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(12) Patent Application Publication (10) Pub. No.: US 2015/0050646A1 Hageman (43) Pub US 2015.0050646A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2015/0050646A1 Hageman (43) Pub. Date: Feb. 19, 2015 (54) METHODS AND REAGENTS FOR (60) Provisional application No. 60/840,073, filed on Aug. TREATMENT AND DAGNOSS OF 23, 2006, provisional application No. 60/831,018, VASCULARDISORDERS AND AGE-RELATED filed on Jul. 13, 2006. MACULAR DEGENERATION Publication Classification (71) Applicant: University of Iowa Research Foundation, Iowa City, IA (US) (51) Int. Cl. CI2O I/68 (2006.01) (72) Inventor: Gregory S. Hageman, Salt Lake City, (52) U.S. Cl. UT (US) CPC ........ CI2O I/6883 (2013.01); C12O 2600/1 12 (2013.01) (73) Assignee: University of Iowa Research USPC ......................................... 435/6.11: 435/6.12 Foundation, Iowa City, IA (US) (57) ABSTRACT (21) Appl. No.: 14/279,235 Disclosed are screening methods for determining a human Subject's propensity to develop a vascular disorder and/or (22) Filed: May 15, 2014 age-related macular degeneration (AMD), therapeutic or pro phylactic compounds for treating disease or inhibiting its O O development, and methods of treating patients to alleviate Related U.S. Application Data SN of the disease, prevent or E. its onset, or inhibit (63) Continuation of application No. 12/954.425, filed on its progression. The inventions are based on the discovery that Nov. 24, 2010, now abandoned, which is a continu persons with a genome having a deletion of the CFHR-1 ation of application No. 1 1/894,667, filed on Aug. 20, and/or CFHR-3 gene, which normally lie on human chromo 2007, now Pat. No. 7,867,727, which is a continuation some 1 between DNA encoding CFH and CFHR-4, are at of application No. PCT/US07/73514, filed on Jul. 13, reduced risk of developing AMD, and elevated risk of devel 2007. oping vascular disease Such as aneurysm. Patent Application Publication Feb. 19, 2015 Sheet 1 of 16 US 2015/0050646A1 @@@@@ @@@@@ @@@@@ @@@@ @@@@@@@@@ Patent Application Publication Feb. 19, 2015 Sheet 2 of 16 US 2015/0050646 A1 CFHR3 CFHR1 CFHR4 CFHR2 CFHR5 --ILLI-I-I-IIIll-ll-Fil-ll-I-III-lill-L-Lill- --- - - - - - A B A' C D B" A" C" D'B"D" 50kb. FIG. 2 Patent Application Publication Feb. 19, 2015 Sheet 3 of 16 US 2015/0050646 A1 Cs a cu N C C Co s go cC N co Od co sea CO & raS J S Sd S N. N. CFHR2 Patent Application Publication Feb. 19, 2015 Sheet 4 of 16 US 2015/0050646 A1 Patent Application Publication Feb. 19, 2015 Sheet 5 of 16 US 2015/0050646 A1 Patent Application Publication Feb. 19, 2015 Sheet 7 of 16 US 2015/0050646 A1 CFHR1 AA seq. 39 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 38 CHFR3 AA seq. l40 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 39 H Factor AA seq. 600 GFTIVGPNSVQCYHFGLSPDLPICKEQVQSCGPPPELLNGNVKEKTKEEY 649 CFHR1 AA seq. 39 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 138 CHFR3 AA seq. 140 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 39 H. Factor AA seq. 650 GHSEVVEYYCNPRFLMKGPNKIQCVDGEWTTLPVCIVEESTCGDIPELEH 699 CFHR1 AA seq. 1.39 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - w w is - - - - 1.38 CHFR3 AA seq. 140 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - w w w - - - - - - a sa w - - - - 1.39 H Factor AA seq. 700 GWAQLSSPPYYYGDSVEFNCSESFTMIGHRSITCIHGVWTOLPQCVAIDK 749 CFHR1 AA seq. 39 - - - - - - - - - - - - - - - r - - - - - - - - - - - - r - - - - - - - - - - - - - - - - - - - - - 138 CHFR3 AA seq. 1 4 0 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 39 H Factor AA seq. 750 LKKCKSSNLIII.EEHLKNKKEFDHNSNIRYRCRGKEGWIHTVCINGRWDP 799 CFHR1 AA seq. 39 - - KCRST- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 43 CHFR3 AA seq. 4 O - mRCR- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 143 k H Factor AA seq 800 EVNCSMAQIQLCPPPPQIPNSHNMTTTLNYRDGEKVSVLCQENYLIQEGE 849 CFHR1 AA seq. 144 - - - - - - - - - - - - - - - - - - - - - - - - - - - - or n as a sm - - - m n n n m r - m - - - - - 143 CHFR3 AA seq. 44 in - - - - - - - - - - - - - - - - - - - - - - - - - n w w w w we m r n w mm mm mm r - - - - - - 143 H. Factor AA seq. 850 EITCKDGRWQSIPLCVEKIPCSQPPQIEHGTINSSRSSQESYAHGTKLSY 899 CFHR1 AA seq. 144 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 143 CHFR3 AA seq. 144 - - - - - - - - - - - - - - - - - - - - - - - - - - m r n - - - - - - - - - - - - - - - - - - - - - 143 H Factor AA seq. 900 TCEGGFRISEENETTCYMGKWSSPPQCEGLPCKSPPEISHGVWAHMSDSY 949 CFHR1 AA seq. 144 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3.43 CHFR3 AA seq. 44 - - - - - - - - - - - - - - - - - - - - - - - - - - - m r - - - - - - - - - - - - - - - - - - - - - 1.43 H. Factor AA seq. 950 QYGEEVTYKCFEGFGIDGPAIAKCLGEKWSHPPSCIKTDCLSLPSFENAI 999 CFHRl AA seq. 44 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 43 CHFR3 AA seq. 144 m - - - - - - - - m n - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - n w - - - - - - 43 H Factor AA seq 1000 PMGEKKDVYKAGEQVTYTCATYYKMDGASNVTCINSRWTGRPTCRDTSCV 1049 CFHR1 AA seq., 144 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - r n re a m - - - m r n - - - DTSCW 1.48 CHFR3 AA seq. 144 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - was - - - - - - - - - DRTCS 148 H Factor AA seq. 1050 NPPTVQNAYIVSRQMSKYPSGERVRYQCRSPYEMFGDEE- - -WMCLNGNW 1096 CFHR1 AA seq. 149 NPPTVQNAYIVSRQMSKYPSGERVRYQCRSPYEMFGDEE - - -WMCLNGNW 95 CHFR3 AA seq. 149 KSDIEIENGFISESSSIYILNKEIQYKCKPGYATADGNSSGSITCLRNGW 1.98 .k * k . k.k. k . k. FIG. 6 (cont.) Patent Application Publication Feb. 19, 2015 Sheet 9 of 16 US 2015/005064.6 A1 H. Factor IRNA 1 ATGAGACTCTAGCAAAGATTATTTGCCTTATGTTATGGGCTATTTGTGT 5 O CEHR1 mRNA l O CFR3 mRNA 1. O H Factor mRNA 5 AGCAGAAGACGCAATGAACTTCCTCCAAGAAGAAATACAGAAATCGA 1.00 CFHR1 mRNA 1. O CFHR3 mRNA 1. O H. Factor mRNA 101 CAGGTTCCTGGTCTGACCAAACAATCCAGAAGGCACCCAGGCTATCTAT 150 CFHR mRNA l O CFHR3 mRNA 1. O H. Factor in RNA 15 AAATGCCGCCCTGGATATAGATCTCTTGGAAATGTAATAATGGTATGCAG 200 CFHR1 mRNA s 1. O CFHR3 mRNA 1. O H Factor mRNA 201 GAAGGGAGAATGGGTTGCTCTTAATCCATAAGGAAATGTCAGAAAAGGC 250 CFHR mRNA 1. O CFHR3 tRNA 1. O H Factor RNA 251 CCTGTGGACATCCGGAGATACTCCTTTTGGTACTTTTACCCTTACAGGA 300 CFHR RNA 1. O CFHR3 mRNA O H Factor mRNA 30, GGAAAGTGTTTGAATATGGGTAAAAGCTGTGTATACATGTAATGAGGG 350 CFHR1 mRNA O CFHR3 mRNA 1. O H Factor RNA 35 GTACAATTGCTAGGTGAGATTAATTACCGTGAATGIGACACAGATGGAT 400 CFHR1 mRNA O CEHR3 mRNA 1. O H. Factor RNA 40 GGACCAATGATATTCCTATATGGAAGTTGTGAAGTGTTTACCAGTGACA 450 CFHR mRNA - O CFHR3 RNA 1. O H. Factor RNA A 5 GCACCAGAGAATGGAAAAATTGTCAGTAGGCAATGGAACCAGATCGGGA 500 CFHR1 mRNA O CFHR3 mRNA 1. O H. Factor mRNA 5 O1. ATACCATTTTGGACAAGCAGTACGGTTTGTATGTAACTCAGGCTACAAGA 550 CEHR1 RNA O CEHR3 mRNA O FIG. 7 Patent Application Publication Feb. 19, 2015 Sheet 10 of 16 US 2015/0050646 A1 Factor RNA GAAGGAGAGAAGAAATGCATGTCAGACGATGGTTTGGAGAAA CFHR mRNA CFR3 mRNA H Factor mRNA GAGAAACCAAAGTGGGGAAAIFICAGCAAAICCCCAGAGTATAAA CBER RNA CEHR3 RNA H. Factor RNA GGACCCTATATCTCAGAAGATTATATAAGGAGAAGAACGATTC CFHR mRNA CFER3 mRNA Factor RNA AAATAAATGTAACATGGGTTATGAATACAGTGAAAGAGGAGAIGCTGTA CFER RNA CEHR3 rRNA Factor mRNA TGCACTGAATCGGATGGCGTCCGTTGCCTTCATGTGAAGAAAAATCATG CFER1 mRNA CFHR3 RNA H Factor mRNA TGATAACCTATATCCAAATGGTGACTACCACCTTAAGGATAAAC CFHR mRNA CEHR3 mRNA H Factor RNA ACAGAACTGGAGATGAAATCACGTACCAGTGTAGAAATGGTTTATCC CFHR rara CEHR3 RNA Factor mRNA GCAACCCGGGGAAAACAGCCAAATGCACAAGTACTGGCGGAACCTGC CFHR mRNA CFHR3 rRNA H Factor RNA TCCGAGATGTACCTTGAAAccTTGTGATTATCCAGACATTAAACATGGAG CEHR mRNA CFR3 mRNA H Factor RNA O O. GCIAEATCAGAGAAAEGCGTAGACCATACTTTCCAGTAGCGTAGGA CFR in RNA CEHR3 rRNA H Factor RNA AAAAACCCTATACTGTGATGAACATTTTGAGACCCGTCAGGAAG CFHR RNA CFR3 mRNA FIG. 7 (cont.) Patent Application Publication Feb. 19, 2015 Sheet 11 of 16 US 2015/0050646 A1 H Factor mRNA TTACTGGGATCACATTCATGCACACAAGATGGATGGTCGCCAGCAGTAC CFHR mRNA CEHER3 mRNA H Facto mRNA CATGCCTCAGAAAATGTTATTTTCCTTATTFGGAAAATGGATATAATCAA CFHR1 IRNA CFHR3 mRNA H. Factor mRNA AATCATGGAAGAAAGTGTACAGGGAAATCATAGACGTTGCCTGCCA CFHR1 mRNA CFR3 RNA H Factor mRNA TCCTGGCTAcGCTCTCCAAAAGCGCAGACCACAGTTACATGTATGGAGA CFHR1 IRNA CFHR3 RNA H. Factor RNA ATGGCTGGTCTCCTACTCCCAGATGCATCCGTGTCAAAACATGTTCCAAA CFHR1 mRNA CFHR3 mRNA H Factor mRNA TCAAGATAGATATTGAGAATGGGTTTATTTCTGAATCTCAGATACATA CFHR1 mRNA CFHR3 mRNA H Factor RNA TGCCTTAAAAGAAAAAGCGAAATATCAATGCAAACTAGGATATGTAACAG CEHR1 IRNA CFR3 mRNA H. Factor mRNA CAGATGGTGAAACACAGGATCAATTAGATGTGGGAAAGATGGATGGTCA CEHR RNA CFR3 mRNA H Factor mRNA GCTCAACCCACGTGCATTAAATCTTGTGATACCCAGTATTTAGAATGC CFBR triNA CFHR3 mRNA H Factor RNA CAGAACTAAAAATGACTTCACATGGTTTAAGCTGAATGACACATTGGACT CFHR1 mRNA CFHR3 mRNA H Factor RNA ATGAAGCCATGAGGTTATGAAAGCAATACTGGAAGCACCACTGGTTCC CFHR mRNA CFHR3 mRNA FIG. 7 (cont.) Patent Application Publication Feb. 19, 2015 Sheet 12 of 16 US 2015/0050646 A1 H Factor RNA ATAGTGTGTGGTACAATGGTTGGTCTGATTACCCAAGTATGAAAG CEHR1, RNA CFR3 mRNA Factor mRNA AGAATGCGAACTTCCTAAAATAGATGACACTAGTCCCTGACGCAAGA CEHR mRNA CFR3 mRNA H. Factor mRNA AAGACCAGAAAAGGGAGAGGGIGAAATCCCTGCAAACCAGGA CFHR1 mRNA CFHR3 mRNA H. Factor mRNA TTTACAATAGTTGGACCTAATTCCGTCAGIGCTACCACTTTGGATEGIC CEHR RNA CER3 mRNA H. Factor RNA CCTGACCTCCCAAEATGTAAAGAGCAAGTACAATCATGTGGTCCACCC CFHR1 mRNA
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