rs2146323

This is a intron variant variant in the VEGFA gene.

Research that mentions this SNP (3)

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
Asthma Treatment Outcome in Children Is Associated with Vascular Endothelial Growth Factor A (VEGFA) Polymorphisms
AssociationN=131Mateja Balantic et al.(2012)· Molecular Diagnosis & Therapy

This study of 131 Slovenian children with asthma examined VEGFA polymorphisms rs2146323 and rs833058 as predictors of treatment response to inhaled corticosteroids (ICS) or leukotriene receptor antagonists (LTRA). The rs2146323 AA genotype was associated with greater improvement in FEV1 after ICS therapy (9% vs 5%, p=0.018) but with uncontrolled asthma in regular LTRA users (60% vs 10%, p=0.020, OR 0.07). The rs833058 TT genotype was associated with FEV1 improvement in episodic LTRA users (9% vs 1%, p=0.029).

Traits studied:Asthma controlAsthma treatment responseForced expiratory volumeInhaled corticosteroid responseLeukotriene receptor antagonist response
Genetic Predictors of Response to Photodynamic Therapy
ReviewFrancesco Parmeggiani et al.(2011)· Molecular Diagnosis & 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

About VEGFA

This gene is a member of the PDGF/VEGF growth factor family. It encodes a heparin-binding protein, which exists as a disulfide-linked homodimer. This growth factor induces proliferation and migration of vascular endothelial cells, and is essential for both physiological and pathological angiogenesis. Disruption of this gene in mice resulted in abnormal embryonic blood vessel formation. This gene is upregulated in many known tumors and its expression is correlated with tumor stage and progression. Elevated levels of this protein are found in patients with POEMS syndrome, also known as Crow-Fukase syndrome. Allelic variants of this gene have been associated with microvascular complications of diabetes 1 (MVCD1) and atherosclerosis. Alternatively spliced transcript variants encoding different isoforms have been described. There is also evidence for alternative translation initiation from upstream non-AUG (CUG) codons resulting in additional isoforms. A recent study showed that a C-terminally extended isoform is produced by use of an alternative in-frame translation termination codon via a stop codon readthrough mechanism, and that this isoform is antiangiogenic. Expression of some isoforms derived from the AUG start codon is regulated by a small upstream open reading frame, which is located within an internal ribosome entry site. The levels of VEGF are increased during infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), thus promoting inflammation by facilitating recruitment of inflammatory cells, and by increasing the level of angiopoietin II (Ang II), one of two products of the SARS-CoV-2 binding target, angiotensin-converting enzyme 2 (ACE2). In turn, Ang II facilitates the elevation of VEGF, thus forming a vicious cycle in the release of inflammatory cytokines. [provided by RefSeq, Jun 2020]

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Gene information from NCBI Gene. Variant classifications from ClinVar.

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