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Published on: June 23, 2015
Unravelling the genetic basis of renal diseases; from single gene to multifactorial disorders
Amy J McKnight1, Diane Currie, Alexander P Maxwell
1Nephrology Research Group, Queen's University of Belfast, Belfast BT9 7AB, Northern Ireland, UK.
Abstract:
Chronic kidney disease is common with up to 5% of the adult population reported to have an estimated glomerular filtration rate of < 60 ml/min/1.73 m(2). A large number of pathogenic mutations have been identified that are responsible for 'single gene' renal disorders, such as autosomal dominant polycystic kidney disease and X-linked Alport syndrome. These single gene disorders account for < 15% of the burden of end-stage renal disease that requires dialysis or kidney transplantation. It has proved more difficult to identify the genetic susceptibility underlying common, complex, multifactorial kidney conditions, such as diabetic nephropathy and hypertensive nephrosclerosis. This review describes success to date and explores strategies currently employed in defining the genetic basis for a number of renal disorders. The complementary use of linkage studies, candidate gene and genome-wide association analyses are described and a collation of renal genetic resources highlighted.
Insights
Identifying genetic factors for common kidney diseases like diabetic nephropathy is challenging. This review explores strategies and resources for understanding the genetic basis of renal disorders.
Area of Science:
- Nephrology
- Genetics
- Genomics
Background:
- Chronic kidney disease (CKD) affects up to 5% of adults.
- Single gene disorders like polycystic kidney disease and Alport syndrome are well-defined genetically.
- Complex kidney diseases (e.g., diabetic nephropathy) have a less understood genetic basis.
Purpose of the Study:
- To review current progress in identifying genetic factors for renal disorders.
- To explore strategies for defining the genetic basis of common and complex kidney diseases.
- To highlight available renal genetic resources.
Main Methods:
- Review of linkage studies.
- Analysis of candidate gene studies.
- Examination of genome-wide association studies (GWAS).
Main Results:
- Significant progress has been made in identifying genes for single-gene renal disorders.
- Identifying genetic susceptibility for complex kidney diseases remains a challenge.
- Various genetic analysis strategies are being employed.
Conclusions:
- Understanding the genetic architecture of kidney diseases is crucial for developing targeted therapies.
- Complementary genetic approaches are essential for comprehensive genetic discovery.
- Continued research and resource development are needed to unravel the genetic basis of renal disorders.
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