RT Journal Article T1 Genetic Polymorphisms Affecting Ranibizumab Response in High Myopia Patients A1 Blánquez-Martínez, David A1 Díaz-Villamarín, Xando A1 Antúnez-Rodríguez, Alba A1 Pozo-Agundo, Ana A1 Muñoz-Ávila, José Ignacio A1 Martínez-González, Luis Javier A1 Dávila-Fajardo, Cristina Lucía K1 Myopia K1 Pharmacogenetic K1 Genetic polymorphism K1 Personalized medicine K1 Ranibizumab K1 Anti-VEGF K1 VEGFA K1 CFH K1 ARMS2 K1 Miopía K1 Pruebas de farmacogenómica K1 Polimorfismo genético K1 Medicina de precisión K1 Factores de crecimiento endotelial K1 Factor A de crecimiento endotelial vascular AB High myopia is an ophthalmic pathology that affects half of the young adults in the United States and Europe and it is predicted that a third of the world's population could be nearsighted at the end of this decade. It is characterized by at least 6 diopters or axial length > 26 mm and, choroidal neovascularization (CNV) in 5 to 11% of cases. Ranibizumab is a recombinant humanized monoclonal antibody fragment. It is an anti-vascular endothelial growth factor (anti-VEGF) drug used in the treatment of CNV. Many genetic polymorphisms have been associated with interindividual differences in the response to ranibizumab, but these associations were not yet assessed among patients with high myopia and CNV. We performed a retrospective study assessing the association of genetic polymorphisms with response to ranibizumab in patients with CNV secondary to high myopia (mCNV). We included genetic polymorphisms previously associated with the response to drugs used in CNV patients (bevacizumab, ranibizumab, aflibercept, and photodynamic therapy (PDT)). We also included genetic variants in the VEGFA gene. Based on our results, ARMS2 (rs10490924) and CFH (rs1061170) are associated with response to ranibizumab in high myopia patients; and, included VEGFA genetic polymorphisms are not associated with ranibizumab response in our population but might be related to a higher risk of CNV. PB MDPI YR 2021 FD 2021-11-20 LK http://hdl.handle.net/10668/4001 UL http://hdl.handle.net/10668/4001 LA en NO Blánquez-Martínez D, Díaz-Villamarín X, Antúnez-Rodríguez A, Pozo-Agundo A, Muñoz-Ávila JI, Martínez-González LJ, et al. Genetic Polymorphisms Affecting Ranibizumab Response in High Myopia Patients. Pharmaceutics. 2021 Nov 20;13(11):1973 DS RISalud RD Apr 13, 2025