Systemic Complement Activation in Age-Related Macular Degeneration
2008

Systemic Complement Activation in Age-Related Macular Degeneration

Sample size: 179 publication Evidence: high

Author Information

Author(s): Scholl Hendrik P. N., Issa Peter Charbel, Walier Maja, Janzer Stefanie, Pollok-Kopp Beatrix, Börncke Florian, Fritsche Lars G., Chong Ngaihang V., Fimmers Rolf, Wienker Thomas, Holz Frank G., Weber Bernhard H. F., Oppermann Martin

Primary Institution: Department of Ophthalmology, University of Bonn, Bonn, Germany

Hypothesis

Defective control of complement activation underlies age-related macular degeneration (AMD).

Conclusion

The study shows that systemic complement activation is significantly elevated in AMD patients compared to controls.

Supporting Evidence

  • All complement activation products were significantly elevated in AMD patients compared to controls.
  • Markers of chronic complement activation Ba and C3d were particularly elevated in AMD patients.
  • Logistic regression analysis showed that a model based on complement activation markers had better discriminative accuracy than one based on genetic markers.

Takeaway

This study found that people with age-related macular degeneration have higher levels of certain proteins in their blood that are linked to inflammation.

Methodology

The study measured plasma concentrations of complement activation products and analyzed genetic markers in AMD patients and controls.

Limitations

The study was limited to genes and proteins of the alternative pathway of complement, and the generalizability of findings may be restricted due to the specific population studied.

Participant Demographics

112 AMD patients and 67 control subjects, matched for age, gender, and smoking habits.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0002593

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