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Genetic loci and prioritization of genes for kidney function decline derived from a meta-analysis of 62 longitudinal genome-wide association studies.


ABSTRACT: Estimated glomerular filtration rate (eGFR) reflects kidney function. Progressive eGFR-decline can lead to kidney failure, necessitating dialysis or transplantation. Hundreds of loci from genome-wide association studies (GWAS) for eGFR help explain population cross section variability. Since the contribution of these or other loci to eGFR-decline remains largely unknown, we derived GWAS for annual eGFR-decline and meta-analyzed 62 longitudinal studies with eGFR assessed twice over time in all 343,339 individuals and in high-risk groups. We also explored different covariate adjustment. Twelve genome-wide significant independent variants for eGFR-decline unadjusted or adjusted for eGFR-baseline (11 novel, one known for this phenotype), including nine variants robustly associated across models were identified. All loci for eGFR-decline were known for cross-sectional eGFR and thus distinguished a subgroup of eGFR loci. Seven of the nine variants showed variant-by-age interaction on eGFR cross section (further about 350,000 individuals), which linked genetic associations for eGFR-decline with age-dependency of genetic cross-section associations. Clinically important were two to four-fold greater genetic effects on eGFR-decline in high-risk subgroups. Five variants associated also with chronic kidney disease progression mapped to genes with functional in-silico evidence (UMOD, SPATA7, GALNTL5, TPPP). An unfavorable versus favorable nine-variant genetic profile showed increased risk odds ratios of 1.35 for kidney failure (95% confidence intervals 1.03-1.77) and 1.27 for acute kidney injury (95% confidence intervals 1.08-1.50) in over 2000 cases each, with matched controls). Thus, we provide a large data resource, genetic loci, and prioritized genes for kidney function decline, which help inform drug development pipelines revealing important insights into the age-dependency of kidney function genetics.

SUBMITTER: Gorski M 

PROVIDER: S-EPMC10034922 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Genetic loci and prioritization of genes for kidney function decline derived from a meta-analysis of 62 longitudinal genome-wide association studies.

Gorski Mathias M   Rasheed Humaira H   Teumer Alexander A   Thomas Laurent F LF   Graham Sarah E SE   Sveinbjornsson Gardar G   Winkler Thomas W TW   Günther Felix F   Stark Klaus J KJ   Chai Jin-Fang JF   Tayo Bamidele O BO   Wuttke Matthias M   Li Yong Y   Tin Adrienne A   Ahluwalia Tarunveer S TS   Ärnlöv Johan J   Åsvold Bjørn Olav BO   Bakker Stephan J L SJL   Banas Bernhard B   Bansal Nisha N   Biggs Mary L ML   Biino Ginevra G   Böhnke Michael M   Boerwinkle Eric E   Bottinger Erwin P EP   Brenner Hermann H   Brumpton Ben B   Carroll Robert J RJ   Chaker Layal L   Chalmers John J   Chee Miao-Li ML   Chee Miao-Ling ML   Cheng Ching-Yu CY   Chu Audrey Y AY   Ciullo Marina M   Cocca Massimiliano M   Cook James P JP   Coresh Josef J   Cusi Daniele D   de Borst Martin H MH   Degenhardt Frauke F   Eckardt Kai-Uwe KU   Endlich Karlhans K   Evans Michele K MK   Feitosa Mary F MF   Franke Andre A   Freitag-Wolf Sandra S   Fuchsberger Christian C   Gampawar Piyush P   Gansevoort Ron T RT   Ghanbari Mohsen M   Ghasemi Sahar S   Giedraitis Vilmantas V   Gieger Christian C   Gudbjartsson Daniel F DF   Hallan Stein S   Hamet Pavel P   Hishida Asahi A   Ho Kevin K   Hofer Edith E   Holleczek Bernd B   Holm Hilma H   Hoppmann Anselm A   Horn Katrin K   Hutri-Kähönen Nina N   Hveem Kristian K   Hwang Shih-Jen SJ   Ikram M Arfan MA   Josyula Navya Shilpa NS   Jung Bettina B   Kähönen Mika M   Karabegović Irma I   Khor Chiea-Chuen CC   Koenig Wolfgang W   Kramer Holly H   Krämer Bernhard K BK   Kühnel Brigitte B   Kuusisto Johanna J   Laakso Markku M   Lange Leslie A LA   Lehtimäki Terho T   Li Man M   Lieb Wolfgang W   Lind Lars L   Lindgren Cecilia M CM   Loos Ruth J F RJF   Lukas Mary Ann MA   Lyytikäinen Leo-Pekka LP   Mahajan Anubha A   Matias-Garcia Pamela R PR   Meisinger Christa C   Meitinger Thomas T   Melander Olle O   Milaneschi Yuri Y   Mishra Pashupati P PP   Mononen Nina N   Morris Andrew P AP   Mychaleckyj Josyf C JC   Nadkarni Girish N GN   Naito Mariko M   Nakatochi Masahiro M   Nalls Mike A MA   Nauck Matthias M   Nikus Kjell K   Ning Boting B   Nolte Ilja M IM   Nutile Teresa T   O'Donoghue Michelle L ML   O'Connell Jeffrey J   Olafsson Isleifur I   Orho-Melander Marju M   Parsa Afshin A   Pendergrass Sarah A SA   Penninx Brenda W J H BWJH   Pirastu Mario M   Preuss Michael H MH   Psaty Bruce M BM   Raffield Laura M LM   Raitakari Olli T OT   Rheinberger Myriam M   Rice Kenneth M KM   Rizzi Federica F   Rosenkranz Alexander R AR   Rossing Peter P   Rotter Jerome I JI   Ruggiero Daniela D   Ryan Kathleen A KA   Sabanayagam Charumathi C   Salvi Erika E   Schmidt Helena H   Schmidt Reinhold R   Scholz Markus M   Schöttker Ben B   Schulz Christina-Alexandra CA   Sedaghat Sanaz S   Shaffer Christian M CM   Sieber Karsten B KB   Sim Xueling X   Sims Mario M   Snieder Harold H   Stanzick Kira J KJ   Thorsteinsdottir Unnur U   Stocker Hannah H   Strauch Konstantin K   Stringham Heather M HM   Sulem Patrick P   Szymczak Silke S   Taylor Kent D KD   Thio Chris H L CHL   Tremblay Johanne J   Vaccargiu Simona S   van der Harst Pim P   van der Most Peter J PJ   Verweij Niek N   Völker Uwe U   Wakai Kenji K   Waldenberger Melanie M   Wallentin Lars L   Wallner Stefan S   Wang Judy J   Waterworth Dawn M DM   White Harvey D HD   Willer Cristen J CJ   Wong Tien-Yin TY   Woodward Mark M   Yang Qiong Q   Yerges-Armstrong Laura M LM   Zimmermann Martina M   Zonderman Alan B AB   Bergler Tobias T   Stefansson Kari K   Böger Carsten A CA   Pattaro Cristian C   Köttgen Anna A   Kronenberg Florian F   Heid Iris M IM  

Kidney international 20220616 3


Estimated glomerular filtration rate (eGFR) reflects kidney function. Progressive eGFR-decline can lead to kidney failure, necessitating dialysis or transplantation. Hundreds of loci from genome-wide association studies (GWAS) for eGFR help explain population cross section variability. Since the contribution of these or other loci to eGFR-decline remains largely unknown, we derived GWAS for annual eGFR-decline and meta-analyzed 62 longitudinal studies with eGFR assessed twice over time in all 34  ...[more]

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