Genetic Polymorphisms Affecting Ranibizumab Response in High Myopia Patients

High myopia is an ophthalmic pathology that affects half of the young adults in the United States and Europe and it is predicted that a third of the world’s population could be nearsighted at the end of this decade. It is characterized by at least 6 diopters or axial length > 26 mm and, choroidal...

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Autores principales: David Blánquez-Martínez, Xando Díaz-Villamarín, Alba Antúnez-Rodríguez, Ana Pozo-Agundo, José Ignacio Muñoz-Ávila, Luis Javier Martínez-González, Cristina Lucía Dávila-Fajardo
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/4adc7064e37c439eaf52b26c7a335386
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spelling oai:doaj.org-article:4adc7064e37c439eaf52b26c7a3353862021-11-25T18:42:35ZGenetic Polymorphisms Affecting Ranibizumab Response in High Myopia Patients10.3390/pharmaceutics131119731999-4923https://doaj.org/article/4adc7064e37c439eaf52b26c7a3353862021-11-01T00:00:00Zhttps://www.mdpi.com/1999-4923/13/11/1973https://doaj.org/toc/1999-4923High myopia is an ophthalmic pathology that affects half of the young adults in the United States and Europe and it is predicted that a third of the world’s population could be nearsighted at the end of this decade. It is characterized by at least 6 diopters or axial length > 26 mm and, choroidal neovascularization (CNV) in 5 to 11% of cases. Ranibizumab is a recombinant humanized monoclonal antibody fragment. It is an anti-vascular endothelial growth factor (anti-VEGF) drug used in the treatment of CNV. Many genetic polymorphisms have been associated with interindividual differences in the response to ranibizumab, but these associations were not yet assessed among patients with high myopia and CNV. We performed a retrospective study assessing the association of genetic polymorphisms with response to ranibizumab in patients with CNV secondary to high myopia (mCNV). We included genetic polymorphisms previously associated with the response to drugs used in CNV patients (bevacizumab, ranibizumab, aflibercept, and photodynamic therapy (PDT)). We also included genetic variants in the <i>VEGFA</i> gene. Based on our results, <i>ARMS2</i> (rs10490924) and <i>CFH</i> (rs1061170) are associated with response to ranibizumab in high myopia patients; and, included <i>VEGFA</i> genetic polymorphisms are not associated with ranibizumab response in our population but might be related to a higher risk of CNV.David Blánquez-MartínezXando Díaz-VillamarínAlba Antúnez-RodríguezAna Pozo-AgundoJosé Ignacio Muñoz-ÁvilaLuis Javier Martínez-GonzálezCristina Lucía Dávila-FajardoMDPI AGarticlemyopiapharmacogeneticgenetic polymorphismpersonalized medicineranibizumabanti-VEGFPharmacy and materia medicaRS1-441ENPharmaceutics, Vol 13, Iss 1973, p 1973 (2021)
institution DOAJ
collection DOAJ
language EN
topic myopia
pharmacogenetic
genetic polymorphism
personalized medicine
ranibizumab
anti-VEGF
Pharmacy and materia medica
RS1-441
spellingShingle myopia
pharmacogenetic
genetic polymorphism
personalized medicine
ranibizumab
anti-VEGF
Pharmacy and materia medica
RS1-441
David Blánquez-Martínez
Xando Díaz-Villamarín
Alba Antúnez-Rodríguez
Ana Pozo-Agundo
José Ignacio Muñoz-Ávila
Luis Javier Martínez-González
Cristina Lucía Dávila-Fajardo
Genetic Polymorphisms Affecting Ranibizumab Response in High Myopia Patients
description High myopia is an ophthalmic pathology that affects half of the young adults in the United States and Europe and it is predicted that a third of the world’s population could be nearsighted at the end of this decade. It is characterized by at least 6 diopters or axial length > 26 mm and, choroidal neovascularization (CNV) in 5 to 11% of cases. Ranibizumab is a recombinant humanized monoclonal antibody fragment. It is an anti-vascular endothelial growth factor (anti-VEGF) drug used in the treatment of CNV. Many genetic polymorphisms have been associated with interindividual differences in the response to ranibizumab, but these associations were not yet assessed among patients with high myopia and CNV. We performed a retrospective study assessing the association of genetic polymorphisms with response to ranibizumab in patients with CNV secondary to high myopia (mCNV). We included genetic polymorphisms previously associated with the response to drugs used in CNV patients (bevacizumab, ranibizumab, aflibercept, and photodynamic therapy (PDT)). We also included genetic variants in the <i>VEGFA</i> gene. Based on our results, <i>ARMS2</i> (rs10490924) and <i>CFH</i> (rs1061170) are associated with response to ranibizumab in high myopia patients; and, included <i>VEGFA</i> genetic polymorphisms are not associated with ranibizumab response in our population but might be related to a higher risk of CNV.
format article
author David Blánquez-Martínez
Xando Díaz-Villamarín
Alba Antúnez-Rodríguez
Ana Pozo-Agundo
José Ignacio Muñoz-Ávila
Luis Javier Martínez-González
Cristina Lucía Dávila-Fajardo
author_facet David Blánquez-Martínez
Xando Díaz-Villamarín
Alba Antúnez-Rodríguez
Ana Pozo-Agundo
José Ignacio Muñoz-Ávila
Luis Javier Martínez-González
Cristina Lucía Dávila-Fajardo
author_sort David Blánquez-Martínez
title Genetic Polymorphisms Affecting Ranibizumab Response in High Myopia Patients
title_short Genetic Polymorphisms Affecting Ranibizumab Response in High Myopia Patients
title_full Genetic Polymorphisms Affecting Ranibizumab Response in High Myopia Patients
title_fullStr Genetic Polymorphisms Affecting Ranibizumab Response in High Myopia Patients
title_full_unstemmed Genetic Polymorphisms Affecting Ranibizumab Response in High Myopia Patients
title_sort genetic polymorphisms affecting ranibizumab response in high myopia patients
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4adc7064e37c439eaf52b26c7a335386
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