Citation: Lu F, Shi Y, Qu C, et al. A genetic variant in the SKIV2L gene is significantly associated with age-related macular degeneration in a Han Chinese population. Invest Ophthalmol Vis Sci. 2013;54:291154: -291754: . DOI:10.1167 PURPOSE. Previous studies have shown that genetic variants in the complement component 2 (C2)/complement factor B (BF) gene are associated with AMD in Caucasians, but not in Han Chinese. Recent studies have indicated that genetic variants in the neighboring superkiller viralicidic activity 2-like (SKIV2L) gene showed significant association with AMD. We conducted this study to investigate whether genetic variants in the SKIV2L gene are associated with AMD in a Han Chinese population.METHODS. Thirteen single nucleotide polymorphisms (SNPs) in the C2-BF-RDBP-SKIV2L-STK19 region were genotyped by the SNaPshot method in a cohort composed of 449 patients with choriodal neovascularization (CNV) AMD and 1025 healthy controls of Han Chinese descent.RESULTS. Among the SNPs genotyped, P values of seven SNPs were less than 0.05; however, only rs429608 was found to be significantly associated with AMD after correction for multiple testing. The minor allele (A) frequency of rs429608 was 0.050 in cases and 0.089 in controls, and the P value was 3.76 3 10 À4 (0.00489 after Bonferroni correction), with an odds ratio of 0.55 (95% confidence interval, 0.40-0.77). The SKIV2L gene was expressed in the human RPE, retina, and D407 (human RPE) cells, and in mouse retinas and RPE.CONCLUSIONS. We demonstrated that the rs429608 genetic variant in the SKIV2L gene was significantly associated with AMD in a Han Chinese population. SKIV2L may play an important role in the development of AMD.Keywords: age-related macular degeneration, SKIV2L, single nucleotide polymorphism A ge-related macular degeneration (AMD) is the leading cause of blindness in aging populations. Recent studies have indicated that both genetics and environmental factors, such as smoking, play a critical role in the development of AMD. [1][2][3][4][5][6] Oxidative damage-induced inflammation also plays an important role in the pathogenesis of this disorder. 7-9 Two genes, complement factor H (CFH) and age-related maculopathy susceptibility 2 (ARMS2)/HtrA serine peptidase 1 (HTRA1), have been identified as major AMD loci in different populations. 10-23 Two other genes, complement component 2 (C2)/ complement factor B (BF) and complement component 3 (C3), were shown to be significantly associated with AMD in Caucasians and Indians. [24][25][26][27][28] However, the results of the association studies between genetic variants in the C2/BF and C3 genes and AMD in East Asian populations, including Korean, Chinese, Japanese, and so on, were inconsistent. [29][30][31][32] Yanagisawa et al. 32 recently identified that a different SNP in the C3 gene, rs2241394, showed significant association with wet AMD in Japanese populations.In addition, recent studies have indicated that genetic variants in the C2/BF neighboring gene, superkiller viralicidic activi...