert P. Finger,Pierre-Henry Gabrielle,Jiru Han,Lauren A. B. Hodgson,Ruth Hogg,Frank G. Holz,MACUSTAR consortium,NICOLA consortium,On behalf of the Reticular Pseudodrusen Consortium,…
Nature Communications  Published:08 December 2025
DOI:https://doi.org/10.1038/s41467-025-65903-9

Abstract

Age-related macular degeneration (AMD) is a multifactorial retinal disease with a large genetic risk contribution. Reticular pseudodrusen (RPD) is a sub-phenotype of AMD with a high risk of progression to late vision threatening AMD. In a genome-wide association study of 2165 AMD+/RPD+ and 4181 AMD+/RPD- compared to 7639 control participants, both chromosomes 1 (CFH) and 10 (ARMS2/HTRA1) major AMD risk loci are reidentified. However association is only detected for the chromosome 10 locus when comparing AMD+/RPD+ to AMD+/RPD- cases. The chromosome 1 locus is notably absent. The chromosome 10 RPD risk region contains a long non-coding RNA HTRA1-AS1 (ENSG00000285955/BX842242.1) which colocalizes with genetic markers of retinal thickness. HTRA1-AS1 has a strong retinal eQTL signal, pinpointing the parafoveal photoreceptor outer segment layer. Whole genome sequencing of phenotypically extreme RPD cases identifies even stronger enrichment for the chromosome 10 risk genotype.

医療・健康
ad
ad
Follow
ad
タイトルとURLをコピーしました