Interesting: Viral etiology and genetic factors influencing protection from Dry AMD. - Dr. Martinelli, Jr.
In continuing coverage from the Aug. 28 edition of First Look, the San Diego Union-Tribune (8/28, Clark) reported that researchers have "found the first genetic link to dry age-related macular degeneration (AMD), the most common form of progressive blindness," according to a study published in the Aug. 28 online edition of the New England Journal of Medicine. Kang Zhang, M.D., Ph.D., of the Shiley Eye Center at the University of California-San Diego School of Medicine, and colleagues, discovered "a genetic variant in about 66 percent of the population that appears to protect people from certain kinds of viral damage, a leading suspect in the development of the eye disease. People who lack this variant are not protected, and thus" are "more vulnerable to dry" AMD.
"People with two copies of the so-called T allele of the TLR3 gene had a significantly reduced likelihood for having dry age-related macular degeneration," MedPage Today (8/28, Gever) added. By genotyping "a total of 2,684 people in four series, including 687 with dry AMD, 760 with wet age-related macular degeneration, 152 with soft and confluent drusen, and 1,085 normal controls," and by performing "in vitro lab experiments" involving "dosing human and mouse retinal cells with RNA strands known to activate functional TLR3," the investigators "identified two clinical implications for the" study's "findings. One is that inhibitors of TLR3 activity could slow or halt progression of dry age-related macular degeneration." The other is that small interfering RNA sequences (siRNA), several of which "are now in clinical trials for 'wet'" AMD, "could activate retinal TLR3 in susceptible individuals to trigger dry AMD" when "introduced into the eye."
Florida Bright House cable affiliate Bay News 9 (8/28) pointed out on its website that age-related macular degeneration is "the leading cause of blindness in people older than sixty." Virginia NBC affiliate WSLS-TV also covered the story on its website, as did California ABC affiliate KGTV-TV (8/28) on its website.
