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Published on: November 7, 2017
Potential effects of MYH9-associated nephropathy on dialysis and kidney transplant outcomes
Barry I Freedman1, Mariana Murea
1Section on Nephrology, Department of Internal Medicine, Wake Forest University, School of Medicine, Winston-Salem, North Carolina 27157-1053, USA. bfreedma@wfubmc.edu
Insights
Genetic variants in the nonmuscle myosin heavy chain 9 (MYH9) gene are linked to kidney disease disparities. Understanding MYH9
Area of Science:
- Nephrology and Genetics
Background:
- Nonmuscle myosin heavy chain 9-associated nephropathy encompasses several related kidney disorders.
- The nonmuscle myosin heavy chain 9 (MYH9) gene plays a significant role in inherited kidney diseases.
- MYH9 gene variants contribute to ethnic variations in end-stage renal disease incidence.
Purpose of the Study:
- To highlight the established role of MYH9 gene variants in kidney disease.
- To explore the potential impact of MYH9 on clinical outcomes in patients with kidney disease, including those on dialysis and post-transplantation.
- To emphasize the clinical relevance of recognizing MYH9 gene effects in severe kidney disease management.
Main Methods:
- This abstract is based on a review of existing literature and established genetic associations.
- No new experimental data were generated; the focus is on summarizing current understanding.
Main Results:
- The contribution of MYH9 gene variants to ethnic differences in end-stage renal disease rates is well-established.
- MYH9 gene variants are associated with inherited kidney disorders.
- Polymorphisms in MYH9 may influence treatment outcomes in severe kidney disease.
Conclusions:
- Recognizing the role of MYH9 in inherited nephropathies is crucial for understanding disease associations.
- MYH9 gene variants may impact patient outcomes, including those undergoing dialysis or kidney transplantation.
- The influence of MYH9 gene effects on treatment outcomes in severe kidney disease warrants further attention in clinical practice.
Abstract:
Several related disorders comprise the spectrum of nonmuscle myosin heavy chain 9-associated (MYH9) nephropathy. The contribution of variants in this single MYH9 gene to ethnic differences in the incidence rates of end-stage renal disease is now clearly established. The importance of recognizing the role of MYH9 in these inherited kidney disorders goes beyond simple disease association; there may well be effects on clinical outcomes in patients on dialysis and after kidney transplantation. MYH9 polymorphisms may affect treatment outcomes in severe kidney disease and such gene effects are rarely encountered in practice.
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