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Genetics of serum urate concentrations and gout in a high-risk population, patients with chronic kidney disease
We evaluated genetics of hyperuricemia and gout, their interaction with kidney function and medication intake in chronic kidney disease (CKD) patients. Genome-wide association studies (GWAS) of urate and gout were performed in 4941 CKD patients in the German Chronic Kidney Disease (GCKD) study. Effe...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Nature Publishing Group UK
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123425/ https://www.ncbi.nlm.nih.gov/pubmed/30181573 http://dx.doi.org/10.1038/s41598-018-31282-z |
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author | Jing, Jiaojiao Ekici, Arif B. Sitter, Thomas Eckardt, Kai-Uwe Schaeffner, Elke Li, Yong Kronenberg, Florian Köttgen, Anna Schultheiss, Ulla T. |
author_facet | Jing, Jiaojiao Ekici, Arif B. Sitter, Thomas Eckardt, Kai-Uwe Schaeffner, Elke Li, Yong Kronenberg, Florian Köttgen, Anna Schultheiss, Ulla T. |
author_sort | Jing, Jiaojiao |
collection | PubMed |
description | We evaluated genetics of hyperuricemia and gout, their interaction with kidney function and medication intake in chronic kidney disease (CKD) patients. Genome-wide association studies (GWAS) of urate and gout were performed in 4941 CKD patients in the German Chronic Kidney Disease (GCKD) study. Effect estimates of 26 known urate-associated population-based single nucleotide polymorphisms (SNPs) were examined. Interactions of urate-associated variants with urate-altering medications and clinical characteristics of gout were evaluated. Genome-wide significant associations with serum urate and gout were identified for known loci at SLC2A9 and ABCG2, but not for novel loci. Effects of the 26 known SNPs were of similar magnitude in CKD patients compared to population-based individuals, except for SNPs at ABCG2 that showed greater effects in CKD. Gene-medication interactions were not significant when accounting for multiple testing. Associations with gout in specific joints were significant for SLC2A9 rs12498742 in wrists and midfoot joints. Known genetic variants in SLC2A9 and ABCG2 were associated with urate and gout in a CKD cohort, with effect sizes for ABCG2 significantly greater in CKD compared to the general population. CKD patients are at high risk of gout due to reduced kidney function, diuretics intake and genetic predisposition, making treatment to target challenging. |
format | Online Article Text |
id | pubmed-6123425 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-61234252018-09-10 Genetics of serum urate concentrations and gout in a high-risk population, patients with chronic kidney disease Jing, Jiaojiao Ekici, Arif B. Sitter, Thomas Eckardt, Kai-Uwe Schaeffner, Elke Li, Yong Kronenberg, Florian Köttgen, Anna Schultheiss, Ulla T. Sci Rep Article We evaluated genetics of hyperuricemia and gout, their interaction with kidney function and medication intake in chronic kidney disease (CKD) patients. Genome-wide association studies (GWAS) of urate and gout were performed in 4941 CKD patients in the German Chronic Kidney Disease (GCKD) study. Effect estimates of 26 known urate-associated population-based single nucleotide polymorphisms (SNPs) were examined. Interactions of urate-associated variants with urate-altering medications and clinical characteristics of gout were evaluated. Genome-wide significant associations with serum urate and gout were identified for known loci at SLC2A9 and ABCG2, but not for novel loci. Effects of the 26 known SNPs were of similar magnitude in CKD patients compared to population-based individuals, except for SNPs at ABCG2 that showed greater effects in CKD. Gene-medication interactions were not significant when accounting for multiple testing. Associations with gout in specific joints were significant for SLC2A9 rs12498742 in wrists and midfoot joints. Known genetic variants in SLC2A9 and ABCG2 were associated with urate and gout in a CKD cohort, with effect sizes for ABCG2 significantly greater in CKD compared to the general population. CKD patients are at high risk of gout due to reduced kidney function, diuretics intake and genetic predisposition, making treatment to target challenging. Nature Publishing Group UK 2018-09-04 /pmc/articles/PMC6123425/ /pubmed/30181573 http://dx.doi.org/10.1038/s41598-018-31282-z Text en © The Author(s) 2018 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article Jing, Jiaojiao Ekici, Arif B. Sitter, Thomas Eckardt, Kai-Uwe Schaeffner, Elke Li, Yong Kronenberg, Florian Köttgen, Anna Schultheiss, Ulla T. Genetics of serum urate concentrations and gout in a high-risk population, patients with chronic kidney disease |
title | Genetics of serum urate concentrations and gout in a high-risk population, patients with chronic kidney disease |
title_full | Genetics of serum urate concentrations and gout in a high-risk population, patients with chronic kidney disease |
title_fullStr | Genetics of serum urate concentrations and gout in a high-risk population, patients with chronic kidney disease |
title_full_unstemmed | Genetics of serum urate concentrations and gout in a high-risk population, patients with chronic kidney disease |
title_short | Genetics of serum urate concentrations and gout in a high-risk population, patients with chronic kidney disease |
title_sort | genetics of serum urate concentrations and gout in a high-risk population, patients with chronic kidney disease |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123425/ https://www.ncbi.nlm.nih.gov/pubmed/30181573 http://dx.doi.org/10.1038/s41598-018-31282-z |
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