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Differential and shared genetic effects on kidney function between diabetic and non-diabetic individuals

Winkler, T.W. ; Schulz, C.-A. LU ; Orho-Melander, M. LU ; Melander, O. LU orcid and Heid, Iris M. (2022) In Communications Biology 5(1).
Abstract
Reduced glomerular filtration rate (GFR) can progress to kidney failure. Risk factors include genetics and diabetes mellitus (DM), but little is known about their interaction. We conducted genome-wide association meta-analyses for estimated GFR based on serum creatinine (eGFR), separately for individuals with or without DM (nDM = 178,691, nnoDM = 1,296,113). Our genome-wide searches identified (i) seven eGFR loci with significant DM/noDM-difference, (ii) four additional novel loci with suggestive difference and (iii) 28 further novel loci (including CUBN) by allowing for potential difference. GWAS on eGFR among DM individuals identified 2 known and 27 potentially responsible loci for diabetic kidney disease. Gene prioritization highlighted... (More)
Reduced glomerular filtration rate (GFR) can progress to kidney failure. Risk factors include genetics and diabetes mellitus (DM), but little is known about their interaction. We conducted genome-wide association meta-analyses for estimated GFR based on serum creatinine (eGFR), separately for individuals with or without DM (nDM = 178,691, nnoDM = 1,296,113). Our genome-wide searches identified (i) seven eGFR loci with significant DM/noDM-difference, (ii) four additional novel loci with suggestive difference and (iii) 28 further novel loci (including CUBN) by allowing for potential difference. GWAS on eGFR among DM individuals identified 2 known and 27 potentially responsible loci for diabetic kidney disease. Gene prioritization highlighted 18 genes that may inform reno-protective drug development. We highlight the existence of DM-only and noDM-only effects, which can inform about the target group, if respective genes are advanced as drug targets. Largely shared effects suggest that most drug interventions to alter eGFR should be effective in DM and noDM. © 2022, The Author(s). (Less)
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author
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author collaboration
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
creatinine, diabetes mellitus, diabetic nephropathy, genetics, genome-wide association study, glomerulus filtration rate, human, kidney, Creatinine, Diabetes Mellitus, Diabetic Nephropathies, Genome-Wide Association Study, Glomerular Filtration Rate, Humans, Kidney
in
Communications Biology
volume
5
issue
1
article number
580
publisher
Nature Publishing Group
external identifiers
  • scopus:85131867525
  • pmid:35697829
ISSN
2399-3642
DOI
10.1038/s42003-022-03448-z
language
English
LU publication?
yes
id
1205e2b3-854a-4478-a0c8-3aaec3cab222
date added to LUP
2022-09-12 10:56:13
date last changed
2024-01-18 14:16:29
@article{1205e2b3-854a-4478-a0c8-3aaec3cab222,
  abstract     = {{Reduced glomerular filtration rate (GFR) can progress to kidney failure. Risk factors include genetics and diabetes mellitus (DM), but little is known about their interaction. We conducted genome-wide association meta-analyses for estimated GFR based on serum creatinine (eGFR), separately for individuals with or without DM (nDM = 178,691, nnoDM = 1,296,113). Our genome-wide searches identified (i) seven eGFR loci with significant DM/noDM-difference, (ii) four additional novel loci with suggestive difference and (iii) 28 further novel loci (including CUBN) by allowing for potential difference. GWAS on eGFR among DM individuals identified 2 known and 27 potentially responsible loci for diabetic kidney disease. Gene prioritization highlighted 18 genes that may inform reno-protective drug development. We highlight the existence of DM-only and noDM-only effects, which can inform about the target group, if respective genes are advanced as drug targets. Largely shared effects suggest that most drug interventions to alter eGFR should be effective in DM and noDM. © 2022, The Author(s).}},
  author       = {{Winkler, T.W. and Schulz, C.-A. and Orho-Melander, M. and Melander, O. and Heid, Iris M.}},
  issn         = {{2399-3642}},
  keywords     = {{creatinine; diabetes mellitus; diabetic nephropathy; genetics; genome-wide association study; glomerulus filtration rate; human; kidney; Creatinine; Diabetes Mellitus; Diabetic Nephropathies; Genome-Wide Association Study; Glomerular Filtration Rate; Humans; Kidney}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Communications Biology}},
  title        = {{Differential and shared genetic effects on kidney function between diabetic and non-diabetic individuals}},
  url          = {{http://dx.doi.org/10.1038/s42003-022-03448-z}},
  doi          = {{10.1038/s42003-022-03448-z}},
  volume       = {{5}},
  year         = {{2022}},
}