Humans

Genetically proxied CETP inhibition links to higher AMD risk

In drug-target Mendelian randomization, proxied CETP inhibition was associated with advanced AMD in Europeans (OR 1.45) and exudative AMD in East Asians (OR 3.14).

Ophthalmology

In a study of 457,242 UK Biobank participants and 7,058 Singapore Epidemiology of Eye Diseases participants, researchers investigated whether genetically proxied cholesteryl ester transfer protein (CETP) inhibition influences the risk of age-related macular degeneration (AMD). The team performed drug-target Mendelian randomization and observational genetic association analyses across European- and East Asian-ancestry cohorts. In Europeans, genetically proxied CETP inhibition was associated with higher risks of advanced AMD (odds ratio, 1.45; 95% CI, 1.25 to 1.67) and early AMD (odds ratio, 1.29; 95% CI, 1.19 to 1.41). Among East Asian participants, proxied inhibition was associated with higher risks of exudative AMD (odds ratio, 3.14; 95% CI, 2.16 to 4.57), typical neovascular AMD (odds ratio, 2.84; 95% CI, 1.69 to 4.79), and polypoidal choroidal vasculopathy (odds ratio, 3.18; 95% CI, 2.05 to 4.93).

Why it matters

While CETP inhibitors provide cardiovascular benefits in aging adults, these findings suggest that modulating this pathway may inadvertently increase the risk of age-related retinal degeneration.

Caveats

The findings rely on genetic instruments rather than direct pharmacological intervention, and the authors emphasize that this potential retinal safety signal requires validation in clinical trials and longitudinal observational studies.

The paper

Cholesteryl Ester Transfer Protein Inhibition and Risk of Age-Related Macular Degeneration

Singapore National Eye Center · National University of Singapore

Ophthalmology · 29 Sep 2026

doi.org/10.1016/j.ophtha.2026.09.027PubMed 42810526