Association of Trypanolytic ApoL1 Variants with Kidney Disease in African Americans

African Americans have higher rates of kidney disease than European Americans. Here, we show that, in African Americans, focal segmental glomerulosclerosis (FSGS) and hypertension-attributed end-stage kidney disease (H-ESKD) are associated with two independent sequence variants in the APOL1 gene on...

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Veröffentlicht in:Science (American Association for the Advancement of Science) 2010-08, Vol.329 (5993), p.841-845
Hauptverfasser: Genovese, Giulio, Friedman, David J, Ross, Michael D, Lecordier, Laurence, Uzureau, Pierrick, Freedman, Barry I, Bowden, Donald W, Langefeld, Carl D, Oleksyk, Taras K, Uscinski Knob, Andrea L, Bernhardy, Andrea J, Hicks, Pamela J, Nelson, George W, Vanhollebeke, Benoit, Winkler, Cheryl A, Kopp, Jeffrey B, Pays, Etienne, Pollak, Martin R
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container_issue 5993
container_start_page 841
container_title Science (American Association for the Advancement of Science)
container_volume 329
creator Genovese, Giulio
Friedman, David J
Ross, Michael D
Lecordier, Laurence
Uzureau, Pierrick
Freedman, Barry I
Bowden, Donald W
Langefeld, Carl D
Oleksyk, Taras K
Uscinski Knob, Andrea L
Bernhardy, Andrea J
Hicks, Pamela J
Nelson, George W
Vanhollebeke, Benoit
Winkler, Cheryl A
Kopp, Jeffrey B
Pays, Etienne
Pollak, Martin R
description African Americans have higher rates of kidney disease than European Americans. Here, we show that, in African Americans, focal segmental glomerulosclerosis (FSGS) and hypertension-attributed end-stage kidney disease (H-ESKD) are associated with two independent sequence variants in the APOL1 gene on chromosome 22 {FSGS odds ratio = 10.5 [95% confidence interval (CI) 6.0 to 18.4]; H-ESKD odds ratio = 7.3 (95% CI 5.6 to 9.5)}. The two APOL1 variants are common in African chromosomes but absent from European chromosomes, and both reside within haplotypes that harbor signatures of positive selection. ApoL1 (apolipoprotein L-1) is a serum factor that lyses trypanosomes. In vitro assays revealed that only the kidney disease-associated ApoL1 variants lysed Trypanosoma brucei rhodesiense. We speculate that evolution of a critical survival factor in Africa may have contributed to the high rates of renal disease in African Americans.
doi_str_mv 10.1126/science.1193032
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Here, we show that, in African Americans, focal segmental glomerulosclerosis (FSGS) and hypertension-attributed end-stage kidney disease (H-ESKD) are associated with two independent sequence variants in the APOL1 gene on chromosome 22 {FSGS odds ratio = 10.5 [95% confidence interval (CI) 6.0 to 18.4]; H-ESKD odds ratio = 7.3 (95% CI 5.6 to 9.5)}. The two APOL1 variants are common in African chromosomes but absent from European chromosomes, and both reside within haplotypes that harbor signatures of positive selection. ApoL1 (apolipoprotein L-1) is a serum factor that lyses trypanosomes. In vitro assays revealed that only the kidney disease-associated ApoL1 variants lysed Trypanosoma brucei rhodesiense. 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Here, we show that, in African Americans, focal segmental glomerulosclerosis (FSGS) and hypertension-attributed end-stage kidney disease (H-ESKD) are associated with two independent sequence variants in the APOL1 gene on chromosome 22 {FSGS odds ratio = 10.5 [95% confidence interval (CI) 6.0 to 18.4]; H-ESKD odds ratio = 7.3 (95% CI 5.6 to 9.5)}. The two APOL1 variants are common in African chromosomes but absent from European chromosomes, and both reside within haplotypes that harbor signatures of positive selection. ApoL1 (apolipoprotein L-1) is a serum factor that lyses trypanosomes. In vitro assays revealed that only the kidney disease-associated ApoL1 variants lysed Trypanosoma brucei rhodesiense. 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Friedman, David J ; Ross, Michael D ; Lecordier, Laurence ; Uzureau, Pierrick ; Freedman, Barry I ; Bowden, Donald W ; Langefeld, Carl D ; Oleksyk, Taras K ; Uscinski Knob, Andrea L ; Bernhardy, Andrea J ; Hicks, Pamela J ; Nelson, George W ; Vanhollebeke, Benoit ; Winkler, Cheryl A ; Kopp, Jeffrey B ; Pays, Etienne ; Pollak, Martin R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-c2218ad8c843e5217f516d72c36f4013cfda97db69c57e4e85a88b1f3e983df23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Africa</topic><topic>African Americans</topic><topic>Alleles</topic><topic>Apolipoprotein L1</topic><topic>Apolipoproteins - blood</topic><topic>Apolipoproteins - genetics</topic><topic>Apolipoproteins - metabolism</topic><topic>Black or African American - genetics</topic><topic>Case-Control Studies</topic><topic>Chromosomes</topic><topic>Cohort Studies</topic><topic>Confidence intervals</topic><topic>Diabetic nephropathies</topic><topic>Disease risk</topic><topic>Evolution</topic><topic>Focal segmental glomerulosclerosis</topic><topic>Gene Frequency</topic><topic>Genes</topic><topic>Genetic Association Studies</topic><topic>Genetic mutation</topic><topic>Genetic Predisposition to Disease</topic><topic>Genotypes</topic><topic>Glomerulosclerosis, Focal Segmental - ethnology</topic><topic>Glomerulosclerosis, Focal Segmental - genetics</topic><topic>Haplotypes</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Immunity, Innate</topic><topic>Kidney diseases</topic><topic>Kidney Failure, Chronic - ethnology</topic><topic>Kidney Failure, Chronic - etiology</topic><topic>Kidney Failure, Chronic - genetics</topic><topic>Kidneys</topic><topic>Linkage Disequilibrium</topic><topic>Lipoproteins, HDL - blood</topic><topic>Lipoproteins, HDL - genetics</topic><topic>Lipoproteins, HDL - metabolism</topic><topic>Logistic Models</topic><topic>Molecular Motor Proteins - genetics</topic><topic>Mutation</topic><topic>Myosin Heavy Chains - genetics</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Population genetics</topic><topic>Proteins</topic><topic>Recombinant Proteins - metabolism</topic><topic>Selection, Genetic</topic><topic>Sequence Deletion</topic><topic>Signatures</topic><topic>Survival</topic><topic>Trypanosoma brucei rhodesiense - metabolism</topic><topic>Trypanosome</topic><topic>Trypanosomiasis, African - genetics</topic><topic>Trypanosomiasis, African - parasitology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Genovese, Giulio</creatorcontrib><creatorcontrib>Friedman, David J</creatorcontrib><creatorcontrib>Ross, Michael D</creatorcontrib><creatorcontrib>Lecordier, Laurence</creatorcontrib><creatorcontrib>Uzureau, Pierrick</creatorcontrib><creatorcontrib>Freedman, Barry I</creatorcontrib><creatorcontrib>Bowden, Donald W</creatorcontrib><creatorcontrib>Langefeld, Carl D</creatorcontrib><creatorcontrib>Oleksyk, Taras K</creatorcontrib><creatorcontrib>Uscinski Knob, Andrea L</creatorcontrib><creatorcontrib>Bernhardy, Andrea J</creatorcontrib><creatorcontrib>Hicks, Pamela J</creatorcontrib><creatorcontrib>Nelson, George W</creatorcontrib><creatorcontrib>Vanhollebeke, Benoit</creatorcontrib><creatorcontrib>Winkler, Cheryl A</creatorcontrib><creatorcontrib>Kopp, Jeffrey B</creatorcontrib><creatorcontrib>Pays, Etienne</creatorcontrib><creatorcontrib>Pollak, Martin R</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Aluminium Industry Abstracts</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium &amp; 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Here, we show that, in African Americans, focal segmental glomerulosclerosis (FSGS) and hypertension-attributed end-stage kidney disease (H-ESKD) are associated with two independent sequence variants in the APOL1 gene on chromosome 22 {FSGS odds ratio = 10.5 [95% confidence interval (CI) 6.0 to 18.4]; H-ESKD odds ratio = 7.3 (95% CI 5.6 to 9.5)}. The two APOL1 variants are common in African chromosomes but absent from European chromosomes, and both reside within haplotypes that harbor signatures of positive selection. ApoL1 (apolipoprotein L-1) is a serum factor that lyses trypanosomes. In vitro assays revealed that only the kidney disease-associated ApoL1 variants lysed Trypanosoma brucei rhodesiense. 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identifier ISSN: 0036-8075
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source MEDLINE; American Association for the Advancement of Science; Jstor Complete Legacy
subjects Africa
African Americans
Alleles
Apolipoprotein L1
Apolipoproteins - blood
Apolipoproteins - genetics
Apolipoproteins - metabolism
Black or African American - genetics
Case-Control Studies
Chromosomes
Cohort Studies
Confidence intervals
Diabetic nephropathies
Disease risk
Evolution
Focal segmental glomerulosclerosis
Gene Frequency
Genes
Genetic Association Studies
Genetic mutation
Genetic Predisposition to Disease
Genotypes
Glomerulosclerosis, Focal Segmental - ethnology
Glomerulosclerosis, Focal Segmental - genetics
Haplotypes
Humans
Hypertension - complications
Immunity, Innate
Kidney diseases
Kidney Failure, Chronic - ethnology
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - genetics
Kidneys
Linkage Disequilibrium
Lipoproteins, HDL - blood
Lipoproteins, HDL - genetics
Lipoproteins, HDL - metabolism
Logistic Models
Molecular Motor Proteins - genetics
Mutation
Myosin Heavy Chains - genetics
Polymorphism, Single Nucleotide
Population genetics
Proteins
Recombinant Proteins - metabolism
Selection, Genetic
Sequence Deletion
Signatures
Survival
Trypanosoma brucei rhodesiense - metabolism
Trypanosome
Trypanosomiasis, African - genetics
Trypanosomiasis, African - parasitology
title Association of Trypanolytic ApoL1 Variants with Kidney Disease in African Americans
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