The Population Sciences Branch, Division of Intramural Research, NHLBI, NIH, Bethesda, MD, 20892, USA.
NHLBI's Framingham Heart Study, Framingham, MA, 01702, USA.
Nat Commun. 2017 Nov 3;8(1):1286. doi: 10.1038/s41467-017-01297-7.
Chronic kidney disease (CKD) is defined by reduced estimated glomerular filtration rate (eGFR). Previous genetic studies have implicated regulatory mechanisms contributing to CKD. Here we present epigenome-wide association studies of eGFR and CKD using whole-blood DNA methylation of 2264 ARIC Study and 2595 Framingham Heart Study participants to identify epigenetic signatures of kidney function. Of 19 CpG sites significantly associated (P < 1e-07) with eGFR/CKD and replicated, five also associate with renal fibrosis in biopsies from CKD patients and show concordant DNA methylation changes in kidney cortex. Lead CpGs at PTPN6/PHB2, ANKRD11, and TNRC18 map to active enhancers in kidney cortex. At PTPN6/PHB2 cg19942083, methylation in kidney cortex associates with lower renal PTPN6 expression, higher eGFR, and less renal fibrosis. The regions containing the 243 eGFR-associated (P < 1e-05) CpGs are significantly enriched for transcription factor binding sites of EBF1, EP300, and CEBPB (P < 5e-6). Our findings highlight kidney function associated epigenetic variation.
慢性肾脏病 (CKD) 的定义是肾小球滤过率 (eGFR) 降低。先前的遗传研究表明,调节机制与 CKD 有关。在这里,我们使用 2264 名 ARIC 研究和 2595 名弗雷明汉心脏研究参与者的全血 DNA 甲基化进行了 eGFR 和 CKD 的全基因组关联研究,以确定肾功能的表观遗传特征。在与 eGFR/CKD 显著相关(P < 1e-07)并复制的 19 个 CpG 位点中,有 5 个也与 CKD 患者活检中的肾纤维化相关,并且在肾皮质中表现出一致的 DNA 甲基化变化。PTPN6/PHB2、ANKRD11 和 TNRC18 处的先导 CpG 位于肾皮质的活性增强子上。在 PTPN6/PHB2 cg19942083 处,肾皮质中的甲基化与较低的肾 PTPN6 表达、较高的 eGFR 和较少的肾纤维化相关。包含与 243 个 eGFR 相关 (P < 1e-05) 的 CpG 的区域显着富含 EBF1、EP300 和 CEBPB 的转录因子结合位点(P < 5e-6)。我们的研究结果强调了与肾功能相关的表观遗传变异。