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1.
Kidney Int ; 99(4): 926-939, 2021 04.
Article in English | MEDLINE | ID: mdl-33137338

ABSTRACT

Rapid decline of glomerular filtration rate estimated from creatinine (eGFRcrea) is associated with severe clinical endpoints. In contrast to cross-sectionally assessed eGFRcrea, the genetic basis for rapid eGFRcrea decline is largely unknown. To help define this, we meta-analyzed 42 genome-wide association studies from the Chronic Kidney Diseases Genetics Consortium and United Kingdom Biobank to identify genetic loci for rapid eGFRcrea decline. Two definitions of eGFRcrea decline were used: 3 mL/min/1.73m2/year or more ("Rapid3"; encompassing 34,874 cases, 107,090 controls) and eGFRcrea decline 25% or more and eGFRcrea under 60 mL/min/1.73m2 at follow-up among those with eGFRcrea 60 mL/min/1.73m2 or more at baseline ("CKDi25"; encompassing 19,901 cases, 175,244 controls). Seven independent variants were identified across six loci for Rapid3 and/or CKDi25: consisting of five variants at four loci with genome-wide significance (near UMOD-PDILT (2), PRKAG2, WDR72, OR2S2) and two variants among 265 known eGFRcrea variants (near GATM, LARP4B). All these loci were novel for Rapid3 and/or CKDi25 and our bioinformatic follow-up prioritized variants and genes underneath these loci. The OR2S2 locus is novel for any eGFRcrea trait including interesting candidates. For the five genome-wide significant lead variants, we found supporting effects for annual change in blood urea nitrogen or cystatin-based eGFR, but not for GATM or LARP4B. Individuals at high compared to those at low genetic risk (8-14 vs. 0-5 adverse alleles) had a 1.20-fold increased risk of acute kidney injury (95% confidence interval 1.08-1.33). Thus, our identified loci for rapid kidney function decline may help prioritize therapeutic targets and identify mechanisms and individuals at risk for sustained deterioration of kidney function.


Subject(s)
Genome-Wide Association Study , Kidney , AMP-Activated Protein Kinases , Creatinine , Glomerular Filtration Rate/genetics , Humans , Protein Disulfide-Isomerases , United Kingdom
2.
J Am Soc Nephrol ; 30(3): 421-441, 2019 Mar.
Article in English | MEDLINE | ID: mdl-30760496

ABSTRACT

BACKGROUND: Linking genetic risk loci identified by genome-wide association studies (GWAS) to their causal genes remains a major challenge. Disease-associated genetic variants are concentrated in regions containing regulatory DNA elements, such as promoters and enhancers. Although researchers have previously published DNA maps of these regulatory regions for kidney tubule cells and glomerular endothelial cells, maps for podocytes and mesangial cells have not been available. METHODS: We generated regulatory DNA maps (DNase-seq) and paired gene expression profiles (RNA-seq) from primary outgrowth cultures of human glomeruli that were composed mainly of podocytes and mesangial cells. We generated similar datasets from renal cortex cultures, to compare with those of the glomerular cultures. Because regulatory DNA elements can act on target genes across large genomic distances, we also generated a chromatin conformation map from freshly isolated human glomeruli. RESULTS: We identified thousands of unique regulatory DNA elements, many located close to transcription factor genes, which the glomerular and cortex samples expressed at different levels. We found that genetic variants associated with kidney diseases (GWAS) and kidney expression quantitative trait loci were enriched in regulatory DNA regions. By combining GWAS, epigenomic, and chromatin conformation data, we functionally annotated 46 kidney disease genes. CONCLUSIONS: We demonstrate a powerful approach to functionally connect kidney disease-/trait-associated loci to their target genes by leveraging unique regulatory DNA maps and integrated epigenomic and genetic analysis. This process can be applied to other kidney cell types and will enhance our understanding of genome regulation and its effects on gene expression in kidney disease.

3.
Exp Cell Res ; 358(2): 421-426, 2017 09 15.
Article in English | MEDLINE | ID: mdl-28189637

ABSTRACT

Lateral gene transfer (LGT) is an all-encompassing term for the movement of DNA between diverse organisms. LGT is synonymous with horizontal gene transfer, and the terms are used interchangeably throughout the scientific literature. While LGT has been recognized within the bacteria domain of life for decades, inter-domain LGTs are being increasingly described. LGTs between bacteria and complex multicellular organisms are of interest because they challenge the long-held dogma that such transfers could only occur in closely-related, single-celled organisms. Scientists will continue to challenge our understanding of LGT as we sequence more, diverse organisms, as we sequence more endosymbiont-colonized arthropods, and as we continue to appreciate LGT events, both young and old.


Subject(s)
Eukaryota/genetics , Evolution, Molecular , Gene Transfer, Horizontal/genetics , Prokaryotic Cells/cytology , Animals , Bacteria/genetics , Gene Transfer, Horizontal/physiology , Humans , Mitochondria/metabolism
4.
BMC Bioinformatics ; 17: 134, 2016 Mar 21.
Article in English | MEDLINE | ID: mdl-27001685

ABSTRACT

BACKGROUND: Cancer is a disease driven by the accumulation of genomic alterations, including the integration of exogenous DNA into the human somatic genome. We previously identified in silico evidence of DNA fragments from a Pseudomonas-like bacteria integrating into the 5'-UTR of four proto-oncogenes in stomach cancer sequencing data. The functional and biological consequences of these bacterial DNA integrations remain unknown. RESULTS: Modeling of these integrations suggests that the previously identified sequences cover most of the sequence flanking the junction between the bacterial and human DNA. Further examination of these reads reveals that these integrations are rich in guanine nucleotides and the integrated bacterial DNA may have complex transcript secondary structures. CONCLUSIONS: The models presented here lay the foundation for future experiments to test if bacterial DNA integrations alter the transcription of the human genes.


Subject(s)
Genome, Human , Neoplasms/genetics , Pseudomonas/genetics , RNA, Ribosomal/metabolism , 5' Untranslated Regions , Antigens, CD/genetics , Antigens, Differentiation, B-Lymphocyte/genetics , Carcinoembryonic Antigen/genetics , Cell Adhesion Molecules/genetics , GPI-Linked Proteins/genetics , Histocompatibility Antigens Class II/genetics , Host-Parasite Interactions/genetics , Humans , Neoplasms/pathology , Nucleic Acid Conformation , RNA, Ribosomal/chemistry , RNA, Ribosomal/genetics , Recombination, Genetic
5.
PLoS Genet ; 9(10): e1003877, 2013.
Article in English | MEDLINE | ID: mdl-24146634

ABSTRACT

Lateral gene transfer (LGT) from bacteria to animals occurs more frequently than was appreciated prior to the advent of genome sequencing. In 2007, LGT from bacterial Wolbachia endosymbionts was detected in ~33% of the sequenced arthropod genomes using a bioinformatic approach. Today, Wolbachia/host LGT is thought to be widespread and many other cases of bacteria-animal LGT have been described. In insects, LGT may be more frequently associated with endosymbionts that colonize germ cells and germ stem cells, like Wolbachia endosymbionts. We speculate that LGT may occur from bacteria to a wide variety of eukaryotes, but only becomes vertically inherited when it occurs in germ cells. As such, LGT may happen routinely in somatic cells but never become inherited or fixed in the population. Lack of inheritance of such mutations greatly decreases our ability to detect them. In this review, we propose that such noninherited bacterial DNA integration into chromosomes in human somatic cells could induce mutations leading to cancer or autoimmune diseases in a manner analogous to mobile elements and viral integrations.


Subject(s)
DNA, Bacterial/genetics , Gene Transfer, Horizontal/genetics , Neoplasms/genetics , Wolbachia/genetics , Animals , Chromosomes/genetics , Chromosomes/microbiology , Humans , Interspersed Repetitive Sequences , Neoplasms/microbiology , Neoplasms/virology , Phylogeny , Symbiosis/genetics
6.
Biomed Microdevices ; 17(4): 71, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26123417

ABSTRACT

Brain slice preparations cultured in vitro have long been used as a simplified model for studying brain development, electrophysiology, neurodegeneration and neuroprotection. In this paper an open fluidic system developed for improved long term culturing of organotypic brain slices is presented. The positive effect of continuous flow of growth medium, and thus stability of the glucose concentration and waste removal, is simulated and compared to the effect of stagnant medium that is most often used in tissue culturing. Furthermore, placement of the tissue slices in the developed device was studied by numerical simulations in order to optimize the nutrient distribution. The device was tested by culturing transverse hippocampal slices from 7 days old NMRI mice for a duration of 14 days. The slices were inspected visually and the slices cultured in the fluidic system appeared to have preserved their structure better than the control slices cultured using the standard interface method.


Subject(s)
Hippocampus/growth & development , Microfluidics/methods , Tissue Culture Techniques/methods , Animals , Mice , Microfluidics/instrumentation
7.
Eur J Appl Physiol ; 115(1): 197-204, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25260244

ABSTRACT

PURPOSE: To test the validity and reliability of field critical power (CP). METHOD: Laboratory CP tests comprised three exhaustive trials at intensities of 80, 100 and 105 % maximal aerobic power and CP results were compared with those determined from the field. Experiment 1: cyclists performed three CP field tests which comprised maximal efforts of 12, 7 and 3 min with a 30 min recovery between efforts. Experiment 2: cyclists performed 3 × 3, 3 × 7 and 3 × 12 min individual maximal efforts in a randomised order in the field. Experiment 3: the highest 3, 7 and 12 min power outputs were extracted from field training and racing data. RESULTS: Standard error of the estimate of CP was 4.5, 5.8 and 5.2 % for experiments 1-3, respectively. Limits of agreement for CP were -26 to 29, 26 to 53 and -34 to 44 W for experiments 1-3, respectively. Mean coefficient of variation in field CP was 2.4, 6.5 and 3.5 % for experiments 1-3, respectively. Intraclass correlation coefficients of the three repeated trials for CP were 0.99, 0.96 and 0.99 for experiments 1-3, respectively. CONCLUSIONS: Results suggest field-testing using the different protocols from this research study, produce both valid and reliable CP values.


Subject(s)
Exercise Test/methods , Exercise Tolerance , Adult , Data Interpretation, Statistical , Humans , Male , Reproducibility of Results
8.
PLoS Comput Biol ; 9(6): e1003107, 2013.
Article in English | MEDLINE | ID: mdl-23840181

ABSTRACT

There are 10× more bacterial cells in our bodies from the microbiome than human cells. Viral DNA is known to integrate in the human genome, but the integration of bacterial DNA has not been described. Using publicly available sequence data from the human genome project, the 1000 Genomes Project, and The Cancer Genome Atlas (TCGA), we examined bacterial DNA integration into the human somatic genome. Here we present evidence that bacterial DNA integrates into the human somatic genome through an RNA intermediate, and that such integrations are detected more frequently in (a) tumors than normal samples, (b) RNA than DNA samples, and (c) the mitochondrial genome than the nuclear genome. Hundreds of thousands of paired reads support random integration of Acinetobacter-like DNA in the human mitochondrial genome in acute myeloid leukemia samples. Numerous read pairs across multiple stomach adenocarcinoma samples support specific integration of Pseudomonas-like DNA in the 5'-UTR and 3'-UTR of four proto-oncogenes that are up-regulated in their transcription, consistent with conversion to an oncogene. These data support our hypothesis that bacterial integrations occur in the human somatic genome and may play a role in carcinogenesis. We anticipate that the application of our approach to additional cancer genome projects will lead to the more frequent detection of bacterial DNA integrations in tumors that are in close proximity to the human microbiome.


Subject(s)
Bacteria/isolation & purification , Gene Transfer, Horizontal , Neoplasms/genetics , Bacteria/genetics , Base Sequence , DNA, Bacterial/genetics , Genes, Bacterial , Genome, Human , Humans , Molecular Sequence Data , Neoplasms/metabolism , Sequence Homology, Nucleic Acid
9.
Int J Sports Med ; 35(4): 298-303, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24022574

ABSTRACT

The purpose of this study was to investigate the level of agreement between laboratory-based estimates of critical power (CP) and results taken from a novel field test. Subjects were fourteen trained cyclists (age 40±7 yrs; body mass 70.2±6.5 kg; VO2max 3.8±0.5 L · min-1). Laboratory-based CP was estimated from 3 constant work-rate tests at 80%, 100% and 105% of maximal aerobic power (MAP). Field-based CP was estimated from 3 all-out tests performed on an outdoor velodrome over fixed durations of 3, 7 and 12 min. Using the linear work limit (Wlim) vs. time limit (Tlim) relation for the estimation of CP1 values and the inverse time (1/t) vs. power (P) models for the estimation of CP2 values, field-based CP1 and CP2 values did not significantly differ from laboratory-based values (234±24.4 W vs. 234±25.5 W (CP1); P<0.001; limits of agreement [LOA], -10.98-10.8 W and 236±29.1 W vs. 235±24.1 W (CP2); P<0.001; [LOA], -13.88-17.3 W. Mean prediction errors for laboratory and field estimates were 2.2% (CP) and 27% (W'). Data suggest that employing all-out field tests lasting 3, 7 and 12 min has potential utility in the estimation of CP.


Subject(s)
Athletic Performance/physiology , Bicycling/physiology , Exercise Test/methods , Muscle Strength/physiology , Physical Education and Training , Adult , Female , Humans , Lactic Acid/blood , Male , Middle Aged , Oxygen Consumption
10.
Int J Sports Med ; 35(4): 304-9, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24022575

ABSTRACT

Recent datas suggest that the mean power over the final 30 s of a 3-min all-out test is equivalent to Critical Power (CP) using the linear ergometer mode. The purpose of the present study was to identify whether this is also true using an "isokinetic mode". 13 cyclists performed: 1) a ramp test; 2) three 3-min all-out trials to establish End Power (EP) and work done above EP (WEP); and 3) 3 constant work rate trials to determine CP and the work done above CP (W') using the work-time (=CP1/W'1) and 1/time (=CP2/W'2) models. Coefficient of variation in EP was 4.45% between trials 1 and 2, and 4.29% between trials 2 and 3. Limits of Agreement for trials 1-2 and trials 2-3 were -2±38 W. Significant differences were observed between EP and CP1 (+37 W, P<0.001), between WEP and W'1(-6.2 kJ, P=0.001), between EP and CP2 (+31 W, P<0.001) and between WEP and W'2 (-4.2 kJ, P=0.006). Average SEE values for EP-CP1 and EP-CP2 of 7.1% and 6.6% respectively were identified. Data suggest that using an isokinetic mode 3-min all-out test, while yielding a reliable measure of EP, does not provide a valid measure of CP.


Subject(s)
Bicycling/physiology , Exercise Test/methods , Muscle Strength/physiology , Adult , Female , Humans , Male , Oxygen Consumption
11.
Electrophoresis ; 34(7): 1105-12, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23436323

ABSTRACT

Protein nanofibrils and nanotubes are now widely accepted as having potential for use in the field of bionanotechnology. For this to be a feasible alternative to existing technologies, there is a need for a commercially viable source. Previous work has identified amyloid fibrils formed from crude crystallin proteins as such a source, since these fibrils can be produced in large quantities at a low cost. Applications include use of fibrils as templates for the formation of nanowires or as biosensing scaffolds. There remains a number of practical considerations, such as stability and the ability to control their arrangement. In this study, crude crystallin amyloid fibrils are shown to be stable in a range of biological and clean room solvents, with the fibril presence confirmed by transmission electron microscopy and the thioflavin T fluorescent assay. The fibrils were also immobilised between microelectrodes using dielectrophoresis, which enabled the recording of I-V curves for small numbers of fibrils. This investigation showed the fibrils to have low conductivity, with current values in the range of 10(-10) A recorded. This low conductivity could be increased through modification, or alternately, the fibrils could be used unmodified for applications where they can act as templates or high surface area nanoscaffolds.


Subject(s)
Amyloid/chemistry , Crystallins/chemistry , Electrophoresis/methods , Nanostructures/chemistry , Amyloid/metabolism , Animals , Crystallins/metabolism , Electric Conductivity , Gadiformes , Lens, Crystalline/chemistry , Microscopy, Electron, Transmission , Protein Stability , Solubility
12.
J Immunol ; 185(1): 488-97, 2010 Jul 01.
Article in English | MEDLINE | ID: mdl-20525895

ABSTRACT

Virulent varicella-zoster virus (VZV) can spread in immunocompetent humans, resulting in symptoms mostly of the skin. In contrast, vaccine Oka (V-Oka), the attenuated VZV vaccine strain, only rarely causes clinical reactions. The mechanisms underlying these pathogenetic differences are unclear. In this study, we comparatively analyzed the ability of virulent VZV and V-Oka to modulate instruction of dendritic cells (DCs) by innate signals. DCs isolated from normal human skin were susceptible to infection with VZV and V-Oka. Moreover, inflammatory DCs, which play a crucial role in the stimulation of Th1 immune responses, accumulated in herpes zoster lesions. Infection of inflammatory DCs generated in vitro with virulent VZV or V-Oka resulted in upregulation of CD1c. Upon coculture with CD1c-restricted innate cells, DCs developed a mature phenotype whether infected with virulent VZV or V-Oka. Intriguingly, a striking difference was detected on the functional level. The release of IFN-gamma and IL-12, the signature cytokines of Th1 responses, was enhanced by V-Oka but blocked by virulent VZV. V-Oka and virulent VZV efficiently synergized with CD40L, eliminating the possibility that CD40 signaling was a target of VZV-associated immune evasion. Instead, virulent VZV selectively interfered with signaling through TLR2, which is known to sense VZV. Thus, virulent VZV subverts Th1-promoting instruction of human DCs by blocking TLR2-mediated innate signals that prime IL-12 production by DCs. Taken together, our results demonstrate a novel immune-evasion mechanism of virulent VZV that has been lost during the attenuation process leading to the VZV vaccine strain.


Subject(s)
Chickenpox Vaccine/immunology , Dendritic Cells/immunology , Dendritic Cells/virology , Herpesvirus 3, Human/immunology , Herpesvirus 3, Human/pathogenicity , Herpesvirus Vaccines/immunology , Signal Transduction/immunology , Cells, Cultured , Coculture Techniques , Dendritic Cells/cytology , Herpes Zoster/immunology , Herpes Zoster/virology , Herpesvirus 3, Human/isolation & purification , Humans , Immune Evasion/immunology , Interleukin-12/biosynthesis , Middle Aged , Monocytes/cytology , Monocytes/immunology , Monocytes/virology , Th1 Cells/immunology , Th1 Cells/virology , Vaccines, Attenuated/immunology , Virulence
13.
Commun Biol ; 5(1): 580, 2022 06 13.
Article in English | MEDLINE | ID: mdl-35697829

ABSTRACT

Reduced glomerular filtration rate (GFR) can progress to kidney failure. Risk factors include genetics and diabetes mellitus (DM), but little is known about their interaction. We conducted genome-wide association meta-analyses for estimated GFR based on serum creatinine (eGFR), separately for individuals with or without DM (nDM = 178,691, nnoDM = 1,296,113). Our genome-wide searches identified (i) seven eGFR loci with significant DM/noDM-difference, (ii) four additional novel loci with suggestive difference and (iii) 28 further novel loci (including CUBN) by allowing for potential difference. GWAS on eGFR among DM individuals identified 2 known and 27 potentially responsible loci for diabetic kidney disease. Gene prioritization highlighted 18 genes that may inform reno-protective drug development. We highlight the existence of DM-only and noDM-only effects, which can inform about the target group, if respective genes are advanced as drug targets. Largely shared effects suggest that most drug interventions to alter eGFR should be effective in DM and noDM.


Subject(s)
Diabetes Mellitus , Diabetic Nephropathies , Creatinine , Diabetic Nephropathies/genetics , Genome-Wide Association Study , Glomerular Filtration Rate/genetics , Humans , Kidney
14.
Nat Commun ; 12(1): 3699, 2021 Jun 17.
Article in English | MEDLINE | ID: mdl-34140508

ABSTRACT

Non-classical photon sources are a crucial resource for distributed quantum networks. Photons generated from matter systems with memory capability are particularly promising, as they can be integrated into a network where each source is used on-demand. Among all kinds of solid state and atomic quantum memories, room-temperature atomic vapours are especially attractive due to their robustness and potential scalability. To-date room-temperature photon sources have been limited either in their memory time or the purity of the photonic state. Here we demonstrate a single-photon source based on room-temperature memory. Following heralded loading of the memory, a single photon is retrieved from it after a variable storage time. The single-photon character of the retrieved field is validated by the strong suppression of the two-photon component with antibunching as low as [Formula: see text]. Non-classical correlations between the heralding and the retrieved photons are maintained for up to [Formula: see text], more than two orders of magnitude longer than previously demonstrated with other room-temperature systems. Correlations sufficient for violating Bell inequalities exist for up to τBI = (0.15 ± 0.03) ms.

15.
BMC Neurosci ; 11: 75, 2010 Jun 15.
Article in English | MEDLINE | ID: mdl-20550682

ABSTRACT

BACKGROUND: Reelin is an extracellular glycoprotein of crucial importance in the developmental organisation of neurons in the mammalian cerebral cortex and other laminated brain regions. The pig possesses a gyrencephalic brain that bears resemblance to the human brain. In order to establish an animal model for neuronal migration disorders in the pig, we have studied the expression pattern and structure of Reelin during pig brain development. RESULTS: We determined the sequence of pig Reelin mRNA and protein and identified a high degree of homology to human Reelin. A peak in Reelin mRNA and protein expression is present during the period of major neurogenesis and neuronal migration. This resembles observations for human brain development. Immunohistochemical analysis showed the highest expression of Reelin in the Cajal-Reztius cells of the marginal zone, in resemblance with observations for the developing brain in humans and other mammalian species. CONCLUSIONS: We conclude that the pig might serve as an alternative animal model to study Reelin functions and that manipulation of the pig Reelin could allow the establishment of an animal model for human neuronal migration disorders.


Subject(s)
Brain/embryology , Brain/metabolism , Cell Adhesion Molecules, Neuronal/metabolism , Extracellular Matrix Proteins/metabolism , Nerve Tissue Proteins/metabolism , Neurons/metabolism , Serine Endopeptidases/metabolism , Animals , Blotting, Western , Cell Adhesion Molecules, Neuronal/genetics , Cell Movement/physiology , Extracellular Matrix Proteins/genetics , Immunohistochemistry , Nerve Tissue Proteins/genetics , Neurogenesis/physiology , RNA, Messenger/genetics , RNA, Messenger/metabolism , Reelin Protein , Reverse Transcriptase Polymerase Chain Reaction , Serine Endopeptidases/genetics , Swine
16.
Sci Rep ; 10(1): 20970, 2020 12 01.
Article in English | MEDLINE | ID: mdl-33262371

ABSTRACT

Genetic evidence of disease association has often been used as a basis for selecting of drug targets for complex common diseases. Likewise, the propagation of genetic evidence through gene or protein interaction networks has been shown to accurately infer novel disease associations at genes for which no direct genetic evidence can be observed. However, an empirical test of the utility of combining these approaches for drug discovery has been lacking. In this study, we examine genetic associations arising from an analysis of 648 UK Biobank GWAS and evaluate whether targets identified as proxies of direct genetic hits are enriched for successful drug targets, as measured by historical clinical trial data. We find that protein networks formed from specific functional linkages such as protein complexes and ligand-receptor pairs are suitable for even naïve guilt-by-association network propagation approaches. In addition, more sophisticated approaches applied to global protein-protein interaction networks and pathway databases, also successfully retrieve targets enriched for clinically successful drug targets. We conclude that network propagation of genetic evidence can be used for drug target identification.


Subject(s)
Gene Regulatory Networks , Genetic Predisposition to Disease , Genome-Wide Association Study , Molecular Targeted Therapy , Drug Delivery Systems , Humans , Hyperlipidemias/genetics , Models, Genetic , Signal Transduction/genetics
17.
Lab Chip ; 9(11): 1638-9, 2009 Jun 07.
Article in English | MEDLINE | ID: mdl-19458874

ABSTRACT

In this article we present a generalized theoretical model for the continuous separation of particles using the pinched flow fractionation method. So far the theoretical models have not been able to predict the separation of particles without the use of correction factors. In this article we present a model which is capable of predicting the separation from first principles. Furthermore we comment on the importance of the incorporation of the finite height of the micro fluidic channels in the models describing the system behavior. We compare our model with the experiment obtained by Seki et al. (J. Takagi, M. Yamada, M. Yasuda and M. Seki, Lab Chip, 2005, 5, 778-784).

18.
Nat Genet ; 51(10): 1459-1474, 2019 10.
Article in English | MEDLINE | ID: mdl-31578528

ABSTRACT

Elevated serum urate levels cause gout and correlate with cardiometabolic diseases via poorly understood mechanisms. We performed a trans-ancestry genome-wide association study of serum urate in 457,690 individuals, identifying 183 loci (147 previously unknown) that improve the prediction of gout in an independent cohort of 334,880 individuals. Serum urate showed significant genetic correlations with many cardiometabolic traits, with genetic causality analyses supporting a substantial role for pleiotropy. Enrichment analysis, fine-mapping of urate-associated loci and colocalization with gene expression in 47 tissues implicated the kidney and liver as the main target organs and prioritized potentially causal genes and variants, including the transcriptional master regulators in the liver and kidney, HNF1A and HNF4A. Experimental validation showed that HNF4A transactivated the promoter of ABCG2, encoding a major urate transporter, in kidney cells, and that HNF4A p.Thr139Ile is a functional variant. Transcriptional coregulation within and across organs may be a general mechanism underlying the observed pleiotropy between urate and cardiometabolic traits.


Subject(s)
Cardiovascular Diseases/blood , Genetic Markers , Gout/blood , Metabolic Diseases/blood , Polymorphism, Single Nucleotide , Signal Transduction , Uric Acid/blood , ATP Binding Cassette Transporter, Subfamily G, Member 2/genetics , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/genetics , Cohort Studies , Genetic Loci , Genetic Predisposition to Disease , Genome-Wide Association Study , Gout/epidemiology , Gout/genetics , Hepatocyte Nuclear Factor 1-alpha/genetics , Hepatocyte Nuclear Factor 4/genetics , Humans , Kidney/metabolism , Kidney/pathology , Liver/metabolism , Liver/pathology , Metabolic Diseases/epidemiology , Metabolic Diseases/genetics , Neoplasm Proteins/genetics , Organ Specificity
19.
Nat Commun ; 10(1): 4130, 2019 09 11.
Article in English | MEDLINE | ID: mdl-31511532

ABSTRACT

Increased levels of the urinary albumin-to-creatinine ratio (UACR) are associated with higher risk of kidney disease progression and cardiovascular events, but underlying mechanisms are incompletely understood. Here, we conduct trans-ethnic (n = 564,257) and European-ancestry specific meta-analyses of genome-wide association studies of UACR, including ancestry- and diabetes-specific analyses, and identify 68 UACR-associated loci. Genetic correlation analyses and risk score associations in an independent electronic medical records database (n = 192,868) reveal connections with proteinuria, hyperlipidemia, gout, and hypertension. Fine-mapping and trans-Omics analyses with gene expression in 47 tissues and plasma protein levels implicate genes potentially operating through differential expression in kidney (including TGFB1, MUC1, PRKCI, and OAF), and allow coupling of UACR associations to altered plasma OAF concentrations. Knockdown of OAF and PRKCI orthologs in Drosophila nephrocytes reduces albumin endocytosis. Silencing fly PRKCI further impairs slit diaphragm formation. These results generate a priority list of genes and pathways for translational research to reduce albuminuria.


Subject(s)
Albuminuria/genetics , Chromosome Mapping , Genome-Wide Association Study , Meta-Analysis as Topic , Animals , Creatinine/urine , Diabetes Mellitus/genetics , Diabetes Mellitus/urine , Drosophila melanogaster/genetics , Gene Expression Regulation , Genetic Loci , Genetic Predisposition to Disease , Humans , Phenomics , Risk Factors
20.
Nat Genet ; 51(6): 957-972, 2019 06.
Article in English | MEDLINE | ID: mdl-31152163

ABSTRACT

Chronic kidney disease (CKD) is responsible for a public health burden with multi-systemic complications. Through trans-ancestry meta-analysis of genome-wide association studies of estimated glomerular filtration rate (eGFR) and independent replication (n = 1,046,070), we identified 264 associated loci (166 new). Of these, 147 were likely to be relevant for kidney function on the basis of associations with the alternative kidney function marker blood urea nitrogen (n = 416,178). Pathway and enrichment analyses, including mouse models with renal phenotypes, support the kidney as the main target organ. A genetic risk score for lower eGFR was associated with clinically diagnosed CKD in 452,264 independent individuals. Colocalization analyses of associations with eGFR among 783,978 European-ancestry individuals and gene expression across 46 human tissues, including tubulo-interstitial and glomerular kidney compartments, identified 17 genes differentially expressed in kidney. Fine-mapping highlighted missense driver variants in 11 genes and kidney-specific regulatory variants. These results provide a comprehensive priority list of molecular targets for translational research.


Subject(s)
Genetic Association Studies/methods , Genetic Predisposition to Disease , Quantitative Trait Loci , Quantitative Trait, Heritable , Renal Insufficiency, Chronic/genetics , Renal Insufficiency, Chronic/physiopathology , Chromosome Mapping , Genome-Wide Association Study , Glomerular Filtration Rate , Humans , Inheritance Patterns , Kidney Function Tests , Phenotype , Polymorphism, Single Nucleotide , Renal Insufficiency, Chronic/urine , Uromodulin/urine , White People
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