Genetic association and gene-gene interaction analyses in African American dialysis patients with nondiabetic nephropathy.
Am J Kidney Dis
; 59(2): 210-21, 2012 Feb.
Article
en En
| MEDLINE
| ID: mdl-22119407
ABSTRACT
BACKGROUND:
African Americans have increased susceptibility to nondiabetic nephropathy relative to European Americans. STUDYDESIGN:
Follow-up of a pooled genome-wide association study (GWAS) in African American dialysis patients with nondiabetic nephropathy; novel gene-gene interaction analyses. SETTING &PARTICIPANTS:
Wake Forest sample 962 African American nondiabetic nephropathy cases, 931 non-nephropathy controls. Replication sample 668 Family Investigation of Nephropathy and Diabetes (FIND) African American nondiabetic nephropathy cases, 804 non-nephropathy controls. PREDICTORS Individual genotyping of top 1,420 pooled GWAS-associated single-nucleotide polymorphisms (SNPs) and 54 SNPs in 6 nephropathy susceptibility genes.OUTCOMES:
APOL1 genetic association and additional candidate susceptibility loci interacting with or independently from APOL1.RESULTS:
The strongest GWAS associations included 2 noncoding APOL1 SNPs, rs2239785 (OR, 0.33; dominant; P = 5.9 × 10(-24)) and rs136148 (OR, 0.54; additive; P = 1.1 × 10(-7)) with replication in FIND (P = 5.0 × 10(-21) and 1.9 × 10(-05), respectively). rs2239785 remained associated significantly after controlling for the APOL1 G1 and G2 coding variants. Additional top hits included a CFH SNP (OR from meta-analysis in the 3,367 African American cases and controls, 0.81; additive; P = 6.8 × 10(-4)). The 1,420 SNPs were tested for interaction with APOL1 G1 and G2 variants. Several interactive SNPs were detected; the most significant was rs16854341 in the podocin gene (NPHS2; P = 0.0001).LIMITATIONS:
Nonpooled GWASs have not been performed in African American patients with nondiabetic nephropathy.CONCLUSIONS:
This follow-up of a pooled GWAS provides additional and independent evidence that APOL1 variants contribute to nondiabetic nephropathy in African Americans and identified additional associated and interactive nondiabetic nephropathy susceptibility genes.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Negro o Afroamericano
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Diálisis Renal
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Epistasis Genética
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Estudios de Asociación Genética
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Enfermedades Renales
Tipo de estudio:
Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Kidney Dis
Año:
2012
Tipo del documento:
Article
País de afiliación:
Estados Unidos