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Polymorphisms in the VEGF-A in polypoidal choroidal vasculopathy in a Korean population

  • Clinical Investigation
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Abstract

Purpose

The aim of this study was to investigate whether polymorphisms in the vascular endothelial growth factor A gene (VEGF-A) are associated with polypoidal choroidal vasculopathy (PCV) in a Korean population and whether they are associated with PCV phenotypes.

Methods

This was a case–control study comprising 111 patients with PCV and 123 control participants. The PCV and control groups were genotyped for five polymorphisms in VEGF-A. Clinical characteristics were evaluated, including best-corrected visual acuity, fundus findings, and angiography findings at the first visit. Main outcome measures were the genotypes of variants and association with phenotypes.

Results

Only rs833069 in VEGF-A generated significant allelic associations with PCV (P = 2.24 × 10−5). As compared with the AA group, the GG genotype group in rs833069 had a 6.25-fold increased risk of PCV [P = 7.45 × 10−5, 95% confidence interval (CI) 2.52–15.46] and the AG group had a 1.82-fold increased risk (P = 0.029, 95% CI 1.03–3.24). The haplotype CCGC in VEGF-A showed an association with PCV (P = 2.90 × 10−5). However, the phenotypic characteristics of PCV did not show an association with the rs833069 genotypes.

Conclusions

The rs833069 polymorphism in VEGF-A was significantly associated with the risk of PCV in a Korean population.

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References

  1. Yannuzzi LA, Sorenson J, Spaide RF, Lipson B. Idiopathic polypoidal choroidal vasculopathy (IPCV). Retina. 1990;10:1–8.

    Article  PubMed  CAS  Google Scholar 

  2. Spaide RF, Yannuzzi LA, Slakter JS, Sorenson J, Orlach DA. Indocyanine green videoangiography of idiopathic polypoidal choroidal vasculopathy. Retina. 1995;15:100–10.

    Article  PubMed  CAS  Google Scholar 

  3. Ciardella AP, Donsoff IM, Huang SJ, Costa DL, Yannuzzi LA. Polypoidal choroidal vasculopathy. Surv Ophthalmol. 2004;49:25–37.

    Article  PubMed  Google Scholar 

  4. Byeon SH, Lee SC, Oh HS, Kim SS, Koh HJ, Kwon OW. Incidence and clinical patterns of polypoidal choroidal vasculopathy in Korean patients. Jpn J Ophthalmol. 2008;52:57–62.

    Article  PubMed  Google Scholar 

  5. Maruko I, Iida T, Saito M, Nagayama D, Saito K. Clinical characteristics of exudative age-related macular degeneration in Japanese patients. Am J Ophthalmol. 2007;144:15–22.

    Article  PubMed  Google Scholar 

  6. Sho K, Takahashi K, Yamada H, Wada M, Nagai Y, Otsuji T, et al. Polypoidal choroidal vasculopathy: incidence, demographic features, and clinical characteristics. Arch Ophthalmol. 2003;121:1392–6.

    Article  PubMed  Google Scholar 

  7. Imaizumi H, Takeda M. Knobby-like choroidal neovascularization accompanied with retinal pigment epithelial detachment. Nippon Ganka Gakkai Zasshi. 1999;103:527–37 (in Japanese).

    Google Scholar 

  8. Tammela T, Enholm B, Alitalo K, Paavonen K. The biology of vascular endothelial growth factors. Cardiovasc Res. 2005;65:550–63.

    Article  PubMed  CAS  Google Scholar 

  9. Bhatnagar P, Spaide RF, Takahashi BS, Peragallo JH, Freund KB, Klancnik JM Jr, et al. Ranibizumab for treatment of choroidal neovascularization secondary to age-related macular degeneration. Retina. 2007;27:846–50.

    Article  PubMed  Google Scholar 

  10. Kvanta A, Algvere PV, Berglin L, Seregard S. Subfoveal fibrovascular membranes in age-related macular degeneration express vascular endothelial growth factor. Invest Ophthalmol Vis Sci. 1996;37:1929–34.

    PubMed  CAS  Google Scholar 

  11. Tong JP, Chan WM, Liu DT, Lai TY, Choy KW, Pang CP, et al. Aqueous humor levels of vascular endothelial growth factor and pigment epithelium-derived factor in polypoidal choroidal vasculopathy and choroidal neovascularization. Am J Ophthalmol. 2006;141:456–62.

    Article  PubMed  CAS  Google Scholar 

  12. Matsuoka M, Ogata N, Otsuji T, Nishimura T, Takahashi K, Matsumura M. Expression of pigment epithelium derived factor and vascular endothelial growth factor in choroidal neovascular membranes and polypoidal choroidal vasculopathy. Br J Ophthalmol. 2004;88:809–15.

    Article  PubMed  CAS  Google Scholar 

  13. Gomi F, Sawa M, Sakaguchi H, Tsujikawa M, Oshima Y, Kamei M, et al. Efficacy of intravitreal bevacizumab for polypoidal choroidal vasculopathy. Br J Ophthalmol. 2008;92:70–3.

    Article  PubMed  CAS  Google Scholar 

  14. Kokame GT, Yeung L, Lai JC. Continuous anti-VEGF treatment with ranibizumab for polypoidal choroidal vasculopathy: 6-month results. Br J Ophthalmol. 2010;94:297–301.

    Article  PubMed  Google Scholar 

  15. Churchill AJ, Carter JG, Lovell HC, Ramsden C, Turner SJ, Yeung A, et al. VEGF polymorphisms are associated with neovascular age-related macular degeneration. Hum Mol Genet. 2006;15:2955–61.

    Article  PubMed  CAS  Google Scholar 

  16. Galan A, Ferlin A, Caretti L, Buson G, Sato G, Frigo AC, et al. Association of age-related macular degeneration with polymorphisms in vascular endothelial growth factor and its receptor. Ophthalmology. 2010;117:1769–74.

    Article  PubMed  Google Scholar 

  17. Lin JM, Wan L, Tsai YY, Lin HJ, Tsai Y, Lee CC, et al. Vascular endothelial growth factor gene polymorphisms in age-related macular degeneration. Am J Ophthalmol. 2008;145:1045–51.

    Article  PubMed  CAS  Google Scholar 

  18. Holladay JT. Proper method for calculating average visual acuity. J Refract Surg. 1997;13:388–91.

    PubMed  CAS  Google Scholar 

  19. Barrett JC, Fry B, Maller J, Daly MJ. Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics. 2005;21:263–5.

    Article  PubMed  CAS  Google Scholar 

  20. Zhang SX, Ma JX. Ocular neovascularization: implication of endogenous angiogenic inhibitors and potential therapy. Prog Retin Eye Res. 2007;26:1–37.

    Article  PubMed  Google Scholar 

  21. Lopez PF, Sippy BD, Lambert HM, Thach AB, Hinton DR. Transdifferentiated retinal pigment epithelial cells are immunoreactive for vascular endothelial growth factor in surgically excised age-related macular degeneration-related choroidal neovascular membranes. Invest Ophthalmol Vis Sci. 1996;37:855–68.

    PubMed  CAS  Google Scholar 

  22. Tatar O, Shinoda K, Adam A, Eckert T, Eckardt C, Lucke K, et al. Effect of verteporfin photodynamic therapy on endostatin and angiogenesis in human choroidal neovascular membranes. Br J Ophthalmol. 2007;91:166–73.

    Article  PubMed  Google Scholar 

  23. Kliffen M, Sharma HS, Mooy CM, Kerkvliet S, de Jong PT. Increased expression of angiogenic growth factors in age-related maculopathy. Br J Ophthalmol. 1997;81:154–62.

    Article  PubMed  CAS  Google Scholar 

  24. Lip PL, Blann AD, Hope-Ross M, Gibson JM, Lip GY. Age-related macular degeneration is associated with increased vascular endothelial growth factor, hemorheology and endothelial dysfunction. Ophthalmology. 2001;108:705–10.

    Article  PubMed  CAS  Google Scholar 

  25. Wells JA, Murthy R, Chibber R, Nunn A, Molinatti PA, Kohner EM, et al. Levels of vascular endothelial growth factor are elevated in the vitreous of patients with subretinal neovascularisation. Br J Ophthalmol. 1996;80:363–6.

    Article  PubMed  CAS  Google Scholar 

  26. Mori K, Horie-Inoue K, Gehlbach PL, Takita H, Kabasawa S, Kawasaki I, et al. Phenotype and genotype characteristics of age-related macular degeneration in a Japanese population. Ophthalmology. 2010;117:928–38.

    Article  PubMed  Google Scholar 

  27. Fang AM, Lee AY, Kulkarni M, Osborn MP, Brantley MA Jr. Polymorphisms in the VEGFA and VEGFR-2 genes and neovascular age-related macular degeneration. Mol Vis. 2009;15:2710–9.

    PubMed  CAS  Google Scholar 

  28. Haines JL, Schnetz-Boutaud N, Schmidt S, Scott WK, Agarwal A, Postel EA, et al. Functional candidate genes in age-related macular degeneration: significant association with VEGF, VLDLR, and LRP6. Invest Ophthalmol Vis Sci. 2006;47:329–35.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by a Biomedical Research Institute Grant from Kyungpook National University Hospital (2011).

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Correspondence to In Taek Kim.

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Park, D.H., Kim, I.T. Polymorphisms in the VEGF-A in polypoidal choroidal vasculopathy in a Korean population. Jpn J Ophthalmol 56, 145–151 (2012). https://doi.org/10.1007/s10384-012-0119-6

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  • DOI: https://doi.org/10.1007/s10384-012-0119-6

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