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Gene, Smoking Combo Boosts Risk of Elderly Vision LossGene, Smoking Combo Boosts Risk of Elderly Vision Loss
Specific mutation raises chances of Specific mutation raises chances of
age-related macular degenerationage-related macular degeneration
MONDAY, March 20 (HealthDay News) -- A MONDAY, March 20 (HealthDay News) -- A
combination of smoking plus a specific gene variant combination of smoking plus a specific gene variant
could account for a third of cases of age-related macular could account for a third of cases of age-related macular
degeneration (AMD), researchers say. AMD is the most degeneration (AMD), researchers say. AMD is the most
common cause of visual impairment and legal blindness common cause of visual impairment and legal blindness
in older Americans. Interaction between a specific in older Americans. Interaction between a specific
variant of the LOC387715 gene and cigarette smoking variant of the LOC387715 gene and cigarette smoking
greatly increases AMD, say researchers at Duke greatly increases AMD, say researchers at Duke
University Medical Center and Vanderbilt University University Medical Center and Vanderbilt University
Medical Center. The finding emphasizes the importance Medical Center. The finding emphasizes the importance
of genetic factors in the onset of AMD, and suggests the of genetic factors in the onset of AMD, and suggests the
potential to reduce the incidence of the disease through potential to reduce the incidence of the disease through
smoking prevention and cessation programs. "The most smoking prevention and cessation programs. "The most
exciting aspect of this research is that it is the exciting aspect of this research is that it is the
combination of the gene and smoking that really puts you combination of the gene and smoking that really puts you
at risk," study senior author Margaret Pericak-Vance, at risk," study senior author Margaret Pericak-Vance,
director of the Duke Center for Human Genetics, said in director of the Duke Center for Human Genetics, said in
a prepared statement. a prepared statement.
"We demonstrate, for the first time, that a gene variant "We demonstrate, for the first time, that a gene variant
coupled with a modifiable lifestyle factor such as coupled with a modifiable lifestyle factor such as
cigarette smoking confers a significantly higher risk of cigarette smoking confers a significantly higher risk of
AMD than either factor alone," she said. The findings AMD than either factor alone," she said. The findings
appear in the online edition of the appear in the online edition of the American Journal of American Journal of
Human GeneticsHuman Genetics, and will be published in the May print , and will be published in the May print
issue of the journal. The study included 1,001 people issue of the journal. The study included 1,001 people
with all forms of AMD and 394 healthy people in a with all forms of AMD and 394 healthy people in a
control group. Researchers analyzed 185 variations in the control group. Researchers analyzed 185 variations in the
DNA sequence of genes located in a region believed to DNA sequence of genes located in a region believed to
be associated with susceptibility to AMD. The scientists be associated with susceptibility to AMD. The scientists
found that 42 percent of the chromosomes of people with found that 42 percent of the chromosomes of people with
AMD and 26 percent of the people in the control group AMD and 26 percent of the people in the control group
had a specific variant of LOC387715 statistically had a specific variant of LOC387715 statistically
associated with the highest risk of developing AMD. In associated with the highest risk of developing AMD. In
nonsmokers, this genetic variant increased AMD risk nonsmokers, this genetic variant increased AMD risk
twofold. People who had the genetic variant and smoked twofold. People who had the genetic variant and smoked
had an eightfold increased risk of AMD, compared to had an eightfold increased risk of AMD, compared to
nonsmokers without the variant. The actual function of nonsmokers without the variant. The actual function of
the LOC387715 gene in the visual system is unknown, the LOC387715 gene in the visual system is unknown,
the researchers said.the researchers said.
-- Robert Preidt -- Robert Preidt
SOURCE: Duke University, news release, March 7, 2006 SOURCE: Duke University, news release, March 7, 2006