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Originally published In Press as doi:10.1167/iovs.08-1837 on May 30, 2008
(Investigative Ophthalmology and Visual Science. 2008;49:5077-5082.)
© 2008 by The Association for Research in Vision and Ophthalmology, Inc.
DOI:  10.1167/iovs.08-1837

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Age-Related Macular Degeneration Is Associated with the HLA-Cw*0701 Genotype and the Natural Killer Cell Receptor AA Haplotype

Srinivas V. Goverdhan,1 Salim I. Khakoo,2 Hannah Gaston,3 Xiaoli Chen,1 and Andrew J. Lotery1,3

1From the Division of Clinical Neurosciences and the 3Southampton Eye Unit, University of Southampton, Southampton General Hospital, Southampton, United Kingdom; and the 2Division of Medicine, Imperial College of London, London, United Kingdom.

PURPOSE. To determine the association of human leukocyte antigen (HLA) C and its cognate killer cell immunoglobulin-like receptor (KIR) ligands with age-related macular degeneration (AMD).

METHODS. HLA class I allele groups including the HLA-C principal alleles were genotyped in a cohort of 104 AMD cases and 93 controls by using the PCR-SSP (sequence-specific primers) method. This cohort was then genotyped for 16 KIR genes by PCR-SSP. Frequencies of the tested HLA/KIR alleles were then compared between patients with AMD and normal control subjects. HLA-C1, -Cw*07, and -Cw*0701 genotypes and their combinations with KIR genotypes/haplotypes were tested for association with AMD. Probabilities were obtained with a two-tailed {chi}2 test and Bonferroni correction applied for multiple testing (Pc).

RESULTS. The HLA-Cw*0701 allele, in combination with the inhibitory KIR AA haplotype was associated with AMD after logistic regression analysis (P = 0.006, Pc = 0.036, OR = 4.35, 95% CI = 1.41–13.44).

CONCLUSIONS. The HLA-Cw*0701 allele and KIR haplotype AA are associated with AMD. This genotype combination suggests that natural killer cells have a role in the pathogenesis of AMD. Replication studies are needed to confirm these novel HLA-KIR associations with AMD.








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