Genetic contribution to renal function and electrolyte balance: a twin study.

A classical twin study was performed to assess the relative contributions of genetic and environmental factors to serum levels of calcium, phosphate and magnesium, urinary levels of calcium, sodium and potassium, and creatinine clearance. The subjects were 1747 adult female twin pairs: 539 monozygot...

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Main Authors: Hunter, D, Lange, M, Snieder, H, MacGregor, A, Swaminathan, R, Thakker, R, Spector, T
Format: Journal article
Language:English
Published: 2002
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author Hunter, D
Lange, M
Snieder, H
MacGregor, A
Swaminathan, R
Thakker, R
Spector, T
author_facet Hunter, D
Lange, M
Snieder, H
MacGregor, A
Swaminathan, R
Thakker, R
Spector, T
author_sort Hunter, D
collection OXFORD
description A classical twin study was performed to assess the relative contributions of genetic and environmental factors to serum levels of calcium, phosphate and magnesium, urinary levels of calcium, sodium and potassium, and creatinine clearance. The subjects were 1747 adult female twin pairs: 539 monozygotic and 1208 dizygotic. The intraclass correlations were calculated, and maximum-likelihood model fitting was used to estimate genetic and environmental variance components. The intraclass correlations for all of the variables assessed were higher in monozygotic twin pairs. The heritabilities (with 95% confidence intervals) obtained from model fitting were: serum calcium, 33% (21-45%); serum phosphate, 58% (53-62%), serum magnesium, 27% (15-39%); 24 h urinary potassium, 40% (27-51%); 24 h urinary calcium, 52% (41-61%); 24 h urinary sodium, 43% (30-54%); fractional excretion of sodium, 52% (44-59%); serum creatinine, 37% (25-49); calculated creatinine clearance, 63% (54-72%). This study provides evidence for the importance of genetic factors in determining urinary and blood levels of the major electrolytes involved in blood pressure regulation. Identifying heritability is the first step on the way to finding specific genes, which may improve our insight into the pathophysiology of the metabolism of these electrolytes, and thereby improve our understanding of the aetiology of complex diseases such as renal failure and hypertension.
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spelling oxford-uuid:f76ef6be-7599-4919-bcf5-c4a801d6dfd72022-03-27T12:42:34ZGenetic contribution to renal function and electrolyte balance: a twin study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f76ef6be-7599-4919-bcf5-c4a801d6dfd7EnglishSymplectic Elements at Oxford2002Hunter, DLange, MSnieder, HMacGregor, ASwaminathan, RThakker, RSpector, TA classical twin study was performed to assess the relative contributions of genetic and environmental factors to serum levels of calcium, phosphate and magnesium, urinary levels of calcium, sodium and potassium, and creatinine clearance. The subjects were 1747 adult female twin pairs: 539 monozygotic and 1208 dizygotic. The intraclass correlations were calculated, and maximum-likelihood model fitting was used to estimate genetic and environmental variance components. The intraclass correlations for all of the variables assessed were higher in monozygotic twin pairs. The heritabilities (with 95% confidence intervals) obtained from model fitting were: serum calcium, 33% (21-45%); serum phosphate, 58% (53-62%), serum magnesium, 27% (15-39%); 24 h urinary potassium, 40% (27-51%); 24 h urinary calcium, 52% (41-61%); 24 h urinary sodium, 43% (30-54%); fractional excretion of sodium, 52% (44-59%); serum creatinine, 37% (25-49); calculated creatinine clearance, 63% (54-72%). This study provides evidence for the importance of genetic factors in determining urinary and blood levels of the major electrolytes involved in blood pressure regulation. Identifying heritability is the first step on the way to finding specific genes, which may improve our insight into the pathophysiology of the metabolism of these electrolytes, and thereby improve our understanding of the aetiology of complex diseases such as renal failure and hypertension.
spellingShingle Hunter, D
Lange, M
Snieder, H
MacGregor, A
Swaminathan, R
Thakker, R
Spector, T
Genetic contribution to renal function and electrolyte balance: a twin study.
title Genetic contribution to renal function and electrolyte balance: a twin study.
title_full Genetic contribution to renal function and electrolyte balance: a twin study.
title_fullStr Genetic contribution to renal function and electrolyte balance: a twin study.
title_full_unstemmed Genetic contribution to renal function and electrolyte balance: a twin study.
title_short Genetic contribution to renal function and electrolyte balance: a twin study.
title_sort genetic contribution to renal function and electrolyte balance a twin study
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