HTRA1/lncRNA HTRA1-AS1 dominates in age-related macular degeneration reticular pseudodrusen genetic risk with no complement involvement

Age-related macular degeneration
GWAS
Authors

Samaneh Farashi

Carla J. Abbott

Brendan R. E. Ansell

Zhichao Wu

Lebriz Altay

Ella Arnon

Louis Arnould

Yelena Bagdasarova

Konstantinos Balaskas

Fred K. Chen

Emily Chew

Itay Chowers

Steven Clarke

Catherine Cukras

Cécile Delcourt

Marie-Noëlle Delyfer

Anneke I. den Hollander

Sascha Fauser

Robert P. Finger

Pierre-Henry Gabrielle

Jiru Han

Lauren A. B. Hodgson

Ruth Hogg

Frank G. Holz

Carel Hoyng

Himeesh Kumar

Eleonora M. Lad

Aaron Lee

Ulrich F. O. Luhmann

Matthias M. Mauschitz

Amy J. McKnight

Samuel McLenachan

Aniket Mishra

Ismail Moghul

Luz D. Orozco

Danuta M. Sampson

Liam W. Scott

Vasilena Sitnilska

Scott Song

Amy Stockwell

Anand Swaroop

Jan H. Terheyden

Liran Tiosano

Adnan Tufail

Brian L. Yaspan

MACUSTAR consortium

NICOLA consortium

Alice Pébay

Erica L. Fletcher

Robyn H. Guymer

Melanie Bahlo

On behalf of the Reticular Pseudodrusen Consortium

Date

December 8, 2025

Links
DOI
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Abstract

Age-related macular degeneration (AMD) is a multifactorial retinal disease with a large genetic risk contribution. Reticular pseudodrusen (RPD) is a sub-phenotype of AMD with a high risk of progression to late vision threatening AMD. In a genome-wide association study of 2165 AMD+/RPD+ and 4181 AMD+/RPD- compared to 7639 control participants, both chromosomes 1 (CFH) and 10 (ARMS2/HTRA1) major AMD risk loci are reidentified. However association is only detected for the chromosome 10 locus when comparing AMD+/RPD+ to AMD+/RPD- cases. The chromosome 1 locus is notably absent. The chromosome 10 RPD risk region contains a long non-coding RNA HTRA1-AS1 (ENSG00000285955/BX842242.1) which colocalizes with genetic markers of retinal thickness. HTRA1-AS1 has a strong retinal eQTL signal, pinpointing the parafoveal photoreceptor outer segment layer. Whole genome sequencing of phenotypically extreme RPD cases identifies even stronger enrichment for the chromosome 10 risk genotype.

Citation

BibTeX citation:
@article{farashi2025,
  author = {Farashi, Samaneh and J. Abbott, Carla and R. E. Ansell,
    Brendan and Wu, Zhichao and Altay, Lebriz and Arnon, Ella and
    Arnould, Louis and Bagdasarova, Yelena and Balaskas, Konstantinos
    and K. Chen, Fred and Chew, Emily and Chowers, Itay and Clarke,
    Steven and Cukras, Catherine and Delcourt, Cécile and Delyfer,
    Marie-Noëlle and I. den Hollander, Anneke and Fauser, Sascha and P.
    Finger, Robert and Gabrielle, Pierre-Henry and Han, Jiru and A. B.
    Hodgson, Lauren and Hogg, Ruth and G. Holz, Frank and Hoyng, Carel
    and Kumar, Himeesh and M. Lad, Eleonora and Lee, Aaron and F. O.
    Luhmann, Ulrich and M. Mauschitz, Matthias and J. McKnight, Amy and
    McLenachan, Samuel and Mishra, Aniket and Moghul, Ismail and D.
    Orozco, Luz and M. Sampson, Danuta and W. Scott, Liam and Sitnilska,
    Vasilena and Song, Scott and Stockwell, Amy and Swaroop, Anand and
    H. Terheyden, Jan and Tiosano, Liran and Tufail, Adnan and L.
    Yaspan, Brian and consortium, MACUSTAR and consortium, NICOLA and
    Pébay, Alice and L. Fletcher, Erica and H. Guymer, Robyn and Bahlo,
    Melanie and behalf of the Reticular Pseudodrusen Consortium, On},
  title = {HTRA1/lncRNA {HTRA1-AS1} Dominates in Age-Related Macular
    Degeneration Reticular Pseudodrusen Genetic Risk with No Complement
    Involvement},
  journal = {Nature Communications},
  volume = {16},
  date = {2025-12-08},
  url = {https://doi.org/10.1038/s41467-025-65903-9},
  doi = {10.1038/s41467-025-65903-9},
  langid = {en},
  abstract = {Age-related macular degeneration (AMD) is a multifactorial
    retinal disease with a large genetic risk contribution. Reticular
    pseudodrusen (RPD) is a sub-phenotype of AMD with a high risk of
    progression to late vision threatening AMD. In a genome-wide
    association study of 2165 AMD+/RPD+ and 4181 AMD+/RPD- compared to
    7639 control participants, both chromosomes 1 (CFH) and 10
    (ARMS2/HTRA1) major AMD risk loci are reidentified. However
    association is only detected for the chromosome 10 locus when
    comparing AMD+/RPD+ to AMD+/RPD- cases. The chromosome 1 locus is
    notably absent. The chromosome 10 RPD risk region contains a long
    non-coding RNA HTRA1-AS1 (ENSG00000285955/BX842242.1) which
    colocalizes with genetic markers of retinal thickness. HTRA1-AS1 has
    a strong retinal eQTL signal, pinpointing the parafoveal
    photoreceptor outer segment layer. Whole genome sequencing of
    phenotypically extreme RPD cases identifies even stronger enrichment
    for the chromosome 10 risk genotype.}
}
For attribution, please cite this work as:
Farashi, Samaneh, Carla J. Abbott, Brendan R. E. Ansell, et al. 2025. “HTRA1/lncRNA HTRA1-AS1 Dominates in Age-Related Macular Degeneration Reticular Pseudodrusen Genetic Risk with No Complement Involvement.” Nature Communications 16 (December). https://doi.org/10.1038/s41467-025-65903-9.