GLUT9 作为慢性肾脏病的潜在药物靶点:孟德尔随机化研究的药物靶点验证。

GLUT9 as a potential drug target for chronic kidney disease: Drug target validation by a Mendelian randomization study.

机构信息

Central Pharmaceutical Research Institute, Japan Tobacco Inc., Osaka, Japan.

StaGen Co., Ltd, Tokyo, Japan.

出版信息

J Hum Genet. 2023 Oct;68(10):699-704. doi: 10.1038/s10038-023-01168-8. Epub 2023 Jun 13.

Abstract

Although chronic kidney disease (CKD) is recognized as a major public health concern, effective treatment strategies have yet to be developed. Identification and validation of drug targets are key issues in the development of therapeutic agents for CKD. Uric acid (UA), a major risk factor for gout, has also been suggested to be a risk factor for CKD, but the efficacy of existing urate-lowering therapies for CKD is controversial. We focused on five uric acid transporters (ABCG2, SLC17A1, SLC22A11, SLC22A12, SLC2A9) as potential drug targets and evaluated the causal association between serum UA levels and estimated glomerular filtration rate (eGFR) using single-SNP Mendelian Randomization. The results showed a causal association between genetically predicted changes in serum UA levels and eGFR when genetic variants were selected from the SLC2A9 locus. Estimation based on a loss-of-function mutation (rs16890979) showed that the changes in eGFR per unit increase in serum UA level was -0.0082 ml/min/1.73 m (95% CI -0.014 to -0.0025, P = 0.0051). These results indicate that SLC2A9 may be a novel drug target for CKD that preserves renal function through its urate-lowering effect.

摘要

虽然慢性肾脏病(CKD)被认为是一个主要的公共卫生问题,但尚未开发出有效的治疗策略。鉴定和验证药物靶点是开发 CKD 治疗药物的关键问题。尿酸(UA)是痛风的一个主要危险因素,也被认为是 CKD 的一个危险因素,但现有的降低尿酸治疗 CKD 的疗效存在争议。我们将 5 种尿酸转运蛋白(ABCG2、SLC17A1、SLC22A11、SLC22A12、SLC2A9)作为潜在的药物靶点,并使用单核苷酸多态性 Mendelian Randomization 评估了血清 UA 水平与估计肾小球滤过率(eGFR)之间的因果关系。结果表明,当从 SLC2A9 基因座选择遗传变异时,血清 UA 水平的遗传预测变化与 eGFR 之间存在因果关系。基于功能丧失突变(rs16890979)的估计表明,血清 UA 水平每增加一个单位,eGFR 的变化为-0.0082 ml/min/1.73 m(95%CI -0.014 至-0.0025,P=0.0051)。这些结果表明,SLC2A9 可能是 CKD 的一个新的药物靶点,通过降低尿酸作用来保护肾功能。

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