Evidence map›Paper›PMID 40593839›Full record

ArticleNature communications2025

Loss of CFHR5 function reduces the risk for age-related macular degeneration.

Mary Pat Reeve, Stephanie Loomis, Eija Nissilä, Thomas W Soare, Tobias Rausch, Zhili Zheng, Pietro Della Briotta Parolo, Daniel Ben-Isvy, Elias Aho, Emilia Cesetti and 11 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Mary Pat Reeve *Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0003-1788-2321
Stephanie Loomis *Research and Development, Biogen Inc, Cambridge, MA, USA.
Eija NissiläDepartment of Bacteriology and Immunology, Translational Immunology Research Program, University of Helsinki, Helsinki, Finland.
Thomas W Soareinsitro Inc., South San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-4903-8646
Tobias RauschEuropean Molecular Biological Laboratories (EMBL), Heidelberg, Germany.ORCID http://orcid.org/0000-0001-5773-5620
Zhili ZhengAnalytic and Translational Genetics Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2102-221X
Pietro Della Briotta ParoloAnalytic and Translational Genetics Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Daniel Ben-IsvyProgram in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-1596-983X
Elias AhoDepartment of Bacteriology and Immunology, Translational Immunology Research Program, University of Helsinki, Helsinki, Finland.
Emilia CesettiDepartment of Bacteriology and Immunology, Translational Immunology Research Program, University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0009-0000-9546-8623
Yoko OkunukiResearch and Development, Biogen Inc, Cambridge, MA, USA.
Helen McLaughlinResearch and Development, Biogen Inc, Cambridge, MA, USA.
Johanna MäkeläFinnish Biobank Cooperative (FinBB), Turku, Finland.
FinnGen
Mitja KurkiInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
Michael E TalkowskiProgram in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, USA.ORCID http://orcid.org/0000-0003-2889-0992
Jan O KorbelEuropean Molecular Biological Laboratories (EMBL), Heidelberg, Germany.ORCID http://orcid.org/0000-0002-2798-3794
Kip ConnorResearch and Development, Biogen Inc, Cambridge, MA, USA.
Seppo MeriDepartment of Bacteriology and Immunology, Translational Immunology Research Program, University of Helsinki, Helsinki, Finland.
Mark J DalyInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland. mjdaly@broadinstitute.org.ORCID http://orcid.org/0000-0002-0949-8752
Heiko RunzInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland. heiko.runz@gmail.com.ORCID http://orcid.org/0000-0002-2133-7345

Funding

The Genome Aggregation Database (gnomAD)U24HG011450 · NHGRI · BROAD INSTITUTE, INC. · PI Mark Joseph Daly, Konrad Karczewski · 2021 to 2026
$22.3M
Scalable tool and comprehensive maps to interpret structural variation across the neuropsychiatric spectrumR01MH115957 · NIMH · BROAD INSTITUTE, INC. · PI TALKOWSKI, MICHAEL E · 2019 to 2025
$5.4M
Scalable tools and comprehensive maps to interpret structural variation across the neuropsychiatric spectrumR56MH115957 · NIMH · BROAD INSTITUTE, INC. · PI TALKOWSKI, MICHAEL E · 2018 to 2018
$870k
NHGRI NIH HHS U24 HG011450NIMH NIH HHS R01 MH115957NIMH NIH HHS R56 MH115957
6 · The paper itself

Abstract

Age-related macular degeneration (AMD) is a prevalent cause of vision loss in the elderly with limited therapeutic options. A single chromosomal region around the complement factor H gene (CFH) is reported to explain nearly 25% of genetic AMD risk. Here, we used association testing, statistical finemapping and conditional analyses in 12,495 AMD cases and 461,686 controls to deconvolute four major CFH haplotypes that convey protection from AMD. We show that beyond CFH, two of these are explained by Finn-enriched frameshift and missense variants in the CFH modulator CFHR5. We demonstrate through a FinnGen sample recall study that CFHR5 variant carriers exhibit dose-dependent reductions in serum levels of the CFHR5 gene product FHR-5 and two functionally related proteins at the locus. Genetic reduction in FHR-5 correlates with higher complement activation capacity and a thicker retinal photoreceptor layer. Our results propose therapeutic downregulation of FHR-5 as promising to prevent or treat AMD.

Indexed as

Complement C3b Inactivator ProteinsMacular DegenerationAgedAged, 80 and overCase-Control StudiesComplement ActivationComplement Factor HComplement System ProteinsFemaleFrameshift MutationGenetic Predisposition to DiseaseHaplotypesHumansMaleMiddle AgedMutation, MissenseCFH protein, humanCFHR5 protein, humanComplement C3b Inactivator ProteinsComplement Factor HComplement System Proteins

Identifiers

PMID40593839
PMCPMC12217273

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.