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An Insertion Variant in CRH Confers an Increased Risk of Central Serous Chorioretinopathy

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机构: [1]Department of Ophthalmology, Eye Disease and Optometry Institute, Peking University People's Hospital, Beijing, China. [2]Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing, China. [3]Parkway Health Hongqiao Medical Center, Shanghai, China.
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关键词: central serous chorioretinopathy (CSC) corticotropin-releasing hormone (CRH) stress choroidal vasculopathy pathogenesis

摘要:
To identify a novel corticotropin-releasing hormone (CRH) gene variant relevant in patients with central serous chorioretinopathy (CSC).We performed a genetic study of CSC in families and sporadic cases with controls. Using whole-exome sequencing and linkage analysis, we identified a heterozygous insertion variant, Gln52insPro, in the CRH gene that cosegregated in two Chinese families with CSC. This variant was evaluated among an additional 1307 patients with CSC and 1438 ethnicity-matched control individuals from three independent Chinese cohorts.The CRH variant was strongly associated with CSC in these cohorts of Chinese patients (Pmeta = 1.24 × 10-11; odds ratio, 3.01; 95% confidence interval, 2.15-4.21). The risk variant Gln52insPro decreased CRH gene expression.Our results implicate the hypothalamic-pituitary-adrenal stress response system in the pathogenesis of CSC and provide a novel rationale for therapeutic intervention.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 眼科学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 眼科学
第一作者:
第一作者机构: [1]Department of Ophthalmology, Eye Disease and Optometry Institute, Peking University People's Hospital, Beijing, China. [2]Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing, China.
通讯作者:
通讯机构: [1]Department of Ophthalmology, Eye Disease and Optometry Institute, Peking University People's Hospital, Beijing, China. [2]Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing, China. [3]Parkway Health Hongqiao Medical Center, Shanghai, China. [*1]Department of Ophthalmology, Eye Disease and Optometry Institute, Peking University People’s Hospital, Beijing, China , Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing, China , Xizhimen South Street 11, Xi Cheng District, Beijing 100044, China [*2]Parkway Health Hongqiao Medical Center, 2258 Hongqiao Rd., Shanghai 200336, China
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