晚期糖尿病肾病的全基因组关联和跨种族荟萃分析:肾病与糖尿病家族研究(FIND)
Genome-Wide Association and Trans-ethnic Meta-Analysis for Advanced Diabetic Kidney Disease: Family Investigation of Nephropathy and Diabetes (FIND).
作者信息
Iyengar Sudha K, Sedor John R, Freedman Barry I, Kao W H Linda, Kretzler Matthias, Keller Benjamin J, Abboud Hanna E, Adler Sharon G, Best Lyle G, Bowden Donald W, Burlock Allison, Chen Yii-Der Ida, Cole Shelley A, Comeau Mary E, Curtis Jeffrey M, Divers Jasmin, Drechsler Christiane, Duggirala Ravi, Elston Robert C, Guo Xiuqing, Huang Huateng, Hoffmann Michael Marcus, Howard Barbara V, Ipp Eli, Kimmel Paul L, Klag Michael J, Knowler William C, Kohn Orly F, Leak Tennille S, Leehey David J, Li Man, Malhotra Alka, März Winfried, Nair Viji, Nelson Robert G, Nicholas Susanne B, O'Brien Stephen J, Pahl Madeleine V, Parekh Rulan S, Pezzolesi Marcus G, Rasooly Rebekah S, Rotimi Charles N, Rotter Jerome I, Schelling Jeffrey R, Seldin Michael F, Shah Vallabh O, Smiles Adam M, Smith Michael W, Taylor Kent D, Thameem Farook, Thornley-Brown Denyse P, Truitt Barbara J, Wanner Christoph, Weil E Jennifer, Winkler Cheryl A, Zager Philip G, Igo Robert P, Hanson Robert L, Langefeld Carl D
机构信息
Department of Epidemiology & Biostatistics, Case Western Reserve University, Cleveland, Ohio, United States of America.
Departments of Medicine, Case Western Reserve University, Cleveland, Ohio, United States of America; Departments of Physiology and Biophysics, Case Western Reserve University, Cleveland, Ohio, United States of America.
出版信息
PLoS Genet. 2015 Aug 25;11(8):e1005352. doi: 10.1371/journal.pgen.1005352. eCollection 2015 Aug.
Diabetic kidney disease (DKD) is the most common etiology of chronic kidney disease (CKD) in the industrialized world and accounts for much of the excess mortality in patients with diabetes mellitus. Approximately 45% of U.S. patients with incident end-stage kidney disease (ESKD) have DKD. Independent of glycemic control, DKD aggregates in families and has higher incidence rates in African, Mexican, and American Indian ancestral groups relative to European populations. The Family Investigation of Nephropathy and Diabetes (FIND) performed a genome-wide association study (GWAS) contrasting 6,197 unrelated individuals with advanced DKD with healthy and diabetic individuals lacking nephropathy of European American, African American, Mexican American, or American Indian ancestry. A large-scale replication and trans-ethnic meta-analysis included 7,539 additional European American, African American and American Indian DKD cases and non-nephropathy controls. Within ethnic group meta-analysis of discovery GWAS and replication set results identified genome-wide significant evidence for association between DKD and rs12523822 on chromosome 6q25.2 in American Indians (P = 5.74x10-9). The strongest signal of association in the trans-ethnic meta-analysis was with a SNP in strong linkage disequilibrium with rs12523822 (rs955333; P = 1.31x10-8), with directionally consistent results across ethnic groups. These 6q25.2 SNPs are located between the SCAF8 and CNKSR3 genes, a region with DKD relevant changes in gene expression and an eQTL with IPCEF1, a gene co-translated with CNKSR3. Several other SNPs demonstrated suggestive evidence of association with DKD, within and across populations. These data identify a novel DKD susceptibility locus with consistent directions of effect across diverse ancestral groups and provide insight into the genetic architecture of DKD.
糖尿病肾病(DKD)是工业化国家慢性肾脏病(CKD)最常见的病因,也是糖尿病患者额外死亡率的主要原因。在美国,约45%的新发终末期肾病(ESKD)患者患有DKD。独立于血糖控制之外,DKD在家族中聚集,相对于欧洲人群,非洲、墨西哥和美洲印第安裔群体的发病率更高。肾病与糖尿病家族调查(FIND)开展了一项全基因组关联研究(GWAS),对比了6197名患有晚期DKD的非亲属个体与欧美、非裔、墨西哥裔或美洲印第安裔的健康个体及无肾病的糖尿病个体。一项大规模的重复研究和跨种族荟萃分析纳入了另外7539例欧美、非裔和美洲印第安裔DKD病例及无肾病对照。在发现GWAS和重复数据集结果的种族内荟萃分析中,确定了美洲印第安人中DKD与6号染色体6q25.2上的rs12523822之间存在全基因组显著的关联证据(P = 5.74×10-9)。跨种族荟萃分析中最强的关联信号是与rs12523822处于强连锁不平衡的一个单核苷酸多态性(SNP)(rs955333;P = 1.31×10-8),各民族群体的结果在方向上一致。这些6q25.2的SNP位于SCAF8和CNKSR3基因之间,该区域基因表达有与DKD相关的变化,且是与IPCEF1的表达数量性状基因座(eQTL),IPCEF1是与CNKSR3共同翻译的一个基因。其他几个SNP在群体内部和群体之间显示出与DKD相关的提示性证据。这些数据确定了一个新的DKD易感位点,其在不同祖先群体中的效应方向一致,并为DKD的遗传结构提供了见解。