Genome-wide meta-analysis identifies new candidate genes for sickle cell disease nephropathy.

Genome-wide meta-analysis identifies new candidate genes for sickle cell disease nephropathy.
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DOI:
10.1182/bloodadvances.2022007451
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发表时间:
2023-09-12
期刊:
影响因子:
7.5
通讯作者:
Ashley-Koch, Allison E.
Ashley-Koch, Allison E.
中科院分区:
医学1区
文献类型:
--
作者:
Garrett, Melanie E.;Soldano, Karen L.;Erwin, Kyle N.;Zhang, Yingze;Gordeuk, Victor R.;Gladwin, Mark T.;Telen, Marilyn J.;Ashley-Koch, Allison E.

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六个新的候选基因被确定为发生蛋白尿和估计肾小球滤过率在镰状细胞病。这些位点的功能注释揭示了不仅对肾功能而且对镰状细胞病重要的生物学机制。镰状细胞病肾病(SCDN)是一种常见的SCD并发症,与死亡率密切相关。根据最近跨种族尿白蛋白/肌酐比值和估计肾小球滤过率(eGFR)的荟萃分析计算的多基因风险评分倾向于与SCD中的蛋白尿和eGFR相关,但模型拟合较差(R2 < 0.01),表明SCDN可能存在独特的遗传风险因素。因此,我们在2个充分表征的成人SCD队列中对SCDN的2种关键表现(蛋白尿和eGFR降低)进行了全基因组关联研究(GWAS),据我们所知,这是迄今为止最大的SCDN样本。荟萃分析确定了6个全基因组显著相关性(假发现率,q ≤ 0.05):3个与蛋白尿(IL 11、VWF和ADAMTS 7)相关,3个与eGFR相关(LRP 1B、linc 02288和FPGT-TNNI 3 K/TNNI 3 K)。这些关联独立于APOL 1风险,代表了新的SCDN基因座,许多具有调节功能的证据。此外,GWAS SNPs中的VWF,ADAMTS 7和linc 02288与肾脏中的基因表达以及对肾功能和SCD生物学都很重要的途径相关,支持SCDN病理生理学与其他形式的肾脏疾病不同的假设。总之,这些发现为功能随访提供了新的目标,可以进行前瞻性测试,并可能用于在肾功能不全发作前识别有风险的SCD患者。
Six novel candidate genes were identified for the occurrence of proteinuria and estimated glomerular filtration rate in sickle cell disease. Functional annotation of these loci reveals biological mechanisms important not only to kidney function but also to sickle cell disease. Sickle cell disease nephropathy (SCDN), a common SCD complication, is strongly associated with mortality. Polygenic risk scores calculated from recent transethnic meta-analyses of urinary albumin-to-creatinine ratio and estimated glomerular filtration rate (eGFR) trended toward association with proteinuria and eGFR in SCD but the model fit was poor (R2 < 0.01), suggesting that there are likely unique genetic risk factors for SCDN. Therefore, we performed genome-wide association studies (GWAS) for 2 critical manifestations of SCDN, proteinuria and decreased eGFR, in 2 well-characterized adult SCD cohorts, representing, to the best of our knowledge, the largest SCDN sample to date. Meta-analysis identified 6 genome-wide significant associations (false discovery rate, q ≤ 0.05): 3 for proteinuria (CRYL1, VWF, and ADAMTS7) and 3 for eGFR (LRP1B, linc02288, and FPGT-TNNI3K/TNNI3K). These associations are independent of APOL1 risk and represent novel SCDN loci, many with evidence for regulatory function. Moreover, GWAS SNPs in CRYL1, VWF, ADAMTS7, and linc02288 are associated with gene expression in kidney and pathways important to both renal function and SCD biology, supporting the hypothesis that SCDN pathophysiology is distinct from other forms of kidney disease. Together, these findings provide new targets for functional follow-up that could be tested prospectively and potentially used to identify patients with SCD who are at risk, before onset of kidney dysfunction.
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