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Ratnapriya. J Transl Genet Genom 2022;6:240-256  https://dx.doi.org/10.20517/jtgg.2021.54  Page 244










































                Figure 1. Applications of AMD-GWAS findings in understanding the disease biology and clinical practices and interventions. AMD:
                Age-related macular degeneration; GWAS: genome-wide association studies.

               large resource for studying the relationship between genetic variations and gene expression levels across
               multiple tissues and cell types . Unfortunately, the exclusion or limited representation of AMD-relevant
                                         [51]
               tissues (retina, macula and RPE) has delayed the functional understanding of most ocular phenotypes.
               However, researchers in vision field were quick in recognizing this unmet need and have created several
               excellent resources in the last few years [52-59] .


               While tissue-shared regulation appears to underlie an appreciable proportion of the genetic component of
               complex traits [51,60] , a series of studies have identified enrichment of GWAS signal in tissue-specific [60,61]  or
               cell-type specific [62,63]  expression quantitative trait loci (eQTLs). A recent single-cell sequencing study shows
               cell-type specificity for multiple AMD risk genes across diverse cell types, including bipolar cells (CFH,
               CFHR1), horizontal cells (HTRA1 and ARMS2), astrocytes (APOE) and microglia (CXC3R1) . Thus,
                                                                                                  [57]
               aligning cell-type-specific expression profiles with GWAS results can lead us one step closer to functional
               follow-up experiments [62,64] . However, human primary tissue samples are often a mixture of multiple cell-
               types, and tissue-specific expression is a function of the distribution of cell-types present in that tissue. A
               growing number of in silico deconvolution methods and associated reference panels with cell-type-specific
               marker genes enable the robust estimation of the enrichment of specific cell-types from bulk tissue gene
               expression data [65-67] . In recent years, single-cell sequencing technology has also emerged as key tool to gain
               insights into complex cell-types directly [68-71] . A comparative analysis of normal and disease conditions can
               help in characterizing complex cellular changes in response to pathology [72,73] .
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