rs11200638

This is a regulatory region variant variant in the HTRA1 gene.

GWAS Catalog Trait Associations (3)

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

age-related macular degeneration, wet macular degeneration

Allele A
OR 2.12
p 5.0e-17
N 1,451
Large GWAS
South East Asian

age-related macular degeneration

Dewan A et al. HTRA1 promoter polymorphism in wet age-related macular degeneration. Science (new York, N.y.) 314(5801):989-92 (2006)
Allele A
OR 1.60
p 8.0e-12
N 226
Small GWAS
South East Asian

ClinVar annotation

Risk Factor
1 submitter5 publications

Age related macular degeneration 7; Susceptibility to neovascular type of age-related macular degeneration

View on ClinVar →

Research that mentions this SNP (7)

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
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
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
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
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
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)

About HTRA1

This gene encodes a member of the trypsin family of serine proteases. This protein is a secreted enzyme that is proposed to regulate the availability of insulin-like growth factors (IGFs) by cleaving IGF-binding proteins. It has also been suggested to be a regulator of cell growth. Variations in the promoter region of this gene are the cause of susceptibility to age-related macular degeneration type 7. [provided by RefSeq, Jul 2008]

View all HTRA1 variants →

Gene information from NCBI Gene. Variant classifications from ClinVar.

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