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A Genome-Wide Association Study for Hypertensive Kidney Disease in Korean Men
Hye-Rim Kim1, Hyun-Seok Jin2, Yong-Bin Eom1,3
1Department of Medical Sciences, Graduate School, Soonchunhyang University, Asan 31538, Chungnam, Korea.
Insights
This study identified genetic factors linked to hypertensive kidney disease (HKD). The FANCM gene was significantly associated with HKD development, offering new insights into this common comorbidity.
Area of Science:
- Genetics
- Nephrology
- Cardiology
Background:
- Hypertension is a primary risk factor for chronic kidney disease (CKD).
- The combination of hypertension and CKD elevates morbidity and mortality rates.
- Research on genetic factors specifically for hypertensive kidney disease (HKD) is limited.
Purpose of the Study:
- To identify genetic loci and genes associated with hypertensive kidney disease (HKD).
- To investigate the genetic underpinnings of HKD using genome-wide association studies.
Main Methods:
- Conducted a genome-wide association study (GWAS) in two Korean cohorts (HEXA and KARE).
- Analyzed HKD-related traits including eGFR, creatinine, BUN, systolic blood pressure (SBP), and diastolic blood pressure (DBP).
- Performed expression quantitative trait loci (eQTL) analysis to assess SNP effects on gene expression in relevant tissues.
Main Results:
- Identified 19 single nucleotide polymorphisms (SNPs) significantly associated with HKD.
- The 14q21.2 locus showed strong linkage disequilibrium (LD) and association with HKD traits.
- The FANCM gene emerged as the most significantly associated candidate gene through integrated GWAS and eQTL analysis.
Conclusions:
- The FANCM gene plays a role in the pathogenesis of hypertensive kidney disease (HKD).
- This study provides valuable genetic insights into HKD.
- Findings can guide future research for prioritizing other candidate genes involved in HKD.
Abstract:
Hypertension is one of the major risk factors for chronic kidney disease (CKD), and the coexistence of hypertension and CKD increases morbidity and mortality. Although many genetic factors have been identified separately for hypertension and kidney disease, studies specifically focused on hypertensive kidney disease (HKD) have been rare. Therefore, this study aimed to identify loci or genes associated with HKD. A genome-wide association study (GWAS) was conducted using two Korean cohorts, the Health Examinee (HEXA) and Korean Association REsource (KARE). Consequently, 19 single nucleotide polymorphisms (SNPs) were found to be significantly associated with HKD in the discovery and replication phases (p < 5 × 10-8, p < 0.05, respectively). We further analyzed HKD-related traits such as the estimated glomerular filtration rate (eGFR), creatinine, blood urea nitrogen (BUN), systolic blood pressure (SBP) and diastolic blood pressure (DBP) at the 14q21.2 locus, which showed a strong linkage disequilibrium (LD). Expression quantitative trait loci (eQTL) analysis was also performed to determine whether HKD-related SNPs affect gene expression changes in glomerular and arterial tissues. The results suggested that the FANCM gene may affect the development of HKD through an integrated analysis of eQTL and GWAS and was the most significantly associated candidate gene. Taken together, this study indicated that the FANCM gene is involved in the pathogenesis of HKD. Additionally, our results will be useful in prioritizing other genes for further experiments.
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