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Multi-population genome-wide association study implicates immune and non-immune factors in pediatric steroid-sensitive nephrotic syndrome

A. Barry, MT. McNulty, X. Jia, Y. Gupta, H. Debiec, Y. Luo, C. Nagano, T. Horinouchi, S. Jung, M. Colucci, DF. Ahram, A. Mitrotti, A. Sinha, N. Teeninga, G. Jin, S. Shril, G. Caridi, M. Bodria, TY. Lim, R. Westland, F. Zanoni, M. Marasa, D....

. 2023 ; 14 (1) : 2481. [pub] 20230429

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu metaanalýza, časopisecké články, Research Support, U.S. Gov't, Non-P.H.S., práce podpořená grantem, Research Support, N.I.H., Extramural

Perzistentní odkaz   https://www.medvik.cz/link/bmc23011682

Grantová podpora
U54 DK083912 NIDDK NIH HHS - United States
RC2 DK122397 NIDDK NIH HHS - United States
U2C TR002818 NCATS NIH HHS - United States
R01 DK119380 NIDDK NIH HHS - United States
UL1 TR001873 NCATS NIH HHS - United States

Pediatric steroid-sensitive nephrotic syndrome (pSSNS) is the most common childhood glomerular disease. Previous genome-wide association studies (GWAS) identified a risk locus in the HLA Class II region and three additional independent risk loci. But the genetic architecture of pSSNS, and its genetically driven pathobiology, is largely unknown. Here, we conduct a multi-population GWAS meta-analysis in 38,463 participants (2440 cases). We then conduct conditional analyses and population specific GWAS. We discover twelve significant associations-eight from the multi-population meta-analysis (four novel), two from the multi-population conditional analysis (one novel), and two additional novel loci from the European meta-analysis. Fine-mapping implicates specific amino acid haplotypes in HLA-DQA1 and HLA-DQB1 driving the HLA Class II risk locus. Non-HLA loci colocalize with eQTLs of monocytes and numerous T-cell subsets in independent datasets. Colocalization with kidney eQTLs is lacking but overlap with kidney cell open chromatin suggests an uncharacterized disease mechanism in kidney cells. A polygenic risk score (PRS) associates with earlier disease onset. Altogether, these discoveries expand our knowledge of pSSNS genetic architecture across populations and provide cell-specific insights into its molecular drivers. Evaluating these associations in additional cohorts will refine our understanding of population specificity, heterogeneity, and clinical and molecular associations.

AP HP Pediatric Nephrology Department Hôpital Robert Debré Paris France

Center for Data Sciences Brigham and Women's Hospital Harvard Medical School Boston MA USA

Centre for Genetics and Genomics Versus Arthritis University of Manchester Manchester UK

Croatian Academy of Medical Sciences Praska 2 3 p p 27 10000 Zagreb Croatia

Department of Advanced Pediatric Medicine Kobe University Graduate School of Medicine Kobe Japan

Department of Biochemistry and Molecular Biology University of Ulsan College of Medicine Songpa gu Seoul Korea

Department of Biomedical Informatics Harvard Medical School Boston MA USA

Department of Clinical Sciences and Community Health University of Milan Milan Italy

Department of Human Genetics Graduate School of Medicine The University of Tokyo Tokyo Japan

Department of Medical and Surgical Specialties Radiological Sciences and Public Health Division of Nephrology and Dialysis University of Brescia and ASST Spedali Civili of Brescia Brescia Italy

Department of Medicine Boston Children's Hospital Boston MA USA

Department of Nephrology and Renal Transplantation IRCCS Instituto Giannina Gaslini Genoa Italy

Department of Nephrology Centre Hospitalier du Mans Le Mans France

Department of Nephrology Dialysis and Transplant Unit University Hospital of Modena Modena Italy

Department of Nephrology Medicine and General University Hospital Charles University Prague Czech Republic

Department of Pediatric Division of Pediatric Nephrology Columbia University Irving Medical Center New York Presbyterian Morgan Stanley Children's Hospital in New York New York NY USA

Department of Pediatric Nephrology Amalia Children's Hospital Radboud University Medical Center Nijmegen The Netherlands

Department of Pediatric Nephrology Dialysis and Transplantation Clinical Hospital Hospital Center Zagreb University of Zagreb Medical School Zagreb Croatia

Department of Pediatric Nephrology UCLA Medical Center and UCLA Medical Center Santa Monica Los Angeles CA USA

Department of Pediatric Nephrology University Children's Hospital Skopje Macedonia

Department of Pediatric Nephrology VU University Medical Center Amsterdam The Netherlands

Department of Pediatrics AIIMS New Delhi India

Department of Pediatrics Faculty of Medicine Prince of Songkla University Hat Yai Songkhla 90110 Thailand

Department of Pediatrics Hallym University Sacred Heart Hospital 22 Gwanpyeong ro 170 beon gil Dongan gu Anyang si Gyeonggi do 14068 Korea

Department of Pediatrics Harvard Medical School Boston MA USA

Department of Pediatrics Interdisciplinary Laboratory of Medical Investigation Faculty of Medicine Federal University of Minas Gerais Belo Horizonte Brazil

Department of Pediatrics ISMETT Palermo Italy

Department of Pediatrics Kobe University Graduate School of Medicine Kobe Japan

Department of Pediatrics Nephrology and Hypertension Medical University Gdansk Gdansk Poland

Department of Pediatrics University of Split Split Croatia

Division of General Internal Medicine Department of Medicine Icahn School of Medicine at Mount Sinai New York NY USA

Division of Genomic Medicine Department of Medicine Icahn School of Medicine at Mount Sinai New York NY USA

Division of Nephrology and Dialysis Department of Pediatric Subspecialities Istituto di Ricovero e Cura a Carattere Scientifico Ospedale Pediatrico Bambino Gesù Rome Italy

Division of Nephrology and Dialysis Unit University of Messina Sicily Italy

Division of Nephrology and Pediatric Dialysis Bari Polyclinic Giovanni XXIII Children's Hospital Bari Italy

Division of Nephrology Beth Israel Deaconess Medical Center Boston MA USA

Division of Nephrology Boston Children's Hospital Boston MA USA

Division of Nephrology Department of Medicine Columbia University College of Physicians and Surgeons New York NY USA

Division of Renal Medicine Department of Medicine Brigham and Women's Hospital Harvard Medical School Boston MA USA

Division of Transplantation Department of Surgery University of Pennsylvania Philadelphia PA USA

Divisions of Genetics and Rheumatology Department of Medicine Brigham and Women's Hospital Harvard Medical School Boston MA USA

Genome Medical Science Project Tokyo Japan

Hyogo Prefectural Kobe Children's Hospital Kobe Japan

Institute for Genomic Health Icahn School of Medicine at Mount Sinai New York NY USA

Institute of Clinical Medicine Faculty of Medicine Vilnius University Vilnius Lithuania

Kennedy Institute of Rheumatology University of Oxford Roosevelt Drive Headington Oxford OX3 7FY United Kingdom

Kidney Disease Initiative and Medical and Population Genetics Program Broad Institute of MIT and Harvard Cambridge MA USA

Laboratory on Molecular Nephrology IRCCS Instituto Giannina Gaslini Genoa Italy

Nephrology Dialysis and Transplantation Unit Department of Emergency and Organ Transplantation University of Bari Aldo Moro Bari Italy

Pediatric Nephrology Dialysis and Transplant Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano Italy

Pediatric Nephrology Hospital Universitari Vall d'Hebron Universitat Autónoma de Barcelona Barcelona Spain

Program in Medical and Population Genetics Broad Institute of MIT and Harvard Cambridge MA USA

Renal Diseases Research Unit Genetics and Rare Diseases Research Division Istituto di Ricovero e Cura a Carattere Scientifico Ospedale Pediatrico Bambino Gesù Rome Italy

Research and Clinical Institute for Pediatrics Pirogov Russian National Research Medical University Taldomskava St 2 Moscow Russia

Sorbonne Université UPMC Paris 06 Institut National de la Santé et de la Recherde Médicale Unité Mixte de Rechereche S 1155 Paris France

Surgical Medical and Dental Department of Morphological Sciences Section of Nephrology University of Modena and Reggio Emilia Modena Italy

The Charles Bronfman Institute for Personalized Medicine Icahn School of Medicine at Mount Sinai New York NY USA

Unità Operativa Nefrologia Azienda Ospedaliero Universitaria di Parma Dipartimento di Medicina e Chirurgia Università di Parma Parma Italy

Citace poskytuje Crossref.org

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