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


ABSTRACT:

Purpose

To identify a novel corticotropin-releasing hormone (CRH) gene variant relevant in patients with central serous chorioretinopathy (CSC).

Methods

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.

Results

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.

Conclusions

Our results implicate the hypothalamic-pituitary-adrenal stress response system in the pathogenesis of CSC and provide a novel rationale for therapeutic intervention.

SUBMITTER: Jin EZ 

PROVIDER: S-EPMC9366725 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Publications

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

Jin En-Zhong EZ   Li Tian-Qi TQ   Ren Chi C   Zhu Li L   Du Wei W   Qu Jin-Feng JF   Yao Yu-Ou YO   Li Xiao-Xin XX   Zhou Peng P   Huang Lv-Zhen LZ   Zhao Ming-Wei MW  

Investigative ophthalmology & visual science 20220801 9


<h4>Purpose</h4>To identify a novel corticotropin-releasing hormone (CRH) gene variant relevant in patients with central serous chorioretinopathy (CSC).<h4>Methods</h4>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  ...[more]

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