Methods for treatment of age-related macular degeneration
AssigneeUniversity of Iowa Research Foundation
InventorGregory S. Hageman
Life of this patent
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Abstract
The invention relates to Factor H gene polymorphisms and haplotypes associated with an elevated or a reduced risk of AMD. The invention provides methods and reagents for diagnosis and treatment of AMD.
Claims22
A method of treating a human patient in need of treatment for age-related macular degeneration (AMD) comprising administering to the patient a composition comprising an inhibitor of the alternative pathway of complement activation, wherein said inhibitor is:
- (a) a naturally occurring human Complement Factor H polypeptide comprising residues 19-1231 of SEQ ID NO:5, or a naturally occurring splice variant thereof, or an allelic variant of said human CFH polypeptide or splice variant, with the proviso that residue 62, numbered relative to SEQ ID NO:5, is isoleucine, residue 402 of said human CFH polypeptide, numbered relative to SEQ ID NO:5, is tyrosine, and residue 1210, numbered relative to SEQ ID NO:5, is arginine, wherein the human CFH polypeptide binds complement component 3b (C3b);
- (b) a recombinant or purified Complement Factor H polypeptide, wherein the complement factor H polypeptide has at least 90% sequence identity to SEQ ID NO:2 and binds to complement component 3b (C3b), with the proviso that at residue 62, numbered relative to SEQ ID NO:2, the complement factor H polypeptide comprises isoleucine, at residue 402, numbered relative to SEQ ID NO:2, the complement factor H polypeptide comprises tyrosine, and at residue 1210, numbered relative to SEQ ID NO:2, the complement factor H polypeptide comprises arginine;
- or
- (c) a naturally occurring human Complement Factor H polypeptide that binds to complement component 3b (C3b) and has at least 90% amino acid sequence identity to the amino acid sequence of SEQ ID NO:2, with the proviso that residue 62, numbered relative to SEQ ID NO:2, is isoleucine, residue 402, numbered relative to SEQ ID NO:2, is tyrosine, and residue 1210, numbered relative to SEQ ID NO:2, is arginine.
A method of treating a patient diagnosed with or at risk for developing age-related macular degeneration (AMD) comprising administering a composition comprising a recombinant or purified complement factor H polypeptide to the patient, wherein
- (a) the complement factor H polypeptide has at least 90% sequence identity to SEQ ID NO:2, comprises isoleucine at residue 62 numbered relative to SEQ ID NO:2, comprises tyrosine at residue 402 numbered relative to SEQ ID NO:2, and binds complement component 3b (C3b), or
- (b) is a biologically active fragment of (a) that comprises isoleucine at residue 62 numbered relative to SEQ ID NO:2 and binds C3b.
Dependencies are inferred from the claim text.