Assessing known chronic kidney disease associated genetic variants in Saudi Arabian populations

Abstract Background Genome wide association studies of patients with European descent have identified common variants associated with risk of reduced estimated glomerular filtration rate (eGFR). A panel of eight variants were selected to evaluate their association and prevalence in a Saudi Arabian p...

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Main Authors: Cyril Cyrus, Samir Al-Mueilo, Chittibabu Vatte, Shahanas Chathoth, Yun R. Li, Hatem Qutub, Rudaynah Al Ali, Fahad Al-Muhanna, Matthew B. Lanktree, Khaled Riyad Alkharsah, Abdullah Al-Rubaish, Brian Kim-Mozeleski, Brendan Keating, Amein Al Ali
Format: Article
Language:English
Published: BMC 2018-04-01
Series:BMC Nephrology
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Online Access:http://link.springer.com/article/10.1186/s12882-018-0890-9
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author Cyril Cyrus
Samir Al-Mueilo
Chittibabu Vatte
Shahanas Chathoth
Yun R. Li
Hatem Qutub
Rudaynah Al Ali
Fahad Al-Muhanna
Matthew B. Lanktree
Khaled Riyad Alkharsah
Abdullah Al-Rubaish
Brian Kim-Mozeleski
Brendan Keating
Amein Al Ali
author_facet Cyril Cyrus
Samir Al-Mueilo
Chittibabu Vatte
Shahanas Chathoth
Yun R. Li
Hatem Qutub
Rudaynah Al Ali
Fahad Al-Muhanna
Matthew B. Lanktree
Khaled Riyad Alkharsah
Abdullah Al-Rubaish
Brian Kim-Mozeleski
Brendan Keating
Amein Al Ali
author_sort Cyril Cyrus
collection DOAJ
description Abstract Background Genome wide association studies of patients with European descent have identified common variants associated with risk of reduced estimated glomerular filtration rate (eGFR). A panel of eight variants were selected to evaluate their association and prevalence in a Saudi Arabian patient cohort with chronic kidney disease (CKD). Methods Eight genetic variants in four genes (SHROOM3, MYH9, SLC7A9, and CST3) were genotyped in 160 CKD patients and 189 ethnicity-matched healthy controls. Genetic variants were tested for association with the development of CKD (eGFR < 60 ml/min/1.73m2) and effects were compared with results obtained from 133,413 participants in the CKD genetics consortium. Multivariable regression was used to evaluate the role of these eight variants in improving prediction of CKD development. Results All eight variants were present in Saudi populations with minor allele frequency ranging from 16 to 46%. The risk variant in all four genes demonstrated the same direction of effect as observed in European populations. One variant, rs4821480, in MYH9 was significantly associated with increased risk of development of CKD (OR = 1.69, 95% CI 1.22–2.36, P = 0.002), but the additional variants were not statistically significant given our modest sample size. Conclusions CKD risk variants identified in European populations are present in Saudis. We did not find evidence to suggest heterogeneity of effect size compared to previously published estimates in European populations. Multivariable logistic regression analysis showed a statistically significant improvement in predicting the CKD using models with either FGF23 and vitamin D or FGF23, vitamin D level, and MYH9 genotypes (AUC = 0.93, 95% CI 0.90–0.95, P <  0.0001).
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spelling doaj.art-3b3c8cb6ce41411ab1b48fc7e404dff92022-12-21T23:49:58ZengBMCBMC Nephrology1471-23692018-04-011911610.1186/s12882-018-0890-9Assessing known chronic kidney disease associated genetic variants in Saudi Arabian populationsCyril Cyrus0Samir Al-Mueilo1Chittibabu Vatte2Shahanas Chathoth3Yun R. Li4Hatem Qutub5Rudaynah Al Ali6Fahad Al-Muhanna7Matthew B. Lanktree8Khaled Riyad Alkharsah9Abdullah Al-Rubaish10Brian Kim-Mozeleski11Brendan Keating12Amein Al Ali13Institute for Research and Medical Consultation, Imam Abdulrahman bin Faisal UniversityKing Fahd Hospital of the University, Imam Abdulrahman bin Faisal UniversityInstitute for Research and Medical Consultation, Imam Abdulrahman bin Faisal UniversityInstitute for Research and Medical Consultation, Imam Abdulrahman bin Faisal UniversityPerelman School of Medicine, University of PennsylvaniaKing Fahd Hospital of the University, Imam Abdulrahman bin Faisal UniversityKing Fahd Hospital of the University, Imam Abdulrahman bin Faisal UniversityKing Fahd Hospital of the University, Imam Abdulrahman bin Faisal UniversityNephrology Division, Department of Medicine, McMaster UniversityInstitute for Research and Medical Consultation, Imam Abdulrahman bin Faisal UniversityKing Fahd Hospital of the University, Imam Abdulrahman bin Faisal UniversityPerelman School of Medicine, University of PennsylvaniaPerelman School of Medicine, University of PennsylvaniaInstitute for Research and Medical Consultation, Imam Abdulrahman bin Faisal UniversityAbstract Background Genome wide association studies of patients with European descent have identified common variants associated with risk of reduced estimated glomerular filtration rate (eGFR). A panel of eight variants were selected to evaluate their association and prevalence in a Saudi Arabian patient cohort with chronic kidney disease (CKD). Methods Eight genetic variants in four genes (SHROOM3, MYH9, SLC7A9, and CST3) were genotyped in 160 CKD patients and 189 ethnicity-matched healthy controls. Genetic variants were tested for association with the development of CKD (eGFR < 60 ml/min/1.73m2) and effects were compared with results obtained from 133,413 participants in the CKD genetics consortium. Multivariable regression was used to evaluate the role of these eight variants in improving prediction of CKD development. Results All eight variants were present in Saudi populations with minor allele frequency ranging from 16 to 46%. The risk variant in all four genes demonstrated the same direction of effect as observed in European populations. One variant, rs4821480, in MYH9 was significantly associated with increased risk of development of CKD (OR = 1.69, 95% CI 1.22–2.36, P = 0.002), but the additional variants were not statistically significant given our modest sample size. Conclusions CKD risk variants identified in European populations are present in Saudis. We did not find evidence to suggest heterogeneity of effect size compared to previously published estimates in European populations. Multivariable logistic regression analysis showed a statistically significant improvement in predicting the CKD using models with either FGF23 and vitamin D or FGF23, vitamin D level, and MYH9 genotypes (AUC = 0.93, 95% CI 0.90–0.95, P <  0.0001).http://link.springer.com/article/10.1186/s12882-018-0890-9Chronic kidney diseaseSNPMYH9SHROOM3Genetic biomarkersSLC7A9
spellingShingle Cyril Cyrus
Samir Al-Mueilo
Chittibabu Vatte
Shahanas Chathoth
Yun R. Li
Hatem Qutub
Rudaynah Al Ali
Fahad Al-Muhanna
Matthew B. Lanktree
Khaled Riyad Alkharsah
Abdullah Al-Rubaish
Brian Kim-Mozeleski
Brendan Keating
Amein Al Ali
Assessing known chronic kidney disease associated genetic variants in Saudi Arabian populations
BMC Nephrology
Chronic kidney disease
SNP
MYH9
SHROOM3
Genetic biomarkers
SLC7A9
title Assessing known chronic kidney disease associated genetic variants in Saudi Arabian populations
title_full Assessing known chronic kidney disease associated genetic variants in Saudi Arabian populations
title_fullStr Assessing known chronic kidney disease associated genetic variants in Saudi Arabian populations
title_full_unstemmed Assessing known chronic kidney disease associated genetic variants in Saudi Arabian populations
title_short Assessing known chronic kidney disease associated genetic variants in Saudi Arabian populations
title_sort assessing known chronic kidney disease associated genetic variants in saudi arabian populations
topic Chronic kidney disease
SNP
MYH9
SHROOM3
Genetic biomarkers
SLC7A9
url http://link.springer.com/article/10.1186/s12882-018-0890-9
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