From the Veterina ry Faculty of the Ludw ig- Maximilians U niversity Muni chInstitute of Mol ecular Animal Breeding a nd B iotechnologyUniv.-P rof. D r. Eckha rd W olfDoctoral Study pe rformed at the Zilkha Neurogenetic Instituteof U niversity of Southern C aliforniaunder supe rvision of Jeannie Chen, PhDAssociation of N onfibrillar A myloid Oligom ers w ith Drusen of A ging an d A ge-related M acular D egenerationIna ugural Dissertation to achieve the Coctor Title of Veterina ry Me dicine at theFaculty of Veterina ry Me dicineof the Ludw ig- Maximilians U niversity Muni chby V olker Lui blfrom GersthofenMuni ch, April 2006Gedruckt mit Genehmigung der Tierärztlichen Fakultät derLudwig-Maximilians-Universität MünchenDekan: Prof. Dr. Erwin Peter MärtlbauerReferent: Prof. Dr. Eckhard Wolf1. Korreferent: Prof. Dr. Wolfgang Schmahl2. Korreferent: Prof. Dr. Manfred Stangassinger3. Korreferent: Prof. Dr. Hans-Joachim Gabius4. Korreferent: Prof. Dr. Aljoscha NeubauerDatum der mündlichen Prüfung: 28. Juli 2006M einen Eltern und B rüdern2ContentsB ackgr ound of the s tudy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 7Publ ikat ion i n JCI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 40Fut ure Pr ospects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 - 50Sum mary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
From the Veterinary Faculty of the Ludwig-Maximilians University Munich Institute of Molecular Animal Breeding and Biotechnology Univ.-Prof. Dr. Eckhard Wolf
Doctoral Study performed at the Zilkha Neurogenetic Institute of University of Southern California under supervision of Jeannie Chen, PhD
Association of Nonfibrillar Amyloid Oligomers with Drusen of Aging and Age-related Macular Degeneration
Inaugural Dissertation to achieve the Coctor Title of Veterinary Medicine at the Faculty of Veterinary Medicine of the Ludwig-Maximilians University Munich
by Volker Luibl from Gersthofen
Munich, April 2006
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Gedruckt mit Genehmigung der Tierärztlichen Fakultät der Ludwig-Maximilians-Universität München
Age-related macular degeneration (AMD) is the leading cause of irreversible vision loss among people over 65 years in the USA and Europe. Symptomatically, AMD varies widely in severity ranging from slight distortions in mild cases to a complete loss of the central vision in the worst cases. So fartreatment is limited and a promising strategy for a complete cure does not exist, mainly because the underlying cause is still unclear and remains a source of controversy. Significant similarities between AMD and so called protein misfolding disorders (PMDs) or amyloid diseases, such as Alzheimer disease (AD), diabetes type II or Parkinson disease, led to the assumption that AMD could follow a similar pathogenic pathway that is believed to be common in all PMDs. Firstly, there is strong correlation with advancing age and secondly, but most importantly AMD and PMDs are unique in their pathological feature in respect to the abnormal formation and accumulation of deposits that compromise a mixture of numerous proteins. Since these deposits can be observed in a variety, but only in disease affected tissues, it is believed that characteristic PMD-associated protein deposits are in a cause-effect relationship or at least contribute to the irreversible degenerative process that can be seen in the disease affected tissues. For instance, the extracellular formation ofprotein deposits in