Uromodulin Levels Associate with a Common UMOD Variant and Risk for Incident CKD

Common variants in the region of the UMOD gene, which encodes uromodulin (Tamm-Horsfall protein), associate with chronic kidney disease (CKD) and estimated GFR (eGFR). Whether uromodulin levels associate with UMOD variants or with the risk for developing CKD is unknown. We conducted an age- and gend...

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Veröffentlicht in:Journal of the American Society of Nephrology 2010-02, Vol.21 (2), p.337-344
Hauptverfasser: KÖTTGEN, Anna, HWANG, Shih-Jen, GUDNASON, Vilmundur, SHLIPAK, Michael G, QIONG YANG, CORESH, Josef, LEVY, Daniel, FOX, Caroline S, LARSON, Martin G, VAN EYK, Jennifer E, QIN FU, BENJAMIN, Emelia J, DEHGHAN, Abbas, GLAZER, Nicole L, LINDA KAO, W. H, HARRIS, Tamara B
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container_issue 2
container_start_page 337
container_title Journal of the American Society of Nephrology
container_volume 21
creator KÖTTGEN, Anna
HWANG, Shih-Jen
GUDNASON, Vilmundur
SHLIPAK, Michael G
QIONG YANG
CORESH, Josef
LEVY, Daniel
FOX, Caroline S
LARSON, Martin G
VAN EYK, Jennifer E
QIN FU
BENJAMIN, Emelia J
DEHGHAN, Abbas
GLAZER, Nicole L
LINDA KAO, W. H
HARRIS, Tamara B
description Common variants in the region of the UMOD gene, which encodes uromodulin (Tamm-Horsfall protein), associate with chronic kidney disease (CKD) and estimated GFR (eGFR). Whether uromodulin levels associate with UMOD variants or with the risk for developing CKD is unknown. We conducted an age- and gender-matched case-control study (n = 200) of incident CKD (eGFR
doi_str_mv 10.1681/ASN.2009070725
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H ; HARRIS, Tamara B</creator><creatorcontrib>KÖTTGEN, Anna ; HWANG, Shih-Jen ; GUDNASON, Vilmundur ; SHLIPAK, Michael G ; QIONG YANG ; CORESH, Josef ; LEVY, Daniel ; FOX, Caroline S ; LARSON, Martin G ; VAN EYK, Jennifer E ; QIN FU ; BENJAMIN, Emelia J ; DEHGHAN, Abbas ; GLAZER, Nicole L ; LINDA KAO, W. H ; HARRIS, Tamara B</creatorcontrib><description>Common variants in the region of the UMOD gene, which encodes uromodulin (Tamm-Horsfall protein), associate with chronic kidney disease (CKD) and estimated GFR (eGFR). Whether uromodulin levels associate with UMOD variants or with the risk for developing CKD is unknown. We conducted an age- and gender-matched case-control study (n = 200) of incident CKD (eGFR &lt;60 ml/min per 1.73 m(2)) within the Framingham Heart Study (FHS). Baseline urinary uromodulin concentrations were related to case-control status 9.9 yr later and to genotype at rs4293393. As a replication set, we tested the genotype association with uromodulin concentration in the Atherosclerosis Risk in Communities (ARIC) Study (n = 42). Geometric means of uromodulin concentrations were 51% higher in case than in control subjects (P = 0.016). The adjusted odds ratio of CKD per 1-SD higher concentration of uromodulin was 1.72 (95% confidence interval 1.07 to 2.77; P = 0.03) after accounting for CKD risk factors and baseline eGFR. We observed lower urinary uromodulin concentrations per each copy of the C allele at rs4293393 in both cohorts. 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Urinary tract diseases ; Nephropathies. Renovascular diseases. Renal failure ; Polymorphism, Single Nucleotide - genetics ; Renal failure ; Risk Factors ; Urinary system involvement in other diseases. 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H</creatorcontrib><creatorcontrib>HARRIS, Tamara B</creatorcontrib><title>Uromodulin Levels Associate with a Common UMOD Variant and Risk for Incident CKD</title><title>Journal of the American Society of Nephrology</title><addtitle>J Am Soc Nephrol</addtitle><description>Common variants in the region of the UMOD gene, which encodes uromodulin (Tamm-Horsfall protein), associate with chronic kidney disease (CKD) and estimated GFR (eGFR). Whether uromodulin levels associate with UMOD variants or with the risk for developing CKD is unknown. We conducted an age- and gender-matched case-control study (n = 200) of incident CKD (eGFR &lt;60 ml/min per 1.73 m(2)) within the Framingham Heart Study (FHS). Baseline urinary uromodulin concentrations were related to case-control status 9.9 yr later and to genotype at rs4293393. As a replication set, we tested the genotype association with uromodulin concentration in the Atherosclerosis Risk in Communities (ARIC) Study (n = 42). Geometric means of uromodulin concentrations were 51% higher in case than in control subjects (P = 0.016). The adjusted odds ratio of CKD per 1-SD higher concentration of uromodulin was 1.72 (95% confidence interval 1.07 to 2.77; P = 0.03) after accounting for CKD risk factors and baseline eGFR. We observed lower urinary uromodulin concentrations per each copy of the C allele at rs4293393 in both cohorts. 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Urinary tract diseases</subject><subject>Nephropathies. Renovascular diseases. Renal failure</subject><subject>Polymorphism, Single Nucleotide - genetics</subject><subject>Renal failure</subject><subject>Risk Factors</subject><subject>Urinary system involvement in other diseases. 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H</au><au>HARRIS, Tamara B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Uromodulin Levels Associate with a Common UMOD Variant and Risk for Incident CKD</atitle><jtitle>Journal of the American Society of Nephrology</jtitle><addtitle>J Am Soc Nephrol</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>21</volume><issue>2</issue><spage>337</spage><epage>344</epage><pages>337-344</pages><issn>1046-6673</issn><issn>1533-3450</issn><eissn>1533-3450</eissn><coden>JASNEU</coden><abstract>Common variants in the region of the UMOD gene, which encodes uromodulin (Tamm-Horsfall protein), associate with chronic kidney disease (CKD) and estimated GFR (eGFR). Whether uromodulin levels associate with UMOD variants or with the risk for developing CKD is unknown. We conducted an age- and gender-matched case-control study (n = 200) of incident CKD (eGFR &lt;60 ml/min per 1.73 m(2)) within the Framingham Heart Study (FHS). Baseline urinary uromodulin concentrations were related to case-control status 9.9 yr later and to genotype at rs4293393. As a replication set, we tested the genotype association with uromodulin concentration in the Atherosclerosis Risk in Communities (ARIC) Study (n = 42). Geometric means of uromodulin concentrations were 51% higher in case than in control subjects (P = 0.016). The adjusted odds ratio of CKD per 1-SD higher concentration of uromodulin was 1.72 (95% confidence interval 1.07 to 2.77; P = 0.03) after accounting for CKD risk factors and baseline eGFR. We observed lower urinary uromodulin concentrations per each copy of the C allele at rs4293393 in both cohorts. In summary, elevated uromodulin concentrations precede the onset of CKD and associate with a common polymorphism in the UMOD region.</abstract><cop>Washington, DC</cop><pub>American Society of Nephrology</pub><pmid>19959715</pmid><doi>10.1681/ASN.2009070725</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Aged
Aged, 80 and over
Biological and medical sciences
Case-Control Studies
Chronic Disease
Clinical Epidemiology
Female
Genetic Predisposition to Disease - genetics
Genotype
Glomerular Filtration Rate - physiology
Humans
Kidney Diseases - genetics
Kidney Diseases - physiopathology
Kidney Diseases - urine
Kidney Diseases, Cystic - genetics
Kidneys
Male
Medical sciences
Middle Aged
Molecular Motor Proteins - genetics
Mucoproteins - genetics
Mucoproteins - urine
Myosin Heavy Chains - genetics
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
Polymorphism, Single Nucleotide - genetics
Renal failure
Risk Factors
Urinary system involvement in other diseases. Miscellaneous
Uromodulin
title Uromodulin Levels Associate with a Common UMOD Variant and Risk for Incident CKD
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