Project DetailsA pathologic feature of AMD is accumulation of toxic lipofuscin pigments, derived from vitamin A, in cells of the retinal pigment epithelium (RPE). This layer of cells is critical to the normal function and survival of rods and cones. Lipofuscin is a natural byproduct of photoreceptor turnover, and slowly accumulates in everyone's RPE. However, patients with AMD may have biochemical defects leading to accelerated accumulation or delayed clearance of lipofuscin pigments. When these pigments rise, the RPE loses its ability to support the photoreceptors. In time, this leads to photoreceptor death and subsequent blindness. Recent research showed that the gene for complement factor H (CFH), a component of the innate immune system, is a strong susceptibility locus for AMD. However, it is not known how dysfunction of CFH causes AMD. The study will test whether abnormal metabolism of vitamin A and its derivatives could lead to overt activation of the complement system. Studying mouse models will help us to understand the relationship between lipofuscin accumulation, complement activation, and retinal degeneration in AMD.