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1.
Can J Microbiol ; 66(1): 25-38, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31557445

RESUMO

Natural gas seepage pockmarks are found off- and onshore in the Öxarfjörður graben, Iceland. The bacterial communities of two onshore seepage sites were analysed by 16S rRNA gene amplicon sequencing; the geochemical characteristics, hydrocarbon content, and the carbon isotope composition of the sites were also determined. While one site was found to be characterised by biogenic origin of methane gas, with a carbon isotope ratio (δ13C (‰)) of -63.2, high contents of organic matter and complex hydrocarbons, the other site showed a mixed origin of the methane gas (δ13C (‰) = -26.6) with geothermal characteristics and lower organic matter content. While both sites harboured Proteobacteria as the most abundant bacterial phyla, the Deltaproteobacteria were more abundant at the geothermal site and the Alphaproteobacteria at the biogenic site. The Dehalococcoidia class of phylum Chloroflexi was abundant at the geothermal site while the Anaerolineae class was more abundant at the biogenic site. Bacterial strains from the seepage pockmarks were isolated on a variety of selective media targeting bacteria with bioremediation potential. A total of 106 strains were isolated and characterised, including representatives from the phyla Proteobacteria, Bacteroidetes, Firmicutes, and Actinobacteria. This article describes the first microbial study on gas seepage pockmarks in Iceland.


Assuntos
Carvão Mineral/microbiologia , Sedimentos Geológicos/microbiologia , Microbiota , Gás Natural/microbiologia , Bactérias/classificação , Bactérias/genética , Bactérias/isolamento & purificação , Bactérias/metabolismo , Bioprospecção , Carvão Mineral/análise , Sedimentos Geológicos/química , Hidrocarbonetos/análise , Islândia , Metano/análise , Microbiota/genética , Gás Natural/análise , RNA Ribossômico 16S/genética
2.
Mar Drugs ; 17(8)2019 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-31370264

RESUMO

The following study reports on the first thraustochytrid isolates identified from Iceland. They were collected from three different locations off the northern coast of the country (Location A, Skagaströnd; Location B, Hveravík; and Location C, Eyjafjörður). Using 18S rDNA sequence analysis, isolates from Locations A and B were identified within the Thraustochytrium kinnei species while other isolates within the Sicyoidochytrium minutum species when compared to other known strains. Cells isolated from Locations A ( 2 . 10 ± 0 . 70 g/L) and B ( 1 . 54 ± 0 . 17 g/L) produced more biomass than the ones isolated from Location C ( 0 . 43 ± 0 . 02 g/L). This study offers the first-time examination of the utility of byproducts from fisheries as a nitrogen source in media formulation for thraustochytrids. Experiments showed that isolates produced more biomass (per unit of substrate) when cultured on nitrogen of marine ( 2 . 55 ± 0 . 74 g/L) as compared to of commercial origin (  1 . 06 ± 0 . 57 g/L). Glycerol ( 2 . 43 ± 0 . 56 g/L) was a better carbon source than glucose ( 1 . 84 ± 0 . 57 g/L) in growth studies. Fatty acid (FA) profiles showed that the isolates from Location C (S. minutum) had low ratios of monounsaturated ( 4 . 21 ± 2 . 96 % ) and omega-6 ( 0 . 68 ± 0 . 59 % ) FAs. However, the isolates also had high ratios of docosahexaenoic acid (DHA; 35 . 65 ± 1 . 73 % ) and total omega-3 FAs ( 40 . 39 ± 2 . 39 % ), indicating that they could serve as a source of marine oils for human consumption and in aquaculture feeds. The T. kinnei isolates from Location A could be used in biodiesel production due to their high ratios of monounsaturated ( 18 . 38 ± 6 . 27 % ) long chain ( 57 . 43 ± 8 . 27 % ) FAs.


Assuntos
Organismos Aquáticos/metabolismo , Biocombustíveis , Microbiologia Industrial/métodos , Estramenópilas/metabolismo , Organismos Aquáticos/isolamento & purificação , Técnicas de Cultura de Células/métodos , Meios de Cultura/química , Ácidos Graxos Ômega-3/isolamento & purificação , Ácidos Graxos Ômega-3/metabolismo , Ácidos Graxos Ômega-6/isolamento & purificação , Ácidos Graxos Ômega-6/metabolismo , Pesqueiros , Glicerol/química , Islândia , Nitrogênio/química , Estramenópilas/isolamento & purificação
3.
Mol Ecol ; 25(2): 570-80, 2016 01.
Artigo em Inglês | MEDLINE | ID: mdl-26607571

RESUMO

Tracking past population fluctuations can give insight into current levels of genetic variation present within species. Analysing population dynamics over larger timescales can be aligned to known climatic changes to determine the response of species to varying environments. Here, we applied the Pairwise Sequentially Markovian Coalescent (psmc) model to infer past population dynamics of three widespread grouse species; black grouse, willow grouse and rock ptarmigan. This allowed the tracking of the effective population size (Ne ) of all three species beyond 1 Mya, revealing that (i) early Pleistocene cooling (~2.5 Mya) caused an increase in the willow grouse and rock ptarmigan populations, (ii) the mid-Brunhes event (~430 kya) and following climatic oscillations decreased the Ne of willow grouse and rock ptarmigan, but increased the Ne of black grouse and (iii) all three species reacted differently to the last glacial maximum (LGM) - black grouse increased prior to it, rock ptarmigan experienced a severe bottleneck and willow grouse was maintained at large population size. We postulate that the varying psmc signal throughout the LGM depicts only the local history of the species. Nevertheless, the large population fluctuations in willow grouse and rock ptarmigan indicate that both species are opportunistic breeders while black grouse tracks the climatic changes more slowly and is maintained at lower Ne . Our results highlight the usefulness of the psmc approach in investigating species' reaction to climate change in the deep past, but also that caution should be taken in drawing general conclusions about the recent past.


Assuntos
Evolução Biológica , Mudança Climática , Galliformes/genética , Animais , Regiões Árticas , Galliformes/classificação , Variação Genética , Taxa de Mutação , Densidade Demográfica , Dinâmica Populacional
4.
Nat Genet ; 38(3): 320-3, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16415884

RESUMO

We have previously reported suggestive linkage of type 2 diabetes mellitus to chromosome 10q. We genotyped 228 microsatellite markers in Icelandic individuals with type 2 diabetes and controls throughout a 10.5-Mb interval on 10q. A microsatellite, DG10S478, within intron 3 of the transcription factor 7-like 2 gene (TCF7L2; formerly TCF4) was associated with type 2 diabetes (P = 2.1 x 10(-9)). This was replicated in a Danish cohort (P = 4.8 x 10(-3)) and in a US cohort (P = 3.3 x 10(-9)). Compared with non-carriers, heterozygous and homozygous carriers of the at-risk alleles (38% and 7% of the population, respectively) have relative risks of 1.45 and 2.41. This corresponds to a population attributable risk of 21%. The TCF7L2 gene product is a high mobility group box-containing transcription factor previously implicated in blood glucose homeostasis. It is thought to act through regulation of proglucagon gene expression in enteroendocrine cells via the Wnt signaling pathway.


Assuntos
Diabetes Mellitus Tipo 2/genética , Fatores de Transcrição TCF/genética , Mapeamento Cromossômico , Cromossomos Humanos Par 10 , Estudos de Coortes , Dinamarca , Frequência do Gene , Triagem de Portadores Genéticos , Predisposição Genética para Doença , Humanos , Íntrons , Repetições de Microssatélites , Dados de Sequência Molecular , Valores de Referência , Proteína 2 Semelhante ao Fator 7 de Transcrição
5.
Nat Genet ; 38(1): 68-74, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16282974

RESUMO

Variants of the gene ALOX5AP (also known as FLAP) encoding arachidonate 5-lipoxygenase activating protein are known to be associated with risk of myocardial infarction. Here we show that a haplotype (HapK) spanning the LTA4H gene encoding leukotriene A4 hydrolase, a protein in the same biochemical pathway as ALOX5AP, confers modest risk of myocardial infarction in an Icelandic cohort. Measurements of leukotriene B4 (LTB4) production suggest that this risk is mediated through upregulation of the leukotriene pathway. Three cohorts from the United States also show that HapK confers a modest relative risk (1.16) in European Americans, but it confers a threefold larger risk in African Americans. About 27% of the European American controls carried at least one copy of HapK, as compared with only 6% of African American controls. Our analyses indicate that HapK is very rare in Africa and that its occurrence in African Americans is due to European admixture. Interactions with other genetic or environmental risk factors that are more common in African Americans are likely to account for the greater relative risk conferred by HapK in this group.


Assuntos
População Negra/genética , Negro ou Afro-Americano/genética , Epóxido Hidrolases/genética , Predisposição Genética para Doença , Infarto do Miocárdio/genética , População Branca/genética , Estudos de Casos e Controles , Epóxido Hidrolases/metabolismo , Variação Genética , Haplótipos/genética , Humanos , Islândia , Desequilíbrio de Ligação , Dados de Sequência Molecular
6.
Nature ; 452(7186): 423-8, 2008 Mar 27.
Artigo em Inglês | MEDLINE | ID: mdl-18344981

RESUMO

Common human diseases result from the interplay of many genes and environmental factors. Therefore, a more integrative biology approach is needed to unravel the complexity and causes of such diseases. To elucidate the complexity of common human diseases such as obesity, we have analysed the expression of 23,720 transcripts in large population-based blood and adipose tissue cohorts comprehensively assessed for various phenotypes, including traits related to clinical obesity. In contrast to the blood expression profiles, we observed a marked correlation between gene expression in adipose tissue and obesity-related traits. Genome-wide linkage and association mapping revealed a highly significant genetic component to gene expression traits, including a strong genetic effect of proximal (cis) signals, with 50% of the cis signals overlapping between the two tissues profiled. Here we demonstrate an extensive transcriptional network constructed from the human adipose data that exhibits significant overlap with similar network modules constructed from mouse adipose data. A core network module in humans and mice was identified that is enriched for genes involved in the inflammatory and immune response and has been found to be causally associated to obesity-related traits.


Assuntos
Perfilação da Expressão Gênica , Regulação da Expressão Gênica/genética , Obesidade/genética , Tecido Adiposo/metabolismo , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Animais , Sangue/metabolismo , Índice de Massa Corporal , Estudos de Coortes , Feminino , Genoma Humano , Humanos , Islândia , Escore Lod , Masculino , Camundongos , Pessoa de Meia-Idade , Polimorfismo de Nucleotídeo Único/genética , Locos de Características Quantitativas/genética , Tamanho da Amostra , Relação Cintura-Quadril , População Branca/genética
7.
Nature ; 452(7187): 638-642, 2008 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-18385739

RESUMO

Smoking is a leading cause of preventable death, causing about 5 million premature deaths worldwide each year. Evidence for genetic influence on smoking behaviour and nicotine dependence (ND) has prompted a search for susceptibility genes. Furthermore, assessing the impact of sequence variants on smoking-related diseases is important to public health. Smoking is the major risk factor for lung cancer (LC) and is one of the main risk factors for peripheral arterial disease (PAD). Here we identify a common variant in the nicotinic acetylcholine receptor gene cluster on chromosome 15q24 with an effect on smoking quantity, ND and the risk of two smoking-related diseases in populations of European descent. The variant has an effect on the number of cigarettes smoked per day in our sample of smokers. The same variant was associated with ND in a previous genome-wide association study that used low-quantity smokers as controls, and with a similar approach we observe a highly significant association with ND. A comparison of cases of LC and PAD with population controls each showed that the variant confers risk of LC and PAD. The findings provide a case study of a gene-environment interaction, highlighting the role of nicotine addiction in the pathology of other serious diseases.


Assuntos
Cromossomos Humanos Par 15/genética , Predisposição Genética para Doença/genética , Neoplasias Pulmonares/genética , Doenças Vasculares Periféricas/genética , Polimorfismo de Nucleotídeo Único/genética , Receptores Nicotínicos/genética , Tabagismo/genética , Europa (Continente) , Feminino , Genótipo , Humanos , Masculino , Família Multigênica/genética , Nova Zelândia , Razão de Chances , Fumar/efeitos adversos , Fumar/genética
8.
Mitochondrial DNA A DNA Mapp Seq Anal ; 28(3): 370-371, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-26731535

RESUMO

The complete mitochondrial genome sequence of gyrfalcon (Falco rusticolus), the largest of the true falcons, was characterized using next generation sequencing. The mitogenome was 18 218 bp long, and comprised of 13 protein-coding genes (PCGs), 22 tRNA, 2 rRNA and two non-coding regions; a control region (D-loop) harboring two tandem repeats 80 bp and 56 bp long and a pseudo-control region (ΨD-loop) with a tandem repeat 27 bp long. All genes were encoded on the + strand except ND6 and 8 tRNA genes.


Assuntos
Falconiformes/genética , Genes Mitocondriais , Genoma Mitocondrial , Animais , Composição de Bases , Sequência de Bases , DNA Mitocondrial , Ordem dos Genes , Tamanho do Genoma , Masculino , Análise de Sequência de DNA
9.
PLoS Med ; 3(1): e5, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16300415

RESUMO

BACKGROUND: Age-related macular degeneration (AMD) is the most common cause of irreversible visual impairment in the developed world. The two forms of advanced AMD, geographic atrophy and neovascular AMD, represent different pathological processes in the macula that lead to loss of central vision. Soft drusen, characterized by deposits in the macula without visual loss, are considered to be a precursor of advanced AMD. Recently, it has been proposed that a common missense variant, Y402H, in the Complement Factor H (CFH) gene increases the risk for advanced AMD. However, its impact on soft drusen, GA, or neovascular AMD--or the relationship between them--is unclear. METHODS AND FINDINGS: We genotyped 581 Icelandic patients with advanced AMD (278 neovascular AMD, 203 GA, and 100 with mixed neovascular AMD/GA), and 435 with early AMD (of whom 220 had soft drusen). A second cohort of 431 US patients from Utah, 322 with advanced AMD (244 neovascular AMD and 78 GA) and 109 early-AMD cases with soft drusen, were analyzed. We confirmed that the CFH Y402H variant shows significant association to advanced AMD, with odds ratio of 2.39 in Icelandic patients (p = 5.9 x 10(-12)) and odds ratio of 2.14 in US patients from Utah (p = 2.0 x 10(-9)) with advanced AMD. Furthermore, we show that the Y402H variant confers similar risk of soft drusen and both forms of advanced AMD (GA or neovascular AMD). CONCLUSION: Soft drusen occur prior to progression to advanced AMD and represent a histological feature shared by neovascular AMD and GA. Our results suggest that CFH is a major risk factor of soft drusen, and additional genetic factors and/or environmental factors may be required for progression to advanced AMD.


Assuntos
Degeneração Macular/genética , Drusas Retinianas/genética , Fator H do Complemento/genética , Predisposição Genética para Doença , Humanos , Islândia , Mutação , Razão de Chances , Fatores de Risco , Utah
10.
Nat Genet ; 42(10): 906-9, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20835238

RESUMO

We conducted a genome-wide association study for primary open-angle glaucoma (POAG) in 1,263 affected individuals (cases) and 34,877 controls from Iceland. We identified a common sequence variant at 7q31 (rs4236601[A], odds ratio (OR) = 1.36, P = 5.0 × 10⁻¹°). We then replicated the association in sample sets of 2,175 POAG cases and 2,064 controls from Sweden, the UK and Australia (combined OR = 1.18, P = 0.0015) and in 299 POAG cases and 580 unaffected controls from Hong Kong and Shantou, China (combined OR = 5.42, P = 0.0021). The risk variant identified here is located close to CAV1 and CAV2, both of which are expressed in the trabecular meshwork and retinal ganglion cells that are involved in the pathogenesis of POAG.


Assuntos
Caveolina 1/genética , Caveolina 2/genética , Predisposição Genética para Doença , Genoma Humano , Estudo de Associação Genômica Ampla , Glaucoma de Ângulo Aberto/genética , Polimorfismo de Nucleotídeo Único/genética , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Cromossomos Humanos Par 7/genética , Feminino , Genótipo , Glaucoma de Ângulo Aberto/patologia , Humanos , Masculino , Pessoa de Meia-Idade
11.
Nat Genet ; 42(8): 692-7, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20622881

RESUMO

We performed a genome-wide association study on 1,292 individuals with abdominal aortic aneurysms (AAAs) and 30,503 controls from Iceland and The Netherlands, with a follow-up of top markers in up to 3,267 individuals with AAAs and 7,451 controls. The A allele of rs7025486 on 9q33 was found to associate with AAA, with an odds ratio (OR) of 1.21 and P = 4.6 x 10(-10). In tests for association with other vascular diseases, we found that rs7025486[A] is associated with early onset myocardial infarction (OR = 1.18, P = 3.1 x 10(-5)), peripheral arterial disease (OR = 1.14, P = 3.9 x 10(-5)) and pulmonary embolism (OR = 1.20, P = 0.00030), but not with intracranial aneurysm or ischemic stroke. No association was observed between rs7025486[A] and common risk factors for arterial and venous diseases-that is, smoking, lipid levels, obesity, type 2 diabetes and hypertension. Rs7025486 is located within DAB2IP, which encodes an inhibitor of cell growth and survival.


Assuntos
Aneurisma da Aorta Abdominal/genética , Alelos , Aneurisma da Aorta Abdominal/complicações , Aneurisma da Aorta Abdominal/mortalidade , Sequência de Bases , Suscetibilidade a Doenças/complicações , Estudo de Associação Genômica Ampla , Humanos , Hipertensão/complicações , Hipertensão/genética , Islândia , Infarto do Miocárdio/complicações , Infarto do Miocárdio/genética , Países Baixos , Razão de Chances , Fatores de Risco , Proteínas Ativadoras de ras GTPase
12.
Nat Genet ; 40(2): 217-24, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18176561

RESUMO

Recently, two common sequence variants on 9p21, tagged by rs10757278-G and rs10811661-T, were reported to be associated with coronary artery disease (CAD) and type 2 diabetes (T2D), respectively. We proceeded to further investigate the contributions of these variants to arterial diseases and T2D. Here we report that rs10757278-G is associated with, in addition to CAD, abdominal aortic aneurysm (AAA; odds ratio (OR) = 1.31, P = 1.2 x 10(-12)) and intracranial aneurysm (OR = 1.29, P = 2.5 x 10(-6)), but not with T2D. This variant is the first to be described that affects the risk of AAA and intracranial aneurysm in many populations. The association of rs10811661-T to T2D replicates in our samples, but the variant does not associate with any of the five arterial diseases examined. These findings extend our insight into the role of the sequence variant tagged by rs10757278-G and show that it is not confined to atherosclerotic diseases.


Assuntos
Aneurisma da Aorta Abdominal/genética , Cromossomos Humanos Par 9 , Variação Genética , Aneurisma Intracraniano/genética , Infarto do Miocárdio/genética , Adulto , Idoso , Alelos , Aneurisma da Aorta Abdominal/epidemiologia , Aneurisma da Aorta Abdominal/fisiopatologia , Estudos de Casos e Controles , Distribuição de Qui-Quadrado , Feminino , Frequência do Gene , Marcadores Genéticos , Haplótipos , Homozigoto , Humanos , Aneurisma Intracraniano/fisiopatologia , Funções Verossimilhança , Desequilíbrio de Ligação , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/fisiopatologia , Razão de Chances , Polimorfismo de Nucleotídeo Único , Prevalência , Probabilidade , Fatores de Risco , Análise de Sequência de DNA , População Branca
13.
Science ; 317(5843): 1397-400, 2007 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-17690259

RESUMO

Glaucoma is a leading cause of irreversible blindness. A genome-wide search yielded multiple single-nucleotide polymorphisms (SNPs) in the 15q24.1 region associated with glaucoma. Further investigation revealed that the association is confined to exfoliation glaucoma (XFG). Two nonsynonymous SNPs in exon 1 of the gene LOXL1 explain the association, and the data suggest that they confer risk of XFG mainly through exfoliation syndrome (XFS). About 25% of the general population is homozygous for the highest-risk haplotype, and their risk of suffering from XFG is more than 100 times that of individuals carrying only low-risk haplotypes. The population-attributable risk is more than 99%. The product of LOXL1 catalyzes the formation of elastin fibers found to be a major component of the lesions in XFG.


Assuntos
Aminoácido Oxirredutases/genética , Síndrome de Exfoliação/genética , Predisposição Genética para Doença , Glaucoma/genética , Tecido Adiposo/metabolismo , Estudos de Casos e Controles , Distribuição de Qui-Quadrado , Feminino , Expressão Gênica , Genótipo , Glaucoma de Ângulo Aberto/genética , Humanos , Islândia , Masculino , Polimorfismo de Nucleotídeo Único
14.
Nat Genet ; 39(12): 1443-52, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17952075

RESUMO

Hair, skin and eye colors are highly heritable and visible traits in humans. We carried out a genome-wide association scan for variants associated with hair and eye pigmentation, skin sensitivity to sun and freckling among 2,986 Icelanders. We then tested the most closely associated SNPs from six regions--four not previously implicated in the normal variation of human pigmentation--and replicated their association in a second sample of 2,718 Icelanders and a sample of 1,214 Dutch. The SNPs from all six regions met the criteria for genome-wide significance. A variant in SLC24A4 is associated with eye and hair color, a variant near KITLG is associated with hair color, two coding variants in TYR are associated with eye color and freckles, and a variant on 6p25.3 is associated with freckles. The fifth region provided refinements to a previously reported association in OCA2, and the sixth encompasses previously described variants in MC1R.


Assuntos
Cor de Olho/genética , Cor de Cabelo/genética , Polimorfismo de Nucleotídeo Único , Pigmentação da Pele/genética , Antiporters/genética , Feminino , Humanos , Islândia , Masculino , Proteínas de Membrana Transportadoras/genética , Monofenol Mono-Oxigenase/genética , Países Baixos , Receptor Tipo 1 de Melanocortina/genética , Fator de Células-Tronco/genética , População Branca/genética
15.
Science ; 316(5830): 1491-3, 2007 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-17478679

RESUMO

The global endemic of cardiovascular diseases calls for improved risk assessment and treatment. Here, we describe an association between myocardial infarction (MI) and a common sequence variant on chromosome 9p21. This study included a total of 4587 cases and 12,767 controls. The identified variant, adjacent to the tumor suppressor genes CDKN2A and CDKN2B, was associated with the disease with high significance. Approximately 21% of individuals in the population are homozygous for this variant, and their estimated risk of suffering myocardial infarction is 1.64 times as great as that of noncarriers. The corresponding risk is 2.02 times as great for early-onset cases. The population attributable risk is 21% for MI in general and 31% for early-onset cases.


Assuntos
Cromossomos Humanos Par 9/genética , Predisposição Genética para Doença , Variação Genética , Infarto do Miocárdio/genética , Polimorfismo de Nucleotídeo Único , Idade de Início , Idoso , Estudos de Casos e Controles , Mapeamento Cromossômico , Doença da Artéria Coronariana/genética , Feminino , Genes p16 , Genótipo , Haplótipos , Heterozigoto , Homozigoto , Humanos , Desequilíbrio de Ligação , Masculino , Pessoa de Meia-Idade , Fatores de Risco
16.
Laeknabladid ; 92(10): 685-96, 2006 Oct.
Artigo em Is | MEDLINE | ID: mdl-17062902

RESUMO

Age-related macular degeneration (AMD) is the main reason for blindness today in the western hemisphere. According to Björn Olafsson, who was the first ophthalmologist in Iceland a century ago, this disease was not found in Iceland. In the blindness-registry of 1950 6% blindness was due to this disease. Today, AMD is responsible for 54% of legal blindness in Iceland. The incidence of the disease increases with age. Heredity and environmental factors are thought to influence its etiology. Indirect methods, including twin studies and increased frequency of this disease in some families, have demonstrated that hereditary factors may be important. This has been confirmed recently by demonstrating that genes on chromosome 1 and chromosome10 play a role. This disease is classified as early stage, with drusen and pigmentary changes and insignificant visual loss. Treatment options for this stage are limited. The use of vitamin E and C and Zinc has, however, been shown to delay its progress. The second and end stage involves visual loss, either as a dry form with pigment epithelial atrophy or wet form, with new vessel formation. Treatment options for the dry form are limited. The second form is more common in Iceland than in other countries. Treatment options for the wet form have increased. Localised laser and drug treatment to neovascular membranes, either alone or as a combination treatment with drugs that have anti-proliferate effect on new vessels (anti-VEGF) are increasingly used. New treatment methods are also used in assisting those that are already visually handicapped. The use of computers is increasing as are the patients' computer skills. As the number of the elderly increases, AMD will be an increasing health problem in Iceland as in other Western countries. It is therefore important to improve the treatment options and the service and counselling of patients.


Assuntos
Cegueira/epidemiologia , Degeneração Macular/epidemiologia , Degeneração Macular/terapia , Idoso , Idoso de 80 Anos ou mais , Inibidores da Angiogênese/uso terapêutico , Cegueira/etiologia , Cegueira/prevenção & controle , Cromossomos Humanos Par 1 , Cromossomos Humanos Par 10 , Aconselhamento , Progressão da Doença , Predisposição Genética para Doença , Necessidades e Demandas de Serviços de Saúde , Humanos , Islândia/epidemiologia , Incidência , Terapia a Laser , Degeneração Macular/complicações , Degeneração Macular/genética , Pessoa de Meia-Idade , Sistema de Registros , Fatores de Risco , Vitaminas/uso terapêutico , Compostos de Zinco/uso terapêutico
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