Gene polymorphism association studies in dialysis: cardiovascular disease
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Updated: Aug 16, 2026

Screening for Functional Non-coding Genetic Variants Using Electrophoretic Mobility Shift Assay (EMSA) and DNA-affinity Precipitation Assay (DAPA)
Published on: August 21, 2016
Madhumathi Rao1, Bertrand L Jaber, Vaidyanathapuram S Balakrishnan
1Division of Nephrology, Department of Medicine, Tufts-New England Medical Center, Boston, Massachusetts 02111, USA.
Insights
Cardiovascular disease (CVD) is a major cause of death in dialysis patients due to chronic kidney disease (CKD) risk factors. Genetic factors and their interactions influence individual risks for these complex diseases.
Area of Science:
- Nephrology
- Cardiology
- Genetics
Background:
- Cardiovascular disease (CVD) is the leading cause of death in dialysis patients.
- The high prevalence of CVD in this population is linked to cumulative risk factors from early chronic kidney disease (CKD).
- Genetic factors likely explain individual differences in susceptibility to CVD and CKD.
Purpose of the Study:
- To review cardiovascular disease in dialysis patients as a complex disease model.
- To discuss gene polymorphism association studies, including gene-environment and gene-gene interactions.
- To provide an overview of current research on genetic associations with CVD in dialysis patients.
Main Methods:
- Review of existing literature on CVD, CKD, and genetic associations.
- Examination of gene polymorphism association study methodologies.
- Analysis of gene-environment and gene-gene interaction models.
Main Results:
- CVD is a significant challenge in dialysis patients, influenced by multiple interacting risk factors.
- Genetic variations, particularly single nucleotide polymorphisms (SNPs), are being investigated for their role in disease risk.
- Gene-environment and gene-gene interactions are crucial for understanding disease complexity.
Conclusions:
- Dialysis patients represent a valuable model for studying complex cardiovascular diseases.
- Further research into genetic factors and their interactions is essential for personalized risk assessment and treatment.
- Genomic technologies offer promising avenues for understanding CVD in CKD.
Abstract:
Cardiovascular disease (CVD) is the most important cause of morbidity and mortality in dialysis patients. The high prevalence of CVD is due to the cumulative effects of multiple risk factors from the early stages of chronic kidney disease (CKD). Familial predispositions to CVD, CKD, and their respective risk factors are well known, and it is likely that genetic factors determine the interindividual variability in risks for disease. Advances in genomic technology have facilitated the study of genetic variation--most commonly single nucleotide polymorphisms (SNPs) in candidate genes--and their associations with disease. This review examines CVD in dialysis patients as a model of a complex disease, discusses the approach to gene polymorphism association studies, including the roles of gene-environment and gene-gene interactions and provides an overview of available studies.
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