Genome-wide polygenic score to predict chronic kidney disease across ancestries.
Journal
Nature medicine
ISSN: 1546-170X
Titre abrégé: Nat Med
Pays: United States
ID NLM: 9502015
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
received:
09
11
2021
accepted:
11
05
2022
pubmed:
18
6
2022
medline:
27
7
2022
entrez:
17
6
2022
Statut:
ppublish
Résumé
Chronic kidney disease (CKD) is a common complex condition associated with high morbidity and mortality. Polygenic prediction could enhance CKD screening and prevention; however, this approach has not been optimized for ancestrally diverse populations. By combining APOL1 risk genotypes with genome-wide association studies (GWAS) of kidney function, we designed, optimized and validated a genome-wide polygenic score (GPS) for CKD. The new GPS was tested in 15 independent cohorts, including 3 cohorts of European ancestry (n = 97,050), 6 cohorts of African ancestry (n = 14,544), 4 cohorts of Asian ancestry (n = 8,625) and 2 admixed Latinx cohorts (n = 3,625). We demonstrated score transferability with reproducible performance across all tested cohorts. The top 2% of the GPS was associated with nearly threefold increased risk of CKD across ancestries. In African ancestry cohorts, the APOL1 risk genotype and polygenic component of the GPS had additive effects on the risk of CKD.
Identifiants
pubmed: 35710995
doi: 10.1038/s41591-022-01869-1
pii: 10.1038/s41591-022-01869-1
pmc: PMC9329233
mid: NIHMS1811979
doi:
Substances chimiques
APOL1 protein, human
0
Apolipoprotein L1
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1412-1420Subventions
Organisme : NIDDK NIH HHS
ID : F31 DK128990
Pays : United States
Organisme : NIA NIH HHS
ID : R00 AG054573
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG011167
Pays : United States
Organisme : NIDDK NIH HHS
ID : T32 DK116672
Pays : United States
Organisme : NIDDK NIH HHS
ID : K23 DK116967
Pays : United States
Organisme : NIDDK NIH HHS
ID : K25 DK128563
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL136666
Pays : United States
Organisme : NIGMS NIH HHS
ID : R35 GM140487
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK078616
Pays : United States
Organisme : NICHD NIH HHS
ID : K12 HD043483
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008685
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008680
Pays : United States
Organisme : NHLBI NIH HHS
ID : R35 HL155466
Pays : United States
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Type : CommentIn
Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Nature America, Inc.
Références
Coresh, J. et al. Prevalence of chronic kidney disease in the United States. JAMA 298, 2038–2047 (2007).
pubmed: 17986697
doi: 10.1001/jama.298.17.2038
Naghavi, M. et al. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 390, 1151–1210 (2017).
doi: 10.1016/S0140-6736(17)32152-9
Chronic Kidney Disease in the United States (Centers for Disease Control and Prevention, 2022); https://www.cdc.gov/kidneydisease/publications-resources/ckd-national-facts.html
Shang, N. et al. Medical records-based chronic kidney disease phenotype for clinical care and “big data” observational and genetic studies. NPJ Digit. Med. 4, 70 (2021).
pubmed: 33850243
pmcid: 8044136
doi: 10.1038/s41746-021-00428-1
Fox, C. S. et al. Genomewide linkage analysis to serum creatinine, GFR, and creatinine clearance in a community-based population: the Framingham Heart Study. J. Am. Soc. Nephrol. 15, 2457–2461 (2004).
pubmed: 15339995
doi: 10.1097/01.ASN.0000135972.13396.6F
Langefeld, C. D. et al. Heritability of GFR and albuminuria in Caucasians with type 2 diabetes mellitus. Am. J. Kidney Dis. 43, 796–800 (2004).
pubmed: 15112169
doi: 10.1053/j.ajkd.2003.12.043
Satko, S. G. & Freedman, B. I. The familial clustering of renal disease and related phenotypes. Med. Clin. North. Am. 89, 447–456 (2005).
pubmed: 15755461
doi: 10.1016/j.mcna.2004.11.011
Groopman, E. E. et al. Diagnostic utility of exome sequencing for kidney disease. N. Engl. J. Med. 380, 142–151 (2019).
pubmed: 30586318
doi: 10.1056/NEJMoa1806891
Lata, S. Whole-exome sequencing in adults with chronic kidney disease: a pilot study. Ann. Intern. Med. 168, 100–109 (2018).
pubmed: 29204651
doi: 10.7326/M17-1319
Köttgen, A. et al. Multiple loci associated with indices of renal function and chronic kidney disease. Nat. Genet. 41, 712–717 (2009).
pubmed: 19430482
pmcid: 3039280
doi: 10.1038/ng.377
Wuttke, M. et al. A catalog of genetic loci associated with kidney function from analyses of a million individuals. Nat. Genet. 51, 957–972 (2019).
pubmed: 31152163
pmcid: 6698888
doi: 10.1038/s41588-019-0407-x
Genovese, G. et al. Association of trypanolytic ApoL1 variants with kidney disease in African Americans. Science 329, 841–845 (2010).
pubmed: 20647424
pmcid: 2980843
doi: 10.1126/science.1193032
Parsa, A. et al. APOL1 risk variants, race, and progression of chronic kidney disease. N. Engl. J. Med. 369, 2183–2196 (2013).
pubmed: 24206458
pmcid: 3969022
doi: 10.1056/NEJMoa1310345
Thomson, R. et al. Evolution of the primate trypanolytic factor APOL1. Proc. Natl Acad. Sci. USA 111, E2130–E2139 (2014).
pubmed: 24808134
pmcid: 4034216
Ko, W.-Y. et al. Identifying Darwinian selection acting on different human APOL1 variants among diverse African populations. Am. J. Hum. Genet. 93, 54–66 (2013).
pubmed: 23768513
pmcid: 3710747
doi: 10.1016/j.ajhg.2013.05.014
Nadkarni, G. N. et al. Worldwide frequencies of APOL1 renal risk variants. N. Engl. J. Med. 379, 2571–2572 (2018).
pubmed: 30586505
pmcid: 6482949
doi: 10.1056/NEJMc1800748
Gladding, P. A., Legget, M., Fatkin, D., Larsen, P. & Doughty, R. Polygenic risk scores in coronary artery disease and atrial fibrillation. Heart Lung Circ. 29, 634–640 (2020).
pubmed: 31974023
doi: 10.1016/j.hlc.2019.12.004
Khera, A. V. et al. Genome-wide polygenic scores for common diseases identify individuals with risk equivalent to monogenic mutations. Nat. Genet. 50, 1219–1224 (2018).
pubmed: 30104762
pmcid: 6128408
doi: 10.1038/s41588-018-0183-z
Läll, K., Mägi, R., Morris, A., Metspalu, A. & Fischer, K. Personalized risk prediction for type 2 diabetes: the potential of genetic risk scores. Genet. Med. 19, 322–329 (2017).
pubmed: 27513194
doi: 10.1038/gim.2016.103
Hoffmann, T. J. et al. Genome-wide association analyses using electronic health records identify new loci influencing blood pressure variation. Nat. Genet. 49, 54–64 (2017).
pubmed: 27841878
doi: 10.1038/ng.3715
Ehret, G. B. et al. The genetics of blood pressure regulation and its target organs from association studies in 342,415 individuals. Nat. Genet. 48, 1171–1184 (2016).
pubmed: 27618452
pmcid: 5042863
doi: 10.1038/ng.3667
Khera, A. V. et al. Polygenic prediction of weight and obesity trajectories from birth to adulthood. Cell 177, 587–596.e9 (2019).
pubmed: 31002795
pmcid: 6661115
doi: 10.1016/j.cell.2019.03.028
Weinberger, D. R. Polygenic risk scores in clinical schizophrenia research. Am. J. Psychiatry 176, 3–4 (2019).
pubmed: 30848945
doi: 10.1176/appi.ajp.2018.18111274
Reginsson, G. W. et al. Polygenic risk scores for schizophrenia and bipolar disorder associate with addiction. Addict. Biol. 23, 485–492 (2018).
pubmed: 28231610
doi: 10.1111/adb.12496
Power, R. A. et al. Polygenic risk scores for schizophrenia and bipolar disorder predict creativity. Nat. Neurosci. 18, 953–955 (2015).
pubmed: 26053403
doi: 10.1038/nn.4040
Aly, M. et al. Polygenic risk score improves prostate cancer risk prediction: results from the Stockholm-1 cohort study. Eur. Urol. 60, 21–28 (2011).
pubmed: 21295399
pmcid: 4417350
doi: 10.1016/j.eururo.2011.01.017
Fritsche, L. G. et al. Association of polygenic risk scores for multiple cancers in a phenome-wide study: results from the Michigan Genomics Initiative. Am. J. Hum. Genet. 102, 1048–1061 (2018).
pubmed: 29779563
pmcid: 5992124
doi: 10.1016/j.ajhg.2018.04.001
Jeon, J. et al. Determining risk of colorectal cancer and starting age of screening based on lifestyle, environmental, and genetic factors. Gastroenterology 154, 2152–2164.e19 (2018).
pubmed: 29458155
doi: 10.1053/j.gastro.2018.02.021
Huyghe, J. R. et al. Discovery of common and rare genetic risk variants for colorectal cancer. Nat. Genet. 51, 76–87 (2019).
pubmed: 30510241
doi: 10.1038/s41588-018-0286-6
Mavaddat, N. et al. Polygenic risk scores for prediction of breast cancer and breast cancer subtypes. Am. J. Hum. Genet. 104, 21–34 (2019).
pubmed: 30554720
doi: 10.1016/j.ajhg.2018.11.002
Seibert, T. M. et al. Polygenic hazard score to guide screening for aggressive prostate cancer: development and validation in large scale cohorts. BMJ 360, j5757 (2018).
pubmed: 29321194
pmcid: 5759091
doi: 10.1136/bmj.j5757
Martin, A. R. et al. Clinical use of current polygenic risk scores may exacerbate health disparities. Nat. Genet. 51, 584–591 (2019).
pubmed: 30926966
pmcid: 6563838
doi: 10.1038/s41588-019-0379-x
Wand, H. et al. Improving reporting standards for polygenic scores in risk prediction studies. Nature 591, 211–219 (2021).
pubmed: 33692554
pmcid: 8609771
doi: 10.1038/s41586-021-03243-6
Zhang, J., Thio, C. H. L., Gansevoort, R. T. & Snieder, H. Familial aggregation of CKD and heritability of kidney biomarkers in the general population: the Lifelines Cohort Study. Am. J. Kidney Dis. 77, 869–878 (2021).
pubmed: 33359149
doi: 10.1053/j.ajkd.2020.11.012
Inker, L. A. et al. New creatinine- and cystatin C-based equations to estimate GFR without race. N. Engl. J. Med. 385, 1737–1749 (2021).
pubmed: 34554658
pmcid: 8822996
doi: 10.1056/NEJMoa2102953
Yu, Z. et al. Polygenic risk scores for kidney function and their associations with circulating proteome, and incident kidney diseases. J. Am. Soc. Nephrol. 32, 3161–3173 (2021).
doi: 10.1681/ASN.2020111599
Polubriaginof, F., Tatonetti, N. P. & Vawdrey, D. K. An assessment of family history information captured in an electronic health record. AMIA Annu. Symp. Proc. 2015, 2035–2042 (2015).
pubmed: 26958303
pmcid: 4765557
Tada, H. et al. Risk prediction by genetic risk scores for coronary heart disease is independent of self-reported family history. Eur. Heart J. 37, 561–567 (2016).
pubmed: 26392438
doi: 10.1093/eurheartj/ehv462
Timmerman, N. et al. Family history and polygenic risk of cardiovascular disease: independent factors associated with secondary cardiovascular events in patients undergoing carotid endarterectomy. Atherosclerosis 307, 121–129 (2020).
pubmed: 32624175
doi: 10.1016/j.atherosclerosis.2020.04.013
Hindy, G. et al. Genome-wide polygenic score, clinical risk factors, and long-term trajectories of coronary artery disease. Arterioscler. Thromb. Vasc. Biol. 40, 2738–2746 (2020).
pubmed: 32957805
pmcid: 7577949
doi: 10.1161/ATVBAHA.120.314856
Inouye, M. et al. Genomic risk prediction of coronary artery disease in 480,000 adults: implications for primary prevention. J. Am. Coll. Cardiol. 72, 1883–1893 (2018).
pubmed: 30309464
pmcid: 6176870
doi: 10.1016/j.jacc.2018.07.079
Lee, A. et al. BOADICEA: a comprehensive breast cancer risk prediction model incorporating genetic and nongenetic risk factors. Genet. Med. 21, 1708–1718 (2019).
pubmed: 30643217
pmcid: 6687499
doi: 10.1038/s41436-018-0406-9
Orlando, L. A. et al. Development and validation of a primary care-based family health history and decision support program (MeTree). N. C. Med. J. 74, 287–296 (2013).
pubmed: 24044145
pmcid: 5215064
Fahed, A. C. et al. Polygenic background modifies penetrance of monogenic variants for tier 1 genomic conditions. Nat. Commun. 11, 3635 (2020).
pubmed: 32820175
pmcid: 7441381
doi: 10.1038/s41467-020-17374-3
Zanoni, F. & Kiryluk, K. Genetic background and transplantation outcomes: insights from genome-wide association studies. Curr. Opin. Organ Transpl. 25, 35–41 (2020).
doi: 10.1097/MOT.0000000000000718
Hellwege, J. N. et al. Mapping eGFR loci to the renal transcriptome and phenome in the VA Million Veteran Program. Nat. Commun. 10, 3842 (2019).
pubmed: 31451708
pmcid: 6710266
doi: 10.1038/s41467-019-11704-w
Sheng, X. et al. Mapping the genetic architecture of human traits to cell types in the kidney identifies mechanisms of disease and potential treatments. Nat. Genet. 53, 1322–1333 (2021).
pubmed: 34385711
pmcid: 9338440
doi: 10.1038/s41588-021-00909-9
Neugut, Y. D., Mohan, S., Gharavi, A. G. & Kiryluk, K. Cases in precision medicine: APOL1 and genetic testing in the evaluation of chronic kidney disease and potential transplant. Ann. Intern. Med. 171, 659–664 (2019).
pubmed: 31590185
pmcid: 7441647
doi: 10.7326/M19-1389
Sirugo, G., Williams, S. M. & Tishkoff, S. A. The missing diversity in human genetic studies. Cell 177, 26–31 (2019).
pubmed: 30901543
pmcid: 7380073
doi: 10.1016/j.cell.2019.02.048
Delanaye, P. et al. CKD: a call for an age-adapted definition. J. Am. Soc. Nephrol. 30, 1785–1805 (2019).
pubmed: 31506289
pmcid: 6779354
doi: 10.1681/ASN.2019030238
Teumer, A. et al. Genome-wide association meta-analyses and fine-mapping elucidate pathways influencing albuminuria. Nat. Commun. 10, 4130 (2019).
pubmed: 31511532
pmcid: 6739370
doi: 10.1038/s41467-019-11576-0
Kiryluk, K. et al. Discovery of new risk loci for IgA nephropathy implicates genes involved in immunity against intestinal pathogens. Nat. Genet. 46, 1187–1196 (2014).
pubmed: 25305756
pmcid: 4213311
doi: 10.1038/ng.3118
Xie, J. et al. The genetic architecture of membranous nephropathy and its potential to improve non-invasive diagnosis. Nat. Commun. 11, 1600 (2020).
pubmed: 32231244
pmcid: 7105485
doi: 10.1038/s41467-020-15383-w
Sohail, M. et al. Polygenic adaptation on height is overestimated due to uncorrected stratification in genome-wide association studies. Elife 8, e39702 (2019).
pubmed: 30895926
pmcid: 6428571
doi: 10.7554/eLife.39702
Vyas, D. A., Eisenstein, L. G. & Jones, D. S. Hidden in plain sight—reconsidering the use of race correction in clinical algorithms. N. Engl. J. Med. 383, 874–882 (2020).
pubmed: 32853499
doi: 10.1056/NEJMms2004740
Delgado, C. et al. A unifying approach for GFR estimation: recommendations of the NKF-ASN Task Force on reassessing the inclusion of race in diagnosing kidney disease. J. Am. Soc. Nephrol. 32, 2994–3015 (2021).
doi: 10.1681/ASN.2021070988
Khan, A. et al. Medical records-based genetic studies of the complement system. J. Am. Soc. Nephrol. 32, 2031–2047 (2021).
pubmed: 33941608
pmcid: 8455263
doi: 10.1681/ASN.2020091371
McCarthy, S. et al. A reference panel of 64,976 haplotypes for genotype imputation. Nat. Genet. 48, 1279–1283 (2016).
pubmed: 27548312
pmcid: 5388176
doi: 10.1038/ng.3643
Abraham, G. & Inouye, M. Fast principal component analysis of large-scale genome-wide data. PLoS ONE 9, e93766 (2014).
pubmed: 24718290
pmcid: 3981753
doi: 10.1371/journal.pone.0093766
Das, S. et al. Next-generation genotype imputation service and methods. Nat. Genet. 48, 1284–1287 (2016).
pubmed: 27571263
pmcid: 5157836
doi: 10.1038/ng.3656
Danecek, P. et al. The variant call format and VCFtools. Bioinformatics 27, 2156–2158 (2011).
pubmed: 21653522
pmcid: 3137218
doi: 10.1093/bioinformatics/btr330
Purcell, S. et al. PLINK: a tool set for whole-genome association and population-based linkage analyses. Am. J. Hum. Genet. 81, 559–575 (2007).
pubmed: 17701901
pmcid: 1950838
doi: 10.1086/519795
Bycroft, C. et al. The UK Biobank resource with deep phenotyping and genomic data. Nature 562, 203–209 (2018).
pubmed: 30305743
pmcid: 6786975
doi: 10.1038/s41586-018-0579-z
Belbin, G. M. et al. Toward a fine-scale population health monitoring system. Cell 184, 2068–2083.e11 (2021).
pubmed: 33861964
doi: 10.1016/j.cell.2021.03.034
Howard, V. J. et al. The reasons for geographic and racial differences in stroke study: objectives and design. Neuroepidemiology 25, 135–143 (2005).
pubmed: 15990444
doi: 10.1159/000086678
Williams, R. R. et al. NHLBI family blood pressure program: methodology and recruitment in the HyperGEN network. Ann. Epidemiol. 10, 389–400 (2000).
pubmed: 10964005
doi: 10.1016/S1047-2797(00)00063-6
Limdi, N. A. et al. Influence of kidney function on risk of supratherapeutic international normalized ratio-related hemorrhage in warfarin users: a prospective cohort study. Am. J. Kidney Dis. 65, 701–709 (2015).
pubmed: 25468385
doi: 10.1053/j.ajkd.2014.11.004
Arnett, D. K. et al. Pharmacogenetic approaches to hypertension therapy: design and rationale for the Genetics of Hypertension Associated Treatment (GenHAT) study. Pharmacogenomics J. 2, 309–317 (2002).
pubmed: 12439737
doi: 10.1038/sj.tpj.6500113
Furberg, C. D. et al. Major cardiovascular events in hypertensive patients randomized to doxazosin vs chlorthalidone: the antihypertensive and lipid-lowering treatment to prevent heart attack trial (ALLHAT). ALLHAT Collaborative Research Group. JAMA 283, 1967–1975 (2000).
doi: 10.1001/jama.283.15.1967
Auton, A. et al. A global reference for human genetic variation. Nature 526, 68–74 (2015).
pubmed: 26432245
doi: 10.1038/nature15393
Levey, A. S. & Stevens, L. A. Estimating GFR using the CKD Epidemiology Collaboration (CKD-EPI) creatinine equation: more accurate GFR estimates, lower CKD prevalence estimates, and better risk predictions. Am. J. Kidney Dis. 55, 622–627 (2010).
pubmed: 20338463
pmcid: 2846308
doi: 10.1053/j.ajkd.2010.02.337
Kidney Disease: Improving Global Outcomes (KDIGO) Chronic Kidney Disease Work Group KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int. Suppl. 3, 1–150 (2013).
Vilhjálmsson, B. J. et al. Modeling linkage disequilibrium increases accuracy of polygenic risk scores. Am. J. Hum. Genet. 97, 576–592 (2015).
pubmed: 26430803
pmcid: 4596916
doi: 10.1016/j.ajhg.2015.09.001
Willer, C. J., Li, Y. & Abecasis, G. R. METAL: fast and efficient meta-analysis of genomewide association scans. Bioinformatics 26, 2190–2191 (2010).
pubmed: 20616382
pmcid: 2922887
doi: 10.1093/bioinformatics/btq340
Khera, A. V. et al. Whole-genome sequencing to characterize monogenic and polygenic contributions in patients hospitalized with early-onset myocardial infarction. Circulation 139, 1593–1602 (2019).
pubmed: 30586733
pmcid: 6433484
doi: 10.1161/CIRCULATIONAHA.118.035658