Strong protective effect of the APOL1 p.N264K variant against G2-associated focal segmental glomerulosclerosis and kidney disease.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
30 Nov 2023
Historique:
received: 25 08 2023
accepted: 30 10 2023
medline: 4 12 2023
pubmed: 1 12 2023
entrez: 30 11 2023
Statut: epublish

Résumé

African Americans have a significantly higher risk of developing chronic kidney disease, especially focal segmental glomerulosclerosis -, than European Americans. Two coding variants (G1 and G2) in the APOL1 gene play a major role in this disparity. While 13% of African Americans carry the high-risk recessive genotypes, only a fraction of these individuals develops FSGS or kidney failure, indicating the involvement of additional disease modifiers. Here, we show that the presence of the APOL1 p.N264K missense variant, when co-inherited with the G2 APOL1 risk allele, substantially reduces the penetrance of the G1G2 and G2G2 high-risk genotypes by rendering these genotypes low-risk. These results align with prior functional evidence showing that the p.N264K variant reduces the toxicity of the APOL1 high-risk alleles. These findings have important implications for our understanding of the mechanisms of APOL1-associated nephropathy, as well as for the clinical management of individuals with high-risk genotypes that include the G2 allele.

Identifiants

pubmed: 38036523
doi: 10.1038/s41467-023-43020-9
pii: 10.1038/s41467-023-43020-9
pmc: PMC10689833
doi:

Substances chimiques

Apolipoprotein L1 0
Apolipoproteins 0
APOL1 protein, human 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7836

Subventions

Organisme : NHGRI NIH HHS
ID : U01 HG006385
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008676
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG011167
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK105124
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK136765
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008657
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG006382
Pays : United States
Organisme : NIDDK NIH HHS
ID : K25 DK128563
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK076683
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG006389
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008679
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008673
Pays : United States
Organisme : NIDDK NIH HHS
ID : RC2 DK122397
Pays : United States
Organisme : NIAID NIH HHS
ID : U01 AI152960
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG004438
Pays : United States
Organisme : NICHD NIH HHS
ID : R21 HD104176
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG006375
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG011172
Pays : United States
Organisme : NCATS NIH HHS
ID : U2C TR002818
Pays : United States
Organisme : NIDDK NIH HHS
ID : U54 DK083912
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG004424
Pays : United States
Organisme : NIDDK NIH HHS
ID : K01 DK137031
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG011175
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008672
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK134347
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008684
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG011169
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG006828
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG006380
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK119380
Pays : United States
Organisme : NINDS NIH HHS
ID : U01 NS041588
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008666
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK100876
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG006388
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008680
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG011176
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG006378
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008685
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG006379
Pays : United States
Organisme : NIDDK NIH HHS
ID : RC2 DK116690
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001873
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG011166
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008664
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG011181
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG008701
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG006830
Pays : United States
Organisme : NLM NIH HHS
ID : R01 LM013061
Pays : United States

Commentaires et corrections

Type : UpdateOf

Informations de copyright

© 2023. The Author(s).

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Auteurs

Yask Gupta (Y)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Institute for Inflammation Medicine, University of Lubeck, Lübeck, Germany.

David J Friedman (DJ)

Nephrology Division, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.

Michelle T McNulty (MT)

Division of Pediatric Nephrology, Boston Children's Hospital, Boston, MA, USA.
Kidney Disease Initiative and Medical and Population Genetics Program, Broad Institute, Boston, MA, USA.

Atlas Khan (A)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Brandon Lane (B)

Division of Nephrology, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.

Chen Wang (C)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Juntao Ke (J)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Gina Jin (G)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Benjamin Wooden (B)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Andrea L Knob (AL)

Nephrology Division, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.

Tze Y Lim (TY)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Unit of Genomic Variability and Complex Diseases, Department of Medical Sciences, University of Turin, Turin, Italy.

Gerald B Appel (GB)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Kinsie Huggins (K)

Division of Nephrology, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.

Lili Liu (L)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Adele Mitrotti (A)

Department of Precision and Regenerative Medicine and Ionian Area (DiMePre-J) Nephrology, Dialysis and Transplantation Unit, University of Bari Aldo Moro, Bari, Italy.

Megan C Stangl (MC)

Division of Nephrology, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.

Andrew Bomback (A)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Rik Westland (R)

Department of Pediatric Nephrology, Emma Children's Hospital, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.

Monica Bodria (M)

Division of Nephrology and Renal Transplantation, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Laboratory on Molecular Nephrology, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Maddalena Marasa (M)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Ning Shang (N)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

David J Cohen (DJ)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Russell J Crew (RJ)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

William Morello (W)

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

Pietro Canetta (P)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Jai Radhakrishnan (J)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Jeremiah Martino (J)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Qingxue Liu (Q)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Wendy K Chung (WK)

Departments of Pediatrics and Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Angelica Espinoza (A)

Center for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Yuan Luo (Y)

Center for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Wei-Qi Wei (WQ)

Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Qiping Feng (Q)

Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Chunhua Weng (C)

Department of Biomedical Informatics, Columbia University Irving Medical Center, New York, NY, USA.

Yilu Fang (Y)

Department of Biomedical Informatics, Columbia University Irving Medical Center, New York, NY, USA.

Iftikhar J Kullo (IJ)

Atherosclerosis and Lipid Genomics Laboratory, Mayo Clinic, Rochester, MN, USA.

Mohammadreza Naderian (M)

Atherosclerosis and Lipid Genomics Laboratory, Mayo Clinic, Rochester, MN, USA.

Nita Limdi (N)

Department of Neurology, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Marguerite R Irvin (MR)

Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.

Hemant Tiwari (H)

Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.

Sumit Mohan (S)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.

Maya Rao (M)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Geoffrey K Dube (GK)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Ninad S Chaudhary (NS)

Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.

Orlando M Gutiérrez (OM)

Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Division of Nephrology, Department of Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Suzanne E Judd (SE)

Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.

Mary Cushman (M)

Department of Medicine and Pathology and Laboratory Medicine, University of Vermont, Burlington, VT, USA.

Leslie A Lange (LA)

Department of Biomedical Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Ethan M Lange (EM)

Department of Biomedical Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Daniel L Bivona (DL)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Miguel Verbitsky (M)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Cheryl A Winkler (CA)

Cancer Innovation Laboratory, Center for Cancer Research, National Cancer Institute, National Institutes of Health and Basic Research Program, Frederick National Laboratory, Frederick, MD, USA.

Jeffrey B Kopp (JB)

Kidney Disease Section, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), NIH, Bethesda, MD, USA.

Dominick Santoriello (D)

Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.

Ibrahim Batal (I)

Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.

Sérgio Veloso Brant Pinheiro (SVB)

Universidade Federal de Minas Gerais (UFMG), Faculdade de Medicina, Laboratório Interdisciplinar de Investigação Médica, Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Belo Horizonte, MG, Brazil.

Eduardo Araújo Oliveira (EA)

Universidade Federal de Minas Gerais (UFMG), Faculdade de Medicina, Laboratório Interdisciplinar de Investigação Médica, Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Belo Horizonte, MG, Brazil.

Ana Cristina Simoes E Silva (AC)

Universidade Federal de Minas Gerais (UFMG), Faculdade de Medicina, Laboratório Interdisciplinar de Investigação Médica, Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Belo Horizonte, MG, Brazil.

Isabella Pisani (I)

Nephrology Unit, Parma University Hospital, and Department of Medicine and Surgery, University of Parma, Parma, Italy.

Enrico Fiaccadori (E)

Nephrology Unit, Parma University Hospital, and Department of Medicine and Surgery, University of Parma, Parma, Italy.

Fangming Lin (F)

Division of Pediatric Nephrology, Department of Pediatrics, Columbia University, New York, NY, USA.

Loreto Gesualdo (L)

Department of Precision and Regenerative Medicine and Ionian Area (DiMePre-J) Nephrology, Dialysis and Transplantation Unit, University of Bari Aldo Moro, Bari, Italy.

Antonio Amoroso (A)

Immunogenetics and Transplant Biology Service, University Hospital "Città della Salute e della Scienza di Torino", Department of Medical Sciences, University of Turin, Turin, Italy.

Gian Marco Ghiggeri (GM)

Division of Nephrology and Renal Transplantation, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Laboratory on Molecular Nephrology, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Vivette D D'Agati (VD)

Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.

Riccardo Magistroni (R)

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

Eimear E Kenny (EE)

Institute for Genomic Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Center for Translational Genomics, Icahn School of Medicine, New York, NY, 10027, USA.
Division of Genomic Medicine, Department of Medicine, Icahn School of Medicine, New York, NY, 10027, USA.

Ruth J F Loos (RJF)

The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.

Giovanni Montini (G)

Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy.
Department of Clinical Sciences and Community Health, Giuliana and Bernardo Caprotti Chair of Pediatrics, University of Milano, Milano, Italy.

Friedhelm Hildebrandt (F)

Harvard Medical School, Boston, MA, USA.
Division of Pediatric Nephrology, Boston Children's Hospital, Boston, MA, USA.

Dirk S Paul (DS)

Centre for Genomics Research, Discovery Sciences, BioPharmaceuticals R&D, AstraZeneca, Cambridge, UK.

Slavé Petrovski (S)

Centre for Genomics Research, Discovery Sciences, BioPharmaceuticals R&D, AstraZeneca, Cambridge, UK.

David B Goldstein (DB)

Institute for Genomic Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Matthias Kretzler (M)

Department of Internal Medicine, Division of Nephrology, University of Michigan, Ann Arbor, MI, USA.

Rasheed Gbadegesin (R)

Division of Nephrology, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.

Ali G Gharavi (AG)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Krzysztof Kiryluk (K)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.

Matthew G Sampson (MG)

Harvard Medical School, Boston, MA, USA.
Division of Pediatric Nephrology, Boston Children's Hospital, Boston, MA, USA.
Kidney Disease Initiative and Medical and Population Genetics Program, Broad Institute, Boston, MA, USA.

Martin R Pollak (MR)

Nephrology Division, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.

Simone Sanna-Cherchi (S)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA. ss2517@cumc.columbia.edu.

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Classifications MeSH