rs10490924

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This is a protein-altering variant in the ARMS2 gene.

Key Literature Trait Associations

Age-Related Macular Degeneration

The T allele of rs10490924 introduces an Ala69Ser substitution in the ARMS2 protein, a mitochondrial outer-membrane protein expressed in retinal photoreceptors. Homozygous TT carriers have approximately 7-fold increased risk of AMD. The T allele reduces superoxide dismutase (SOD) activity, causing accumulation of reactive oxygen species and heightened oxidative damage — a key driver of drusen formation and photoreceptor degeneration in AMD. The variant acts independently of the CFH Y402H risk variant and is one of the two most strongly associated common AMD loci genome-wide.

Allele T
OR 2.76
p
N 33,976
Large GWAS
European and Asian
Fritsche LG et al. Seven new loci associated with age-related macular degeneration. Nature Genetics 45(4):433-9, 439e1-2 (2013)
Allele T
OR 3.00
p 3.0e-72
N 77,100
Large GWAS
European and Asian
Allele T
OR 1.38
p 7.4e-14
N 27,351
Large GWAS
European
Allele T
OR 4.59
p
N 3,779
Meta-analysis
multi-ancestry

Wet macular degeneration

The ARMS2 T allele at rs10490924 is specifically enriched in neovascular (wet) AMD compared to dry AMD subtypes. GWAS Catalog data show an OR of 3.67 (p~2×10⁻¹³⁸) for wet AMD specifically, exceeding the overall AMD signal. Sobrin et al. 2011 confirmed that the T allele is significantly more prevalent in choroidal neovascularization than geographic atrophy cases (OR 1.37, p=4.2×10⁻⁷), and Dewan et al. 2006 reported approximately 10-fold elevated wet AMD risk in Chinese T-allele homozygotes. This subtype specificity has implications for risk stratification in AMD genetic counseling.

Dewan A et al. HTRA1 promoter polymorphism in wet age-related macular degeneration. Science (new York, N.y.) 314(5801):989-92 (2006)
Allele T
OR 10.00
p 1.0e-11
Large GWAS
East Asian (Chinese)

GWAS Catalog Trait Associations (9)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

ClinVar annotation

Benign★★★
7 submitters8 publications

Age related macular degeneration 8; not provided; ARMS2-related disorder

View on ClinVar →

Research that mentions this SNP (12)

Single-Nucleotide Polymorphisms Associated With Age-Related Macular Degeneration and Lesion Phenotypes in the Comparison of Age-Related Macular Degeneration Treatments Trials
AssociationN=835Maureen G. Maguire et al.(2016)· JAMA Ophthalmology

Cross-sectional study of 835 CATT participants with neovascular AMD genotyped for SNPs in CFH, ARMS2, C3, LIPC, CFB, and C2. ARMS2 risk alleles were associated with larger total lesions (p=0.03) and increased intraretinal fluid (p=0.008); C3 risk alleles were associated with decreased intraretinal fluid (p=0.001) and retinal thickness (p=0.02); CFH risk alleles were associated with decreased total thickness (p=0.01).

Traits studied:Age-related macular degenerationChoroidal neovascularization phenotypesNeovascular AMDRetinal angiomatous proliferation
The contribution of genetic factors to phenotype and progression of drusen in early age-related macular degeneration
AssociationN=576Martha Dietzel et al.(2014)· Graefe's Archive for Clinical and Experimental Ophthalmology

This prospective cohort study (Münster Aging and Retina Study, MARS) analyzed genetic variants in CFH (rs1061170), ARMS2 (rs10490924), and ABCA1 (rs1883025) in relation to drusen phenotypes and progression in early age-related macular degeneration. Cross-sectionally, CFH and ARMS2 risk variants were associated with drusen features, while longitudinally over 2.6 years, ABCA1 showed inverse association with drusen progression (OR=0.54) and CFH showed positive association with intermediate-to-high drusen progression (OR=2.33).

Traits studied:DrusenEarly age-related macular degenerationMacular degeneration progression
Prospective Study of Common Variants inCX3CR1and Risk of Macular Degeneration
AssociationN=3,642Debra A. Schaumberg et al.(2014)· JAMA Ophthalmology

A prospective nested case-control study pooled from five large cohorts examining 15 CX3CR1 SNPs (including T280M and V249I) in 1,110 AMD cases (369 neovascular AMD) and 2,532 controls. No significant associations with AMD were found for the candidate variants T280M (RR=0.87, P=0.074) or V249I (RR=1.01, P=0.82) after multiple comparisons correction. Some CX3CR1 variants showed nominal associations with neovascular AMD in recessive models (rs2669845 RR=3.10 P=0.035, rs9868689 RR=0.31 P=0.017, rs2853707 RR=0.48 P=0.050), with possible gene-environment and gene-gene interactions identified.

Traits studied:Age-related macular degeneration (AMD)Dry AMDNeovascular AMD
VEGFAandVEGFR2Gene Polymorphisms and Response to Anti–Vascular Endothelial Growth Factor Therapy
AssociationN=835Stephanie A. Hagstrom et al.(2014)· JAMA Ophthalmology

This study evaluated 835 neovascular age-related macular degeneration (nAMD) patients from the CATT trial for associations between 8 SNPs in the VEGF signaling pathway (7 in VEGF-A: rs699946, rs699947, rs833069, rs833070, rs1413711, rs2010963, rs2146323; 1 in VEGFR-2: rs2071559) and response to anti-VEGF therapy with ranibizumab or bevacizumab. While four VEGF-A SNPs showed nominal associations with retinal thickness (p=0.03-0.04 and p=0.006), adjusted p-values were not statistically significant (p=0.24-0.45). The study found no pharmacogenetic associations between these VEGF pathway SNPs and visual acuity, anatomical outcomes, or injection frequency, concluding that these variants do not substantially influence response to anti-VEGF therapy.

Traits studied:Neovascular age-related macular degeneration (nAMD)Response to anti-VEGF therapyRetinal thicknessTreatment response to bevacizumabTreatment response to ranibizumabVisual acuity
The Relationship Between Hepatic Lipase Gene Variant and Advanced Age-Related Macular Degeneration
AssociationN=472Li-Xia Lou et al.(2014)· JAMA Ophthalmology

Prospective cohort study of 472 elderly French participants (mean age 81.9 years) from the ALIENOR study examining incident reticular pseudodrusen (RPD). Annual incidence was 2.047% with estimated 5-year cumulative incidence of 9.73%. Risk factors identified in multivariate analysis included ARMS2 rs10490924 (HR 3.36, p=0.0009), LIPC rs10468017 (HR 2.65, p=0.0029), and thinner choroidal thickness (HR 1.06, p=0.0085). Liposoluble statin medication was protective (HR 0.18, p=0.0448).

Traits studied:age-related macular degenerationreticular pseudodrusen
Assessing Susceptibility to Age-Related Macular Degeneration With Genetic Markers and Environmental Factors
AssociationN=1,844Chen Y. et al.(2011)· Archives of Ophthalmology

This case-control study of 1844 unrelated white individuals examined the association between 8 SNPs in 5 genes (CFH, HTRA1/LOC387715, C2, CFB, C3) and advanced age-related macular degeneration (AMD), including geographic atrophy and choroidal neovascularization. All genetic variants showed strong associations with AMD, with odds ratios ranging from 0.44 (C2 rs9332739, protective) to 10.99 (HTRA1/LOC387715 rs10490924 TT). A combined predictive model including genetic variants and environmental factors (smoking, age, BMI) achieved 78.8% discrimination accuracy with ROC curve AUC of 0.82.

Traits studied:Age-related macular degenerationChoroidal neovascularizationGeographic atrophy
Complement Factor H 402H Variant and Reticular Macular Disease
AssociationN=131Smith RT et al.(2011)· Archives of Ophthalmology

This case-control association study examined CFH Y402H (rs1061170) and ARMS2 A69S (rs10490924) variants in 67 patients with reticular macular disease (RMD), a subphenotype of age-related macular degeneration (AMD), versus 64 matched AMD patients without RMD. The CFH 402H allele frequency was significantly lower in RMD patients (39.6% vs 58.6%; OR=0.46, P=0.003), suggesting protection against RMD despite being an AMD risk allele. Conversely, ARMS2 69S showed enrichment in RMD (44.0% vs 31.3%; OR=1.73, P=0.045), indicating increased RMD risk.

Traits studied:Age-related macular degenerationReticular macular disease
Genetic Predictors of Response to Photodynamic Therapy
ReviewFrancesco Parmeggiani et al.(2011)· Molecular Diagnosis &amp; Therapy

Comprehensive review evaluating SNPs as genetic predictors of choroidal neovascularization (CNV) response to photodynamic therapy with verteporfin (PDT-V). The paper examines pharmacogenetic correlations for thrombo-coagulative pathway variants (MTHFR rs1801133, F5 rs6025, F2 rs1799963, F13A1 rs5985), complement/inflammatory variants (CFH, HTRA1, CRP, ARMS2), and VEGFA variants (rs699947, rs2146323), concluding that specific SNPs show clinical plausibility as markers to optimize PDT-V efficacy and guide therapeutic approaches in neovascular macular degeneration.

Traits studied:Age-related macular degeneration (AMD)Choroidal neovascularization (CNV)Neovascular macular degenerationPathologic myopia (PM)Photodynamic therapy response
Analysis of the indel at the ARMS2 3′UTR in age-related macular degeneration
AssociationN=1,148Gaofeng Wang et al.(2010)· Human Genetics

This study characterizes the complex indel in ARMS2 3'UTR associated with age-related macular degeneration (AMD), showing it consists of two side-by-side indels separated by 17 bp and strongly associated with AMD risk (OR=2.13, p=1.89×10⁻¹³). However, quantitative PCR analysis reveals no significant correlation between the indel genotype and ARMS2 mRNA levels in retina or blood samples, suggesting the non-synonymous variant rs10490924 (A69S) is the likely functional risk allele.

Traits studied:Age-related macular degeneration
Age-related macular degeneration and functional promoter and coding variants of the apolipoprotein E gene
AssociationN=8,000Lars G. Fritsche et al.(2009)· Human Mutation

This cumulative PhD dissertation investigates genetic susceptibility factors for age-related macular degeneration (AMD). The study confirms weak associations of APOE coding variants with AMD risk (P < 0.05) but finds no association with HMCN1 variants. Large replication studies of candidate genes TLR3 and SERPING1 (1,080-4,881 cases and 2,669-2,842 controls) show no association. The authors identified 15 high-risk variants in ARMS2/HTRA1 region on chromosome 10q23.33-10qter, with the ARMS2 A69S variant showing 2.7-fold increased risk heterozygously and 8.2-fold increased risk homozygously, comparable in strength to CFH Y402H. An indel variant (c.*372_815del443ins54) in ARMS2 3' UTR causes mRNA destabilization.

Traits studied:Age-related macular degeneration (AMD)Choroidal neovascularizationGeographic atrophy (GA)
TGFB1 as a Susceptibility Gene for High Myopia
AssociationN=431Zha Y. et al.(2009)· Archives of Ophthalmology

This case-control study evaluated 10 AMD-associated SNPs in 4 genes (CFI, COL8A1, LIPC, APOE) and their association with choroidal neovascularization in highly myopic Spanish Caucasian patients (147 mCNV, 103 HM without CNV, 181 controls). SNPs rs13095226 and rs669676 in COL8A1 showed significant associations in univariate analysis (OR=2.0 and 2.4 respectively), but lost significance after Bonferroni correction. Meta-analysis of rs669676 confirmed association with myopic CNV. Only age and hypertension remained significant in multivariate analysis.

Traits studied:Age-related macular degenerationChoroidal neovascularizationHigh myopiaMyopic choroidal neovascularization
Neovascular Age-Related Macular Degeneration and Its Association With LOC387715 and Complement Factor H Polymorphism
AssociationN=222Shuler RK Jr et al.(2007)· Archives of Ophthalmology

A case-control study investigating whether AMD-associated genetic variants predict treatment response. In 170 dry AMD patients treated with antioxidant supplements, CFH Y402H (rs1061170) carriers had significantly lower response rates (51.7% heterozygous/homozygous vs 75% wild-type, p=0.005), while protective variants in C2 (rs9332739) and CFB (rs4151667, rs2072633) showed improved response. In 52 neovascular AMD patients treated with ranibizumab, ARMS2 A69S (rs10490924) carriers had worse outcomes (46.4% responders vs 87.5% wild-type, p=0.002).

Traits studied:Age-related macular degeneration (dry)Age-related macular degeneration (neovascular)Anti-VEGF therapy responseAntioxidant supplement response

Gene information from NCBI Gene. Variant classifications from ClinVar.

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