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A Genome-Wide Association Study on Calcium Nephrolithiasis in Chinese Han Population Identifies Novel Susceptible
Lujia Wang1,2, Zijian Zhou1,2, Xiaoling Lin3
1Department of Urology, Huashan Hospital & Institute of Urology, Fudan University, 12 Middle Wulumuqi Rd., Shanghai 200040, China.
Insights
This study identified three new genetic loci associated with calcium nephrolithiasis risk in the Chinese Han population. These findings advance our understanding of kidney stone development and potential genetic predispositions.
Area of Science:
- Genetics
- Nephrology
- Population Health
Background:
- Nephrolithiasis (kidney stones) is a growing global health concern with high recurrence rates.
- Limited understanding exists regarding genetic risk factors for calcium nephrolithiasis in Chinese Han populations.
Purpose of the Study:
- To identify genetic factors contributing to calcium nephrolithiasis risk.
- To investigate associations between genetic variations and quantitative traits in Chinese Han individuals.
Main Methods:
- Conducted a genome-wide association study (GWAS) with 1006 cases and 1200 controls.
- Replicated suggestive loci in an independent cohort (445 cases, 1008 controls).
- Assessed associations of significant single-nucleotide polymorphisms (SNPs) with metabolic, kidney, and electrolyte traits.
Main Results:
- Identified three novel susceptibility loci for calcium nephrolithiasis: SORBS2 (4q35.1), CXXC5 (5q31.2), and MBD2 (18q21.21).
- Associated SNP rs3736194 with higher serum carbon dioxide.
- Associated SNP rs356450 with lower serum chloride and rs55826947 with higher BMI.
Conclusions:
- This is the first GWAS on calcium nephrolithiasis in a Chinese Han cohort.
- Discovered three novel loci (SORBS2, CXXC5, MBD2) associated with calcium nephrolithiasis risk.
- Further research is needed to elucidate the molecular mechanisms of these identified genetic variations.
Abstract:
Background: Nephrolithiasis is a significant global health and economic challenge, with an increasing prevalence and a high recurrence rate. However, there is limited knowledge regarding the potential associations between calcium nephrolithiasis risk and Chinese Han populations currently. Methods: To identify the genetic factors for calcium nephrolithiasis, we presented a genome-wide association study (GWAS) using a total of 1006 calcium nephrolithiasis cases and 1200 controls of Chinese Han ethnicity. Suggestive loci (p < 1.0 × 10-6) were replicated in 445 cases and 1008 controls. We also assessed the association of GWAS-level significant single-nucleotide polymorphisms (SNPs) with quantitative traits, including metabolic, kidney-related, and electrolyte traits. Results: Here we found three novel loci for calcium nephrolithiasis: SORBS2 on 4q35.1 (rs3736194; p = 2.84 × 10-13, OR = 0.6279), CXXC5 on 5q31.2 (rs356450; p = 6.09 × 10-16, OR = 2.0312), and MBD2 on 18q21.21 (rs55826947; p = 6.29 × 10-10, OR = 0.6017). Subsequent analyses revealed the association of SNP rs3736194 with higher serum carbon dioxide (p = 0.04666), rs356450 with lower serum chloride (p = 0.02992), and rs55826947 with higher BMI (p = 0.03174), respectively. Conclusions: We performed the first GWAS on calcium nephrolithiasis in a Chinese Han population cohort and identified three novel susceptibility loci on 4q35.1, 5q31.2, and 18q21.2. Further research into the molecular mechanisms underlying these variations in nephrolithiasis is warranted.
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