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Erschienen in: Der Ophthalmologe 11/2005

01.11.2005 | Leitthema

Y402H-Polymorphismus im Komplementfaktor H und altersabhängige Makuladegeneration (AMD)

verfasst von: PD Dr. H. P. N. Scholl, B. H. F. Weber, M. M. Nöthen, T. Wienker, F. G. Holz

Erschienen in: Die Ophthalmologie | Ausgabe 11/2005

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Zusammenfassung

Die altersabhängige Makuladegeneration (AMD) ist eine genetisch komplexe Erkrankung. Neuere Untersuchungen legen nahe, dass sie zu mehr als zwei Dritteln auf genetische Ursachen zurückzuführen ist. Umfangreiche molekulargenetische Studien (Kandidatengenanalysen, Kopplungsanalysen und Assoziationsstudien) wurden in den letzten Jahren durchgeführt, um die genetischen Faktoren einer AMD-Prädisposition auf molekularer Ebene zu beschreiben. Kürzlich ist es nun gelungen, im Komplementfaktor-H- (CFH-)Gen ein hochsignifikantes Risikoallel, Y402H, zu identifizieren. Das relative Risiko für die Entwicklung einer AMD wird auf 2,4–4,6 für heterozygote Träger des Risikoallels geschätzt und auf 3,3–7,4 für Homozygote. Dieser Polymorphismus trägt demnach etwa 20–50% zum AMD-Gesamtrisiko bei und erklärt somit einen wesentlichen Teil des genetischen Beitrags. Dieser Übersichtsartikel berichtet über den Stand der genetischen Forschung zur AMD und stellt die neuen Ergebnisse zum CFH-Gen dar.
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Metadaten
Titel
Y402H-Polymorphismus im Komplementfaktor H und altersabhängige Makuladegeneration (AMD)
verfasst von
PD Dr. H. P. N. Scholl
B. H. F. Weber
M. M. Nöthen
T. Wienker
F. G. Holz
Publikationsdatum
01.11.2005
Verlag
Springer-Verlag
Erschienen in
Die Ophthalmologie / Ausgabe 11/2005
Print ISSN: 2731-720X
Elektronische ISSN: 2731-7218
DOI
https://doi.org/10.1007/s00347-005-1270-y

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„standard operating procedures“ (SOP) – Vorschlag zum therapeutischen Management bei periokulären sowie intraokulären Metastasen

Metastasen Leitthema

Peri- sowie intraokuläre Metastasen sind insgesamt gesehen selten und meist Zeichen einer fortgeschrittenen primären Tumorerkrankung. Die Therapie ist daher zumeist palliativ und selten kurativ. Zudem ist die Therapiefindung sehr individuell. Die …

Update Augenheilkunde

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