Association of ABCB1 genetic variants with renal function in Africans and in Caucasians
Murielle Bochud1, Chin B Eap, Marc Maillard
1Division of Nephrology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. Murielle.Bochud@chuv.ch
Insights
Genetic variants in the ABCB1 gene are linked to kidney function in both African and Caucasian populations. These ABCB1 gene variations may increase susceptibility to kidney disease, suggesting a new candidate gene for nephropathy.
Area of Science:
- Genetics
- Nephrology
- Pharmacogenomics
Background:
- P-glycoprotein, encoded by the ABCB1 gene, plays a role in regulating renal plasma flow and glomerular filtration rate.
- ABCB1 gene expression is found in human endothelial and mesangial cells within the kidney.
Purpose of the Study:
- To investigate the association between ABCB1 gene variants and renal function.
- To examine these associations in both African and Caucasian populations.
Main Methods:
- Genotyping of ABCB1 polymorphisms (2677G>T, 3435C>T) in African subjects and analysis of 30 SNPs in Caucasians using Affymetrix 500K chip data.
- Measurement of glomerular filtration rate (GFR) and effective renal plasma flow (ERPF) in Africans; GFR estimation using MDRD and Cockcroft-Gault equations in Caucasians.
Main Results:
- In Africans, specific ABCB1 alleles (2677T, 3435T) were associated with significantly higher GFR and ERPF, and lower renal resistance.
- In Caucasians, three ABCB1 gene polymorphisms showed a strong association with all estimated GFR values, even after multiple testing correction.
Conclusions:
- ABCB1 gene variants are associated with renal function in both African and Caucasian individuals.
- These findings suggest that ABCB1 variants may confer susceptibility to nephropathy.
- The ABCB1 gene emerges as a potential candidate gene for human nephropathy.
Background:
The P-glycoprotein, encoded by the ABCB1 gene, is expressed in human endothelial and mesangial cells, which contribute to control renal plasma flow and glomerular filtration rate. We investigated the association of ABCB1 variants with renal function in African and Caucasian subjects.
Methods:
In Africans (290 subjects from 62 pedigrees), we genotyped the 2677G>T and 3435 C>T ABCB1 polymorphisms. Glomerular filtration rate (GFR) was measured using inulin clearance and effective renal plasma flow (ERPF) using para-aminohippurate clearance. In Caucasians (5382 unrelated subjects), we analyzed 30 SNPs located within and around ABCB1, using data from the Affymetrix 500 K chip. GFR was estimated using the simplified Modification of the Diet in Renal Disease (MDRD) and Cockcroft-Gault equations.
Results:
In Africans, compared to the reference genotype (GG or CC), each copy of the 2677T and 3435T allele was associated, respectively, with: GFR higher by 10.6 +/- 2.9 (P < 0.001) and 4.4 +/- 2.3 (P = 0.06) mL/min; ERPF higher by 47.5 +/- 11.6 (P < 0.001) and 28.1 +/- 10.5 (P = 0.007) mL/min; and renal resistances lower by 0.016 +/- 0.004 (P < 0.001) and 0.011 +/- 0.004 (P = 0.004) mm Hg/mL/min. In Caucasians, we identified 3 polymorphisms in the ABCB1 gene that were strongly associated with all estimates of GFR (smallest P value = 0.0006, overall P = 0.014 after multiple testing correction).
Conclusion:
Variants of the ABCB1 gene were associated with renal function in both Africans and Caucasians and may therefore confer susceptibility to nephropathy in humans. If confirmed in other studies, these results point toward a new candidate gene for nephropathy in humans.
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