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Adjusting Cholera Models to Recent Experimental Data 英文参考文献
Synopses of Research Articles
Pinpointing the Earliest Defects in Age-Related Macular Degeneration
DOI: 10.1371/journal.pmed.0030038
In the developed world, age-related macular degeneration
(AMD) is the most common cause of blindness in later life—in
the United States, for example, it affects around 15 million
people. Early signs of AMD in the retina are pigmentation and
soft drusen deposits of protein, fat, and cellular debris. Advanced
AMD was previously classi?ed into wet and dry types; dry AMD,
now known as geographic atrophy (GA) or atrophic AMD, occurs
as the light-sensing cells (photoreceptors) in the macula break
down.Wet AMD, now known as neovascular or exudative AMD,
is caused when abnormal, fragile blood vessels grow under the
macula, underneath the retina.These blood vessels often leak
blood, lipid, and ?uid, which lift the macula.
Late (sight-threatening) AMD is found in about 2% of all
people over 50 years of age, and the incidence of the disease
rises with age, occurring in 0.7%–1.4% of people aged 65–75
years, and in 11%–19% of people over 85 years of age.The
neovascular form can rapidly lead to severe blindness, whereas
the atrophic form progresses more slowly. Although age is the
main risk factor for AMD, hypertension, smoking, and a family
history of AMD also increase risk of developing the disease.
Previous genetic linkage studies have suggested that a locus
on the long arm of Chromosome 1 was involved in AMD’s
pathogenesis. Further studies, then, re?ned these analyses and
showed that a variant in one gene, Complement Factor H (CFH),
was present more frequently in people with advanced AMD
than in normal controls. A paper in PLoS Medicine now takes this
genetic analysis further, asking whether this same variant is also
associated with early AMD.
DOI: 10.1371/journal.pmed.0030038.g001
Fundus images of A, normal macula; B, macula with con?uent soft
drusen C, macula with dry AMD D, macula with wet AMD.
CFH is a serum glycoprotein that controls the
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