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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MDPI AG
2021
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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) |
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myopia pharmacogenetic genetic polymorphism personalized medicine ranibizumab anti-VEGF Pharmacy and materia medica RS1-441 |
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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 |
work_keys_str_mv |
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