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335 results on '"Ponte, B."'

1. A Model for the Strategic Management of Innovation and R&D Based on Real Options Valuation: Assessing the Options to Abandon and Expand Clinical Trials in Pharmaceutical Firms

Author

Puente, J., Alonso, S., Gascon, F., Ponte, B., de la Fuente, D., Arabnia, Hamid, Series Editor, Arabnia, Hamid R., editor, Ferens, Ken, editor, de la Fuente, David, editor, Kozerenko, Elena B., editor, Olivas Varela, José Angel, editor, and Tinetti, Fernando G., editor

Published
2021
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4. INFINITO E ESCRITA EXPERIMENTAL

Author

CAVALCANTE JUNIOR, Francisco Silva, primary, Sousa, A.F., additional, MAIA, Antonio Layton Souza, additional, PONTE, B. L. N., additional, MARIANO FILHO, D. S., additional, MASSAGARDI, F. M. M., additional, OLIVEIRA, H. T. M., additional, PEREIRA, K., additional, SALES, Michelle., additional, LEMOS, P. M., additional, CITÓ, Renan Brasil Cavalcante, additional, COSTA, T. L., additional, ZYLBERBERG, T. P., additional, VASCONCELOS, Ticiana Paiva de, additional, and SALES, Y. N., additional

Published
2020
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8. Hypertension artérielle : ce qui a changé en 2022 [Hypertension: what's new in 2022]

Author

Wuerzner, G., Ponte, B., and Pechère-Bertschi, A.

Subjects
Pregnancy, Female, Humans, Hypertension/drug therapy, Antihypertensive Agents/therapeutic use, Antihypertensive Agents/pharmacology, Blood Pressure, Sodium
Abstract

Our article summarizing the most important studies of the past year emphasizes the difficulty of controlling blood pressure (BP) in hypertensive patients. In addition, it discusses factors such as temperature and sodium that may influence BP, proposes new targets in pregnant hypertensive patients, and challenges the usefulness of taking an antihypertensive drug nightly. Finally, a strategy targeting endothelin blockade in resistant hypertension is presented.

Published
2023

12. Changes of lipoprotein(a) levels with endogenous steroid hormones

Author

Tessitore, E., Dobretz, K., Dhayat, N.A., Kern, I., Ponte, B., Pruijm, M., Ackermann, D., Estoppey, S., Burnier, M., Martin, P.Y., Vogt, B., Vuilleumier, N., Bochud, M., Mach, F., and Ehret, G.

Subjects
Adult, Aged, Cohort Studies, Female, Hormones/physiology, Humans, Lipoprotein(a)/blood, Male, Middle Aged, Prospective Studies, cardiovascular risk, endogenous hormones, lipoprotein (a)
Abstract

Lipoprotein(a) [Lp(a)] is an LDL-like molecule that is likely causal for cardiovascular events and Lp(a) variability has been shown to be mostly of genetic origin. Exogenous hormones (hormone replacement therapy) seem to influence Lp(a) levels, but the impact of endogenous hormone levels on Lp(a) is still unknown. The aim of the study was to assess the effect of endogenous steroid hormone metabolites on Lp(a). Lipoprotein(a) levels were measured in 1,021 participants from the Swiss Kidney Project on Genes in Hypertension, a family-based, multicentre, population-based prospective cohort study. Endogenous levels of 28 steroid hormone precursors were measured in 24-h urine collections from 883 individuals. Of the participants with Lp(a) data, 1,011 participants had also genotypes available. The participants had an average age of 51 years and 53% were female. Median Lp(a) levels were 62 mg/L, and the 90 th percentile was 616 mg/L. The prevalence of a Lp(a) elevation ≥700 mg/L was 3.2%. Forty-three per cent of Lp(a) variability was explained respectively by: age (2%, p < .001), LDL-C (1%, p = .001), and two SNPs (39%, p value-16 ). Of the 28 endogenous steroid hormones assessed, androstenetriol, androsterone, 16α-OH-DHEA and estriol were nominatively associated with serum Lp(a) levels in univariable analyses and explained 0.4%-1% of Lp(a) variability, but none of them reached significance in multivariable models. In this contemporary population-based study, the prevalence of a Lp(a) elevation ≥700 mg/L was 3.2%. The effect of endogenous steroid hormone levels of Lp(a) variability was small at best, suggesting a negligible impact on the wide range of Lp(a) variability.

Published
2022

14. Sodium Intake as a Cardiovascular Risk Factor: A Narrative Review

Author

Jaques, D.A., Wuerzner, G., and Ponte, B.

Subjects
blood pressure, cardiovascular, hypertension, salt, sodium
Abstract

While sodium is essential for human homeostasis, current salt consumption far exceeds physiological needs. Strong evidence suggests a direct causal relationship between sodium intake and blood pressure (BP) and a modest reduction in salt consumption is associated with a meaningful reduction in BP in hypertensive as well as normotensive individuals. Moreover, while long-term randomized controlled trials are still lacking, it is reasonable to assume a direct relationship between sodium intake and cardiovascular outcomes. However, a consensus has yet to be reached on the effectiveness, safety and feasibility of sodium intake reduction on an individual level. Beyond indirect BP-mediated effects, detrimental consequences of high sodium intake are manifold and pathways involving vascular damage, oxidative stress, hormonal alterations, the immune system and the gut microbiome have been described. Globally, while individual response to salt intake is variable, sodium should be perceived as a cardiovascular risk factor when consumed in excess. Reduction of sodium intake on a population level thus presents a potential strategy to reduce the burden of cardiovascular disease worldwide. In this review, we provide an update on the consequences of salt intake on human health, focusing on BP and cardiovascular outcomes as well as underlying pathophysiological hypotheses.

Published
2021

15. Lipoprotein(a) levels are not independently associated with endogenous steroid hormone levels, in contrast to other non-genetic and genetic factors: the population-based SKIPOGH study

Author

Tessitore, E, primary, Dobretz, K, additional, Dhayat, N A, additional, Estoppey, S, additional, Kern, I, additional, Ponte, B, additional, Pruijm, M, additional, Vogt, B, additional, Vuilleumier, N, additional, Bochud, M, additional, Mach, F, additional, and Ehret, G, additional

Published
2021
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19. Hypertension artérielle [Hypertension: novelties 2020]

Author

Berney, M., Wuerzner, G., Ponte, B., and Pechère-Bertschi, A.

Subjects
Antihypertensive Agents/therapeutic use, Blood Pressure, Blood Pressure Monitoring, Ambulatory, Female, Humans, Hypertension/drug therapy, Hypertension/epidemiology, Kidney, Pharmacists, Pregnancy
Abstract

Nowadays, hardly half of treated patients do not reach ideal blood pressure targets. New approaches could help, such as the creation of a multidisciplinary network of patients, doctors, pharmacists, with the favorable effects of telemonitoring on blood pressure control and cardiovascular outcomes. An excessive fall of blood pressure (BP) after a hemorrhagic stroke, when systolic BP is superior to 220 mm Hg, is deleterious. Improvement of renal denervation techniques, along with indications expansion, will complete the arsenal of care. Hypertensive pregnant women transmit BP values to their offsprings, leading to earlier prevention. Finally, visit-to-visit BP variability puts a considerable strain on the cognitive risk and dementia of hypertensive people.

Published
2021

20. Apport de l’échographie rénale dans l’hypertension artérielle [The role of kidney ultrasound in patients with arterial hypertension]

Author

Dash, J., Pruijm, M., and Ponte, B.

Subjects
Blood Pressure, Humans, Hypertension/etiology, Kidney/diagnostic imaging, Renal Artery Obstruction/diagnostic imaging, Ultrasonography
Abstract

The kidneys play a central role in the regulation of blood pressure and are also one of the main culprits of arterial hypertension (HT). Renal ultrasound is a valuable diagnostic tool that can provide instant information at the bedside on possible underlying causes and consequences of HT. Its role in the screening for renal artery stenosis is well-known. However, renal ultrasound can also detect abnormalities in renal parenchyma, morphology, or the vascularization of the kidneys, and as such directly influence further diagnostic work-up and treatment. The significance of the renal resistive index and the place of renal ultrasound in the latest international guidelines on HT are reviewed in this article.

Published
2020

21. Les bloqueurs du système rénine-angiotensine-aldostérone en temps de pandémie Covid-19 : amis ou ennemis ? [Renin-angiotensin-aldosterone blockers and Covic-19 infection : friends or enemies ?]

Author

Pechère-Bertschi, A., Ponte, B., and Wuerzner, G.

Subjects
Aldosterone, Angiotensin-Converting Enzyme 2, Angiotensin-Converting Enzyme Inhibitors/adverse effects, Angiotensin-Converting Enzyme Inhibitors/therapeutic use, Angiotensins, Betacoronavirus, COVID-19, Coronavirus Infections/drug therapy, Humans, Pandemics, Peptidyl-Dipeptidase A/physiology, Pneumonia, Viral/drug therapy, Renin, Renin-Angiotensin System/drug effects, Renin-Angiotensin System/physiology, SARS-CoV-2, COVID-19 Drug Treatment
Abstract

ACE2 is not only an enzyme that counters the effects of the renin-angiotensin-aldosterone system (RAAS) but is also the entry receptor for SARS-CoV-2, the virus of the Covid-19 pandemic. Some experimental data suggest that ACE inhibitors and ARBs increase ACE2 levels, thus raising concerns on their security in Covid-19 positive patients. However, some studies have shown protection by these drugs in lower tract respiratory infections and ARDS. The actual consensus is to continue the treatment with RAAS inhibitors, abrupt withdrawal, especially in patients with cardiac or renal conditions, being hazardous in terms of cardiovascular outcomes, except in patients hospitalized in intensive care with hemodynamic instability. This position statement is actually unanimous among all international learned societies.

Published
2020

24. Cardiovascular End Points and Mortality Are Not Closer Associated With Central Than Peripheral Pulsatile Blood Pressure Components

Author

Huang, Qi-Fang, primary, Aparicio, Lucas S., additional, Thijs, Lutgarde, additional, Wei, Fang-Fei, additional, Melgarejo, Jesus D., additional, Cheng, Yi-Bang, additional, Sheng, Chang-Sheng, additional, Yang, Wen-Yi, additional, Gilis-Malinowska, Natasza, additional, Boggia, José, additional, Niiranen, Teemu J., additional, Wojciechowska, Wiktoria, additional, Stolarz-Skrzypek, Katarzyna, additional, Barochiner, Jessica, additional, Ackermann, Daniel, additional, Tikhonoff, Valérie, additional, Ponte, Belen, additional, Pruijm, Menno, additional, Casiglia, Edoardo, additional, Narkiewicz, Krzysztof, additional, Filipovský, Jan, additional, Czarnecka, Danuta, additional, Kawecka-Jaszcz, Kalina, additional, Jula, Antti M., additional, Bochud, Murielle, additional, Vanassche, Thomas, additional, Verhamme, Peter, additional, Struijker-Boudier, Harry A.J., additional, Wang, Ji-Guang, additional, Zhang, Zhen-Yu, additional, Li, Yan, additional, Staessen, Jan A., additional, Aparicio, LS, additional, Barochiner, J, additional, Thijs, L, additional, Staessen, JA, additional, Wei, FF, additional, Yang, WY, additional, Zhang, ZY, additional, Cheng, YB, additional, Guo, QH, additional, Huang, JF, additional, Huang, QF, additional, Li, Y, additional, Sheng, CS, additional, Wang, JG, additional, Filipovský, J, additional, Seidlerová, J, additional, Juhanoja, EP, additional, Jula, AM, additional, Lindroos, AS, additional, Niiranen, TJ, additional, Sivén, SS, additional, Casiglia, E, additional, Pizzioli, A, additional, Tikhonoff, V, additional, Chori, BS, additional, Danladi, B, additional, Odili, AN, additional, Oshaju, H, additional, Kucharska, W, additional, Kunicka, K, additional, Gilis-Malinowska, N, additional, Narkiewicz, K, additional, Sakiewicz, W, additional, Swierblewska, E, additional, Kawecka-Jaszcz, K, additional, Stolarz-Skrzypek, K, additional, Schutte, AE, additional, Norton, GR, additional, Woodiwiss, AJ, additional, Ackermann, D, additional, Bochud, M, additional, Ponte, B, additional, Pruijm, M, additional, Álvarez-Vaz, R, additional, Américo, C, additional, Baccino, C, additional, Borgarello, L, additional, Florio, L, additional, Moliterno, P, additional, Noboa, A, additional, Noboa, O, additional, Olascoaga, A, additional, Parnizari, P, additional, and Pécora, M, additional

Published
2020
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25. Genome-wide association meta-analyses and fine-mapping elucidate pathways influencing albuminuria

Author

Teumer, A. (Alexander), Li, Y. (Yong), Ghasemi, S. (Sahar), Prins, B.P. (Bram Peter), Wuttke, M. (Matthias), Hermle, T. (Tobias), Giri, A. (Ayush), Sieber, K.B. (Karsten B.), Qiu, C. (Chengxiang), Kirsten, H. (Holger), Tin, A. (Adrienne), Chu, A.Y. (Audrey Y), Bansal, N. (Nisha), Feitosa, M.F. (Mary Furlan), Wang, L. (Lihua), Chai, J.-F. (Jin-Fang), Cocca, M. (Massimiliano), Fuchsberger, C. (Christian), Gorski, M. (Mathias), Hoppmann, A. (Anselm), Horn, K. (Katrin), Li, M. (Man), Marten, J. (Jonathan), Noce, D. (Damia), Nutile, T. (Teresa), Sedaghat, S. (Sanaz), Sveinbjornsson, G. (Gardar), Tayo, B. (Bamidele), Most, P.J. (Peter) van der, Xu, Y. (Yizhe), Yu, Z. (Zhi), Gerstner, L. (Lea), Ärnlöv, J. (Johan), Bakker, S.J.L. (Stephan), Baptista, D. (Daniela), Biggs, M.L. (M.), Boerwinkle, E.A. (Eric), Brenner, H. (Hermann), Burkhardt, R. (Ralph), Carroll, R.J. (Robert J.), Chee, M.-L. (Miao-Li), Chee, M.-L. (Miao-Ling), Chen, M. (Mengmeng), Cheng, C.-Y. (Ching-Yu), Cook, J.P. (James P.), Coresh, J. (Josef), Corre, T. (Tanguy), Danesh, J. (John), de Borst, M.H. (Martin H.), Grandi, A. (Alessandro) de, Mutsert, R. (Reneé) de, de Vries, A.P.J. (Aiko P J), Degenhardt, F. (Frauke), Dittrich, K. (Katalin), Divers, J. (Jasmin), Eckardt, K.-U. (Kai-Uwe), Ehret, G.B. (Georg), Endlich, K. (Karlhans), Felix, J.F. (Janine), Franco, O.H. (Oscar), Franke, A. (Andre), Freedman, B.I. (Barry), Freitag-Wolf, S. (Sandra), Gansevoort, R.T. (Ron), Giedraitis, V. (Vilmantas), Gögele, M. (Martin), Grundner-Culemann, F. (Franziska), Gudbjartsson, D.F. (Daniel), Gudnason, V. (Vilmundur), Hamet, P. (Pavel), Harris, T.B. (Tamara), Hicks, A.A. (Andrew A.), Holm, H. (Hilma), Foo, V.H.X. (Valencia Hui Xian), Hwang, S.-J. (Shih-Jen), Ikram, M.A. (Arfan), Ingelsson, E. (Erik), Jaddoe, V.W.V. (Vincent), Jakobsdottir, M. (Margret), Josyula, N.S. (Navya Shilpa), Jung, B. (Bettina), Kähönen, M. (Mika), Khor, C.C., Kieß, W. (Wieland), Koenig, W. (Wolfgang), Körner, A. (Antje), Kovacs, P. (Peter), Kramer, H. (Holly), Krämer, B.K. (Bernhard), Kronenberg, F. (Florian), Lange, L.A. (Leslie), Langefeld, C.D. (Carl), Lee, J.J.-M. (Jeannette Jen-Mai), Lehtimäki, T. (Terho), Lieb, W. (Wolfgang), Lim, S.-C. (Su-Chi), Kao, W.H.L. (Wen), Lindgren, C.M. (Cecilia M.), Liu, J. (Jianjun), Loeffler, M. (Markus), Lyytikäinen, L.-P. (Leo-Pekka), Mahajan, A. (Anubha), Maranville, J.C. (Joseph C.), Mascalzoni, D. (Deborah), McMullen, B. (Barbara), Meisinger, C. (Christa), Meitinger, T. (Thomas), Miliku, K. (Kozeta), Mook-Kanamori, D.O. (Dennis O.), Müller-Nurasyid, M. (Martina), Mychaleckyj, J.C. (Josyf), Nauck, M. (Matthias), Nikus, K. (Kjell), Ning, B. (Boting), Noordam, R. (Raymond), Connell, J.O. (Jeffrey O'), Olafsson, I. (Isleifur), Palmer, N.D. (Nicholette), Peters, A. (Annette), Podgornaia, A.I. (Anna I.), Ponte, B. (Belen), Poulain, T. (Tanja), Pramstaller, P.P. (Peter Paul), Rabelink, T. (Ton), Raffield, L.M. (Laura M.), Reilly, D.F. (Dermot F.), Rettig, R. (Rainer), Rheinberger, M. (Myriam), Rice, K.M. (Kenneth), Rivadeneira, F. (Fernando), Runz, H. (Heiko), Ryan, K.A. (Kathleen A.), Sabanayagam, C. (Charumathi), Saum, K.-U. (Kai-Uwe), Schöttker, B. (Ben), Shaffer, C.M. (Christian M.), Shi, Y. (Yuan), Smith, A.V. (Albert), Strauch, K. (Konstantin), Stumvoll, M. (Michael), Sun, B.B. (Benjamin B.), Szymczak, S. (Silke), Tai, E.-S. (E-Shyong), Tan, N.Y.Q. (Nicholas Y Q), Taylor, K.D. (Kent), Teren, A. (Andrej), Tham, Y.-C. (Yih-Chung), Thiery, J. (Joachim), Thio, C.H.L. (Chris H L), Thomsen, H. (Hauke), Thorsteinsdottir, U. (Unnur), Tönjes, A. (Anke), Tremblay, J. (Johanne), Uitterlinden, A.G. (André), Harst, P. (Pim) van der, Verweij, N. (Niek), Vogelezang, S., Völker, U. (Uwe), Waldenberger, M. (Melanie), Wang, C. (Chunliang), Wilson, O.D. (Otis D.), Wong, C. (Charlene), Wong, T.-Y. (Tien-Yin), Yang, Q. (Qiong), Yasuda, M. (Masayuki), Akilesh, S. (Shreeram), Bochud, M. (Murielle), Böger, C.A. (Carsten), Devuyst, O. (Olivier), Edwards, T.L. (Todd L.), Ho, K. (Kevin), Morris, A.P. (Andrew), Parsa, A. (Afshin), Pendergrass, S.A. (Sarah), Psaty, B.M. (Bruce), Rotter, J.I. (Jerome I.), Zwart, J-A. (John-Anker), Wilson, J.F. (James), Susztak, K. (Katalin), Snieder, H. (Harold), Heid, I.M. (Iris), Scholz, M. (Markus), Butterworth, A.S. (Adam S.), Hung, A.M. (Adriana M.), Penninx, B.W.J.H., Köttgen, A. (Anna), Teumer, A. (Alexander), Li, Y. (Yong), Ghasemi, S. (Sahar), Prins, B.P. (Bram Peter), Wuttke, M. (Matthias), Hermle, T. (Tobias), Giri, A. (Ayush), Sieber, K.B. (Karsten B.), Qiu, C. (Chengxiang), Kirsten, H. (Holger), Tin, A. (Adrienne), Chu, A.Y. (Audrey Y), Bansal, N. (Nisha), Feitosa, M.F. (Mary Furlan), Wang, L. (Lihua), Chai, J.-F. (Jin-Fang), Cocca, M. (Massimiliano), Fuchsberger, C. (Christian), Gorski, M. (Mathias), Hoppmann, A. (Anselm), Horn, K. (Katrin), Li, M. (Man), Marten, J. (Jonathan), Noce, D. (Damia), Nutile, T. (Teresa), Sedaghat, S. (Sanaz), Sveinbjornsson, G. (Gardar), Tayo, B. (Bamidele), Most, P.J. (Peter) van der, Xu, Y. (Yizhe), Yu, Z. (Zhi), Gerstner, L. (Lea), Ärnlöv, J. (Johan), Bakker, S.J.L. (Stephan), Baptista, D. (Daniela), Biggs, M.L. (M.), Boerwinkle, E.A. (Eric), Brenner, H. (Hermann), Burkhardt, R. (Ralph), Carroll, R.J. (Robert J.), Chee, M.-L. (Miao-Li), Chee, M.-L. (Miao-Ling), Chen, M. (Mengmeng), Cheng, C.-Y. (Ching-Yu), Cook, J.P. (James P.), Coresh, J. (Josef), Corre, T. (Tanguy), Danesh, J. (John), de Borst, M.H. (Martin H.), Grandi, A. (Alessandro) de, Mutsert, R. (Reneé) de, de Vries, A.P.J. (Aiko P J), Degenhardt, F. (Frauke), Dittrich, K. (Katalin), Divers, J. (Jasmin), Eckardt, K.-U. (Kai-Uwe), Ehret, G.B. (Georg), Endlich, K. (Karlhans), Felix, J.F. (Janine), Franco, O.H. (Oscar), Franke, A. (Andre), Freedman, B.I. (Barry), Freitag-Wolf, S. (Sandra), Gansevoort, R.T. (Ron), Giedraitis, V. (Vilmantas), Gögele, M. (Martin), Grundner-Culemann, F. (Franziska), Gudbjartsson, D.F. (Daniel), Gudnason, V. (Vilmundur), Hamet, P. (Pavel), Harris, T.B. (Tamara), Hicks, A.A. (Andrew A.), Holm, H. (Hilma), Foo, V.H.X. (Valencia Hui Xian), Hwang, S.-J. (Shih-Jen), Ikram, M.A. (Arfan), Ingelsson, E. (Erik), Jaddoe, V.W.V. (Vincent), Jakobsdottir, M. (Margret), Josyula, N.S. (Navya Shilpa), Jung, B. (Bettina), Kähönen, M. (Mika), Khor, C.C., Kieß, W. (Wieland), Koenig, W. (Wolfgang), Körner, A. (Antje), Kovacs, P. (Peter), Kramer, H. (Holly), Krämer, B.K. (Bernhard), Kronenberg, F. (Florian), Lange, L.A. (Leslie), Langefeld, C.D. (Carl), Lee, J.J.-M. (Jeannette Jen-Mai), Lehtimäki, T. (Terho), Lieb, W. (Wolfgang), Lim, S.-C. (Su-Chi), Kao, W.H.L. (Wen), Lindgren, C.M. (Cecilia M.), Liu, J. (Jianjun), Loeffler, M. (Markus), Lyytikäinen, L.-P. (Leo-Pekka), Mahajan, A. (Anubha), Maranville, J.C. (Joseph C.), Mascalzoni, D. (Deborah), McMullen, B. (Barbara), Meisinger, C. (Christa), Meitinger, T. (Thomas), Miliku, K. (Kozeta), Mook-Kanamori, D.O. (Dennis O.), Müller-Nurasyid, M. (Martina), Mychaleckyj, J.C. (Josyf), Nauck, M. (Matthias), Nikus, K. (Kjell), Ning, B. (Boting), Noordam, R. (Raymond), Connell, J.O. (Jeffrey O'), Olafsson, I. (Isleifur), Palmer, N.D. (Nicholette), Peters, A. (Annette), Podgornaia, A.I. (Anna I.), Ponte, B. (Belen), Poulain, T. (Tanja), Pramstaller, P.P. (Peter Paul), Rabelink, T. (Ton), Raffield, L.M. (Laura M.), Reilly, D.F. (Dermot F.), Rettig, R. (Rainer), Rheinberger, M. (Myriam), Rice, K.M. (Kenneth), Rivadeneira, F. (Fernando), Runz, H. (Heiko), Ryan, K.A. (Kathleen A.), Sabanayagam, C. (Charumathi), Saum, K.-U. (Kai-Uwe), Schöttker, B. (Ben), Shaffer, C.M. (Christian M.), Shi, Y. (Yuan), Smith, A.V. (Albert), Strauch, K. (Konstantin), Stumvoll, M. (Michael), Sun, B.B. (Benjamin B.), Szymczak, S. (Silke), Tai, E.-S. (E-Shyong), Tan, N.Y.Q. (Nicholas Y Q), Taylor, K.D. (Kent), Teren, A. (Andrej), Tham, Y.-C. (Yih-Chung), Thiery, J. (Joachim), Thio, C.H.L. (Chris H L), Thomsen, H. (Hauke), Thorsteinsdottir, U. (Unnur), Tönjes, A. (Anke), Tremblay, J. (Johanne), Uitterlinden, A.G. (André), Harst, P. (Pim) van der, Verweij, N. (Niek), Vogelezang, S., Völker, U. (Uwe), Waldenberger, M. (Melanie), Wang, C. (Chunliang), Wilson, O.D. (Otis D.), Wong, C. (Charlene), Wong, T.-Y. (Tien-Yin), Yang, Q. (Qiong), Yasuda, M. (Masayuki), Akilesh, S. (Shreeram), Bochud, M. (Murielle), Böger, C.A. (Carsten), Devuyst, O. (Olivier), Edwards, T.L. (Todd L.), Ho, K. (Kevin), Morris, A.P. (Andrew), Parsa, A. (Afshin), Pendergrass, S.A. (Sarah), Psaty, B.M. (Bruce), Rotter, J.I. (Jerome I.), Zwart, J-A. (John-Anker), Wilson, J.F. (James), Susztak, K. (Katalin), Snieder, H. (Harold), Heid, I.M. (Iris), Scholz, M. (Markus), Butterworth, A.S. (Adam S.), Hung, A.M. (Adriana M.), Penninx, B.W.J.H., and Köttgen, A. (Anna)

Abstract

Increased levels of the urinary albumin-to-creatinine ratio (UACR) are associated with higher risk of kidney disease progression and cardiovascular events, but underlying mechanisms are incompletely understood. Here, we conduct trans-ethnic (n = 564,257) and European-ancestry specific meta-analyses of genome-wide association studies of UACR, including ancestry- and diabetes-specific analyses, and identify 68 UACR-associated loci. Genetic correlation analyses and risk score associations in an independent electronic medical records database (n = 192,868) reveal connections with proteinuria, hyperlipidemia, gout, and hypertension. Fine-mapping and trans-Omics analyses with gene expression in 47 tissues and plasma protein levels implicate genes potentially operating through differential expression in kidney (including TGFB1, MUC1, PRKCI, and OAF), and allow coupling of UACR associations to altered plasma OAF concentrations. Knockdown of OAF and PRKCI orthologs in Drosophila nephrocytes reduces albumin endocytosis. Silencing fly PRKCI further impairs slit diaphragm formation. These results generate a priority list of genes and pathways for translational research to reduce albuminuria.

Published
2019
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26. Sociodemographic, behavioral and genetic determinants of allostatic load in a Swiss population-based study

Author

Petrovic D Pivin E Ponte B Dhayat N Pruijm M Ehret G Ackermann D Guessous I Younes SE Pechè

Abstract

Allostatic load (AL) is a marker of physiological dysregulation which reflects exposure to chronic stress. High AL has been related to poorer health outcomes including mortality. We examine here the association of socioeconomic and lifestyle factors with AL. Additionally we investigate the extent to which AL is genetically determined. We included 803 participants (52 women mean age 48±16years) from a population and family based Swiss study. We computed an AL index aggregating 14 markers from cardiovascular metabolic lipidic oxidative hypothalamus pituitary adrenal and inflammatory homeostatic axes. Education and occupational position were used as indicators of socioeconomic status. Marital status stress alcohol intake smoking dietary patterns and physical activity were considered as lifestyle factors. Heritability of AL was estimated by maximum likelihood. Women with a low occupational position had higher AL (low vs. high OR=3.99 95CI [1.22;13.05]) while the opposite was observed for men (middle vs. high OR=0.48 95CI [0.23;0.99]). Education tended to be inversely associated with AL in both sexes(low vs. high OR=3.54 95CI [1.69;7.4]/OR=1.59 95CI [0.88;2.90] in women/men). Heavy drinking men as well as women abstaining from alcohol had higher AL than moderate drinkers. Physical activity was protective against AL while high salt intake was related to increased AL risk. The heritability of AL was estimated to be 29.5 ±7.9. Our results suggest that generalized physiological dysregulation as measured by AL is determined by both environmental and genetic factors. The genetic contribution to AL remains modest when compared to the environmental component which explains approximately 70 of the phenotypic variance.

Published
2016

27. Associations of Urinary Uromodulin with Clinical Characteristics and Markers of Tubular Function in the General Population

Author

Pruijm M Ponte B Ackermann D Paccaud F Guessous I Ehret G Pechère-Bertschi A Vogt B Mohaupt

Abstract

BACKGROUND AND OBJECTIVES: Allelic variants in UMOD the gene coding for uromodulin are associated with rare tubulointerstitial kidney disorders and risk of CKD and hypertension in the general population. The factors associated with uromodulin excretion in the normal population remain largely unknown and were therefore explored in this study. DESIGN SETTING PARTICIPANTS MEASUREMENTS: Urinary uromodulin excretion was measured using a validated ELISA in two population based cohorts that included more than 6500 individuals. The Swiss Kidney Project on Genes in Hypertension study (SKIPOGH) included 817 adults (mean age±SD 45±17 years) who underwent renal ultrasonography and performed a 24 hour urine collection. The Cohorte Lausannoise study included 5706 adults (mean age 53±11 years) with fresh spot morning urine samples. We calculated eGFRs using the CKD Epidemiology Collaboration formula and by 24 hour creatinine clearance. RESULTS: In both studies positive associations were found between uromodulin and urinary sodium chloride and potassium excretion and osmolality. In SKIPOGH 24 hour uromodulin excretion (median 41 [interquartile range 29 57] mg/24 h) was positively associated with kidney length and volume and with creatinine excretion and urine volume. It was negatively associated with age and diabetes. Both spot uromodulin concentration and 24 hour uromodulin excretion were linearly and positively associated (multivariate analyses) with eGFR

Published
2016

29. Should renal color Doppler ultrasonography be a routine test in newly diagnosed hypertensive patient?

Author

Tsioufis, C. Andrikou, I. Pruijm, M. Ponte, B. Sarafidis, P. Koureas, A. Tousoulis, D. Agabiti-Rosei, E. Mancia, G. Burnier, M.

Abstract

European Society of Hypertension/European Society of Cardiology guidelines recommend calculation of estimated glomerular filtration rate and evaluation of urinary albumin excretion rate as routine tests in the initial evaluation and during the follow-up of all hypertensive patients. However, from a clinical point of view, renal ultrasound-a noninvasive, readily available and cheap imaging modality-could contribute to the better evaluation of a hypertensive patient by identifying common causes of secondary hypertension (HTN) originating from the kidney and more recently by detecting renal injury in severe or long-standing essential HTN by measuring renal resistive indexes. The purpose of this review is to summarize the actual evidence which could support a larger use of renal ultrasound in the work-up of patients with newly diagnosed HTN. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.

Published
2018

30. Inactive Matrix Gla-Protein Is Associated With Arterial Stiffness in an Adult Population-Based Study

Author

Pivin E Ponte B Pruijm M Ackermann D Guessous I Ehret G Liu YP Drummen NE Knapen MH Pechere

Subjects
cardiovascular system
Abstract

Increased pulse wave velocity (PWV) is a marker of aortic stiffness and an independent predictor of mortality. Matrix Gla protein (MGP) is a vascular calcification inhibitor that needs vitamin K to be activated. Inactive MGP known as desphospho uncarboxylated MGP (dp ucMGP) can be measured in plasma and has been associated with various cardiovascular markers cardiovascular outcomes and mortality. In this study we hypothesized that high levels of dp ucMGP are associated with increased PWV. We recruited participants via a multicenter family based cross sectional study in Switzerland. Dp ucMGP was quantified in plasma by sandwich ELISA. Aortic PWV was determined by applanation tonometry using carotid and femoral pulse waveforms. Multiple regression analysis was performed to estimate associations between PWV and dp ucMGP adjusting for age renal function and other cardiovascular risk factors. We included 1001 participants in our analyses (475 men and 526 women). Mean values were 7.87±2.10 m/s for PWV and 0.43±0.20 nmol/L for dp ucMGP. PWV was positively associated with dp ucMGP both before and after adjustment for sex age body mass index height systolic and diastolic blood pressure (BP) heart rate renal function low and high density lipoprotein glucose smoking status diabetes mellitus BP and cholesterol lowering drugs and history of cardiovascular disease (P=0.01). In conclusion high levels of dp ucMGP are independently and positively associated with arterial stiffness after adjustment for common cardiovascular risk factors renal function and age. Experimental studies are needed to determine whether vitamin K supplementation slows arterial stiffening by increasing MGP carboxylation.

Published
2015

31. Copeptin is associated with kidney length, renal function, and prevalence of simple cysts in a population-based study

Author

Ponte B Pruijm M Ackermann D Vuistiner P Guessous I Ehret G Alwan H Youhanna S Paccaud F Mo

Abstract

Arginine vasopressin (AVP) has a key role in osmoregulation by facilitating water transport in the collecting duct. Recent evidence suggests that AVP may have additional effects on renal function and favor cyst growth in polycystic kidney disease. Whether AVP also affects kidney structure in the general population is unknown. We analyzed the association of copeptin an established surrogate for AVP with parameters of renal function and morphology in a multicentric population based cohort. Participants from families of European ancestry were randomly selected in three Swiss cities. We used linear multilevel regression analysis to explore the association of copeptin with renal function parameters as well as kidney length and the presence of simple renal cysts assessed by ultrasound examination. Copeptin levels were log transformed. The 529 women and 481 men had median copeptin levels of 3.0 and 5.2 pmol/L respectively (P

Published
2015

32. Genome-Wide Meta-Analysis Unravels Interactions between Magnesium Homeostasis and Metabolic Phenotypes.

Author

Corre, T., Arjona, F.J., Hayward, C., Youhanna, S., Baaij, J.H.F. de, Belge, H., Nagele, N., Debaix, H., Blanchard, M.G., Traglia, M., Harris, S.E., Ulivi, S., Rueedi, R., Lamparter, D., Mace, A., Sala, C., Lenarduzzi, S., Ponte, B., Pruijm, M., Ackermann, D., Ehret, G., Baptista, D., Polasek, O., Rudan, I., Hurd, T.W., Hastie, N.D., Vitart, V., Waeber, G., Kutalik, Z., Bergmann, S., Vargas-Poussou, R., Konrad, M., Gasparini, P., Deary, I.J., Starr, J.M., Toniolo, D., Vollenweider, P., Hoenderop, J.G.J., Bindels, R.J.M., Bochud, M., Devuyst, O., Corre, T., Arjona, F.J., Hayward, C., Youhanna, S., Baaij, J.H.F. de, Belge, H., Nagele, N., Debaix, H., Blanchard, M.G., Traglia, M., Harris, S.E., Ulivi, S., Rueedi, R., Lamparter, D., Mace, A., Sala, C., Lenarduzzi, S., Ponte, B., Pruijm, M., Ackermann, D., Ehret, G., Baptista, D., Polasek, O., Rudan, I., Hurd, T.W., Hastie, N.D., Vitart, V., Waeber, G., Kutalik, Z., Bergmann, S., Vargas-Poussou, R., Konrad, M., Gasparini, P., Deary, I.J., Starr, J.M., Toniolo, D., Vollenweider, P., Hoenderop, J.G.J., Bindels, R.J.M., Bochud, M., and Devuyst, O.

Abstract

1 januari 2018, Contains fulltext : 184156.pdf (publisher's version ) (Closed access), Magnesium (Mg(2+)) homeostasis is critical for metabolism. However, the genetic determinants of the renal handling of Mg(2+), which is crucial for Mg(2+) homeostasis, and the potential influence on metabolic traits in the general population are unknown. We obtained plasma and urine parameters from 9099 individuals from seven cohorts, and conducted a genome-wide meta-analysis of Mg(2+) homeostasis. We identified two loci associated with urinary magnesium (uMg), rs3824347 (P=4.4x10(-13)) near TRPM6, which encodes an epithelial Mg(2+) channel, and rs35929 (P=2.1x10(-11)), a variant of ARL15, which encodes a GTP-binding protein. Together, these loci account for 2.3% of the variation in 24-hour uMg excretion. In human kidney cells, ARL15 regulated TRPM6-mediated currents. In zebrafish, dietary Mg(2+) regulated the expression of the highly conserved ARL15 ortholog arl15b, and arl15b knockdown resulted in renal Mg(2+) wasting and metabolic disturbances. Finally, ARL15 rs35929 modified the association of uMg with fasting insulin and fat mass in a general population. In conclusion, this combined observational and experimental approach uncovered a gene-environment interaction linking Mg(2+) deficiency to insulin resistance and obesity.

Published
2018

33. Epidemiological and histological findings implicate matrix Gla protein in diastolic left ventricular dysfunction

Author

Wei, F.-F. (Fang-Fei), Trenson, S. (Sander), Monney, P. (Pierre), Yang, W.-Y. (Wen-Yi), Pruijm, M. (Menno), Zhang, Z.-Y. (Zhen-Yu), Bouatou, Y. (Yassine), Huang, Q.-F. (Qi-Fang), Ponte, B. (Belen), Martin, P.-Y. (Pierre-Yves), Thijs, L. (Lutgarde), Kuznetsova, T. (Tatiana), Allegaert, K.M. (Karel), Janssens, S. (Stefan), Vermeer, C. (Cees), Verhamme, P. (Peter), Burnier, M. (Michel), Bochud, M. (Murielle), Ehret, G.B. (Georg), Staessen, J.A. (Jan A.), Wei, F.-F. (Fang-Fei), Trenson, S. (Sander), Monney, P. (Pierre), Yang, W.-Y. (Wen-Yi), Pruijm, M. (Menno), Zhang, Z.-Y. (Zhen-Yu), Bouatou, Y. (Yassine), Huang, Q.-F. (Qi-Fang), Ponte, B. (Belen), Martin, P.-Y. (Pierre-Yves), Thijs, L. (Lutgarde), Kuznetsova, T. (Tatiana), Allegaert, K.M. (Karel), Janssens, S. (Stefan), Vermeer, C. (Cees), Verhamme, P. (Peter), Burnier, M. (Michel), Bochud, M. (Murielle), Ehret, G.B. (Georg), and Staessen, J.A. (Jan A.)

Abstract

Objectives: A novel paradigm of diastolic left ventricular (LV) dysfunction proposes involvement of the cardiac microvasculature. Vitamin K dependent matrix Gla protein (MGP) plays a role in preserving microcirculatory integrity. We hypothesized that LV filling pressure–a measure of diastolic LV dysfunction–increases with higher plasma level of inactive desphospho-uncarboxylated MGP (dp-ucMGP). We also studied the dist

Published
2018
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34. Should renal color Doppler ultrasonography be a routine test in newly diagnosed hypertensive patient?

Author

Tsioufis, C, Andrikou, I, Pruijm, M, Ponte, B, Sarafidis, P, Koureas, A, Tousoulis, D, Agabiti-Rosei, E, Mancia, G, Burnier, M, Tsioufis, C, Andrikou, I, Pruijm, M, Ponte, B, Sarafidis, P, Koureas, A, Tousoulis, D, Agabiti-Rosei, E, Mancia, G, and Burnier, M

Abstract

European Society of Hypertension/European Society of Cardiology guidelines recommend calculation of estimated glomerular filtration rate and evaluation of urinary albumin excretion rate as routine tests in the initial evaluation and during the follow-up of all hypertensive patients. However, from a clinical point of view, renal ultrasound-a noninvasive, readily available and cheap imaging modality-could contribute to the better evaluation of a hypertensive patient by identifying common causes of secondary hypertension (HTN) originating from the kidney and more recently by detecting renal injury in severe or long-standing essential HTN by measuring renal resistive indexes. The purpose of this review is to summarize the actual evidence which could support a larger use of renal ultrasound in the work-up of patients with newly diagnosed HTN.

Published
2018

35. Epidemiological and histological findings implicate matrix Gla protein in diastolic left ventricular dysfunction

Author

Wei, FF, Trenson, S, Monney, P, Yang, WY, Pruijm, M, Zhang, ZY, Bouatou, Y, Huang, QF, Ponte, B, Martin, PY, Thijs, L, Kuznetsova, T, Allegaert, Karel, Janssens, S, Vermeer, C, Verhamme, P, Burnier, M, Bochud, M, Ehret, G, Staessen, JA, Wei, FF, Trenson, S, Monney, P, Yang, WY, Pruijm, M, Zhang, ZY, Bouatou, Y, Huang, QF, Ponte, B, Martin, PY, Thijs, L, Kuznetsova, T, Allegaert, Karel, Janssens, S, Vermeer, C, Verhamme, P, Burnier, M, Bochud, M, Ehret, G, and Staessen, JA

Published
2018

38. Copeptin and insulin resistance: effect modification by age and 11 β-HSD2 activity in a population-based study

Author

Canivell, S., primary, Mohaupt, M., additional, Ackermann, D., additional, Pruijm, M., additional, Guessous, I., additional, Ehret, G., additional, Escher, G., additional, Pechère-Bertschi, A., additional, Vogt, B., additional, Devuyst, O., additional, Burnier, M., additional, Martin, P.-Y., additional, Ponte, B., additional, and Bochud, M., additional

Published
2017
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39. Seasonality of sodium and potassium consumption in Switzerland. Data from three cross-sectional, population-based studies

Author

UCL - SSS/IREC/NEFR - Pôle de Néphrologie, Marti-Soler, H., Pommier, C., Bochud, M., Guessous, I., Ponte, B., Pruijm, M., Ackermann, D., Forni Ogna, V., Paccaud, F., Burnier, M., Pechère-Bertschi, A., Devuyst, O., Marques-Vidal, P., Binet, I., Conen, D., Erne, P., Gabutti, L., Gallino, A., Hayoz, D., Muggli, F., Suter, P.M., UCL - SSS/IREC/NEFR - Pôle de Néphrologie, Marti-Soler, H., Pommier, C., Bochud, M., Guessous, I., Ponte, B., Pruijm, M., Ackermann, D., Forni Ogna, V., Paccaud, F., Burnier, M., Pechère-Bertschi, A., Devuyst, O., Marques-Vidal, P., Binet, I., Conen, D., Erne, P., Gabutti, L., Gallino, A., Hayoz, D., Muggli, F., and Suter, P.M.

Abstract

Background and aim: Blood pressure displays a seasonal pattern. Whether this pattern is related to high sodium and/or low potassium intakes has not been investigated. We assessed if sodium and potassium consumption present a seasonal pattern. We also simulated the impact of seasonality of sodium consumption on systolic blood pressure levels. Methods and results: Data from three Swiss population-based studies (n = 2845). Sodium and potassium consumption were assessed by urinary excretion using 24 h urine collection. Seasonality was assessed using the cosinor model and was adjusted for study, gender, age, body mass index, antihypertensive drug treatment, urinary creatinine and atmospheric relative humidity. The effect of sodium variation on blood pressure levels was estimated using data from a recent meta-analysis. Both sodium and potassium excretions showed a seasonal pattern. For sodium, the nadir occurred between August and October, and the peak between February and April, with a multivariate-adjusted seasonal variation (difference between peak and nadir) of 9.2 mmol. For potassium, the nadir occurred in October and the peak in April, with a multivariate-adjusted seasonal variation of 4.0 mmol. Excluding participants on antihypertensive drug treatment or stratifying the analysis by gender cancelled the seasonality of sodium consumption. The maximum impact of the seasonal variation in sodium consumption on systolic blood pressure ranged from 0.4 to 1.1 mm Hg, depending on the model considered. Conclusion: Sodium and potassium consumptions present specific seasonal variations. These variations do not explain the seasonal variations in blood pressure levels.

Published
2017

40. Seasonality of sodium and potassium consumption in Switzerland. Data from three cross-sectional, population-based studies

Author

Marti-Soler, H., primary, Pommier, C., additional, Bochud, M., additional, Guessous, I., additional, Ponte, B., additional, Pruijm, M., additional, Ackermann, D., additional, Forni Ogna, V., additional, Paccaud, F., additional, Burnier, M., additional, Pechère-Bertschi, A., additional, Devuyst, O., additional, Marques-Vidal, P., additional, Binet, I., additional, Conen, D., additional, Erne, P., additional, Gabutti, L., additional, Gallino, A., additional, Hayoz, D., additional, Muggli, F., additional, and Suter, P.M., additional

Published
2017
Full Text
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41. Common noncoding UMOD gene variants induce salt-sensitive hypertension and kidney damage by increasing uromodulin expression

Author

Trudu, M., Janas, S., Lanzani, C., Debaix, H., Schaeffer, C., Ikehata, M., Citterio, L., Demaretz, S., Trevisani, F., Ristagno, G., Glaudemans, B., Laghmani, K., Dell'antonio, G., Bochud, M., Burnier, M., Devuyst, O., Martin, P.Y., Mohaupt, M., Paccaud, F., Pechère-Bertschi, A., Vogt, B., Ackermann, D., Ehret, G., Guessous, I., Ponte, B., Pruijm, M., Loffing, J., Rastaldi, M.P., Manunta, P., Rampoldi, L., Swiss Kidney Project on Genes in Hypertension (SKIPOGH) team, Bochud, M., Burnier, M., Devuyst, O., Martin, PY., Mohaupt, M., Paccaud, F., Pechère-Bertschi, A., Vogt, B., Ackermann, D., Ehret, G., Guessous, I., Ponte, B., and Pruijm, M.

Subjects
Male, Tamm–Horsfall protein, Hypertension/chemically induced/genetics, Genome-wide association study, 030204 cardiovascular system & hematology, Mice, 0302 clinical medicine, Promoter Regions, Genetic, ddc:616, 0303 health sciences, Kidney, education.field_of_study, biology, General Medicine, Middle Aged, 3. Good health, Up-Regulation, medicine.anatomical_structure, Hypertension, Female, Sodium, Dietary/adverse effects/pharmacokinetics, Adult, medicine.medical_specialty, Population, Renal function, Mice, Transgenic, Renal Insufficiency, Chronic/genetics, Polymorphism, Single Nucleotide, General Biochemistry, Genetics and Molecular Biology, Uromodulin/genetics, 03 medical and health sciences, Young Adult, Internal medicine, Uromodulin, medicine, Genetic predisposition, Animals, Humans, Genetic Predisposition to Disease, Renal Insufficiency, Chronic, education, 030304 developmental biology, ddc:613, Aged, Sodium, Dietary, medicine.disease, Promoter Regions, Genetic/genetics, Endocrinology, Blood pressure, Gene Expression Regulation, biology.protein, Kidney disease, Genome-Wide Association Study
Abstract

Hypertension and chronic kidney disease (CKD) are complex traits representing major global health problems. Multiple genome-wide association studies have identified common variants in the promoter of the UMOD gene, which encodes uromodulin, the major protein secreted in normal urine, that cause independent susceptibility to CKD and hypertension. Despite compelling genetic evidence for the association between UMOD risk variants and disease susceptibility in the general population, the underlying biological mechanism is not understood. Here, we demonstrate that UMOD risk variants increased UMOD expression in vitro and in vivo. Uromodulin overexpression in transgenic mice led to salt-sensitive hypertension and to the presence of age-dependent renal lesions similar to those observed in elderly individuals homozygous for UMOD promoter risk variants. The link between uromodulin and hypertension is due to activation of the renal sodium cotransporter NKCC2. We demonstrated the relevance of this mechanism in humans by showing that pharmacological inhibition of NKCC2 was more effective in lowering blood pressure in hypertensive patients who are homozygous for UMOD promoter risk variants than in other hypertensive patients. Our findings link genetic susceptibility to hypertension and CKD to the level of uromodulin expression and uromodulin's effect on salt reabsorption in the kidney. These findings point to uromodulin as a therapeutic target for lowering blood pressure and preserving renal function.

Published
2013

42. Genetic associations at 53 loci highlight cell types and biological pathways relevant for kidney function.

Author

ICBP Consortium, AGEN Consortium, CHARGe-Heart Failure Group, ECHOGen Consortium, CARDIOGRAM, Abecasis, GR., Adair, LS., Alexander, M., Altshuler, D., Amin, N., Arking, DE., Arora, P., Aulchenko, Y., Bakker, SJ., Bandinelli, S., Barroso, I., Beckmann, JS., Beilby, JP., Bergman, RN., Bergmann, S., Bis, JC., Boehnke, M., Bonnycastle, LL., Bornstein, SR., Bots, ML., Bragg-Gresham, JL., Brand, SM., Brand, E., Braund, PS., Brown, MJ., Burton, PR., Casas, JP., Caulfield, MJ., Chakravarti, A., Chambers, JC., Chandak, GR., Chang, YP., Charchar, FJ., Chaturvedi, N., Shin Cho, Y., Clarke, R., Collins, FS., Collins, R., Connell, JM., Cooper, JA., Cooper, MN., Cooper, RS., Corsi, AM., Dörr, M., Dahgam, S., Danesh, J., Davey Smith, G., Day, IN., Deloukas, P., Denniff, M., Dominiczak, AF., Dong, Y., Doumatey, A., Elliott, P., Elosua, R., Erdmann, J., Eyheramendy, S., Farrall, M., Fava, C., Forrester, T., Fowkes, FG., Fox, ER., Frayling, TM., Galan, P., Ganesh, SK., Garcia, M., Gaunt, TR., Glazer, NL., Go, MJ., Goel, A., Grässler, J., Grobbee, DE., Groop, L., Guarrera, S., Guo, X., Hadley, D., Hamsten, A., Han, BG., Hardy, R., Hartikainen, AL., Heath, S., Heckbert, SR., Hedblad, B., Hercberg, S., Hernandez, D., Hicks, AA., Hilton, G., Hingorani, AD., Bolton, JA., Hopewell, JC., Howard, P., Humphries, SE., Hunt, SC., Hveem, K., Ikram, MA., Islam, M., Iwai, N., Jarvelin, MR., Jackson, AU., Jafar, TH., Janipalli, CS., Johnson, T., Kathiresan, S., Khaw, KT., Kim, HL., Kinra, S., Kita, Y., Kivimaki, M., Kooner, JS., Kumar, MJ., Kuh, D., Kulkarni, SR., Kumari, M., Kuusisto, J., Kuznetsova, T., Laakso, M., Laan, M., Laitinen, J., Lakatta, EG., Langefeld, CD., Larson, MG., Lathrop, M., Lawlor, DA., Lawrence, RW., Lee, JY., Lee, NR., Levy, D., Li, Y., Longstreth, WT., Luan£££Jian'an£££ J., Lucas, G., Ludwig, B., Mangino, M., Mani, KR., Marmot, MG., Mattace-Raso, FU., Matullo, G., McArdle, WL., McKenzie, CA., Meitinger, T., Melander, O., Meneton, P., Meschia, JF., Miki, T., Milaneschi, Y., Mohlke, KL., Mooser, V., Morken, MA., Morris, RW., Mosley, TH., Najjar, S., Narisu, N., Newton-Cheh, C., Nguyen, KD., Nilsson, P., Nyberg, F., O'Donnell, CJ., Ogihara, T., Ohkubo, T., Okamura, T., Ong, RT., Ongen, H., Onland-Moret, NC., O'Reilly, PF., Org, E., Orru, M., Palmas, W., Palmen, J., Palmer, LJ., Palmer, ND., Parker, AN., Peden, JF., Peltonen, L., Perola, M., Pihur, V., Platou, CG., Plump, A., Prabhakaran, D., Psaty, BM., Raffel, LJ., Rao, DC., Rasheed, A., Ricceri, F., Rice, KM., Rosengren, A., Rotter, JI., Rudock, ME., Sõber, S., Salako, T., Saleheen, D., Salomaa, V., Samani, NJ., Schwartz, SM., Schwarz, PE., Scott, LJ., Scott, J., Scuteri, A., Sehmi, JS., Seielstad, M., Seshadri, S., Sharma, P., Shaw-Hawkins, S., Shi, G., Shrine, NR., Sijbrands, EJ., Sim, X., Singleton, A., Sjögren, M., Smith, NL., Soler Artigas, M., Spector, TD., Staessen, JA., Stancakova, A., Steinle, NI., Strachan, DP., Stringham, HM., Sun, YV., Swift, AJ., Tabara, Y., Tai, ES., Talmud, PJ., Taylor, A., Terzic, J., Thelle, DS., Tobin, MD., Tomaszewski, M., Tripathy, V., Tuomilehto, J., Tzoulaki, I., Uda, M., Ueshima, H., Uiterwaal, CS., Umemura, S., van der Harst, P., van der Schouw YT., van Gilst WH., Vartiainen, E., Vasan, RS., Veldre, G., Verwoert, GC., Viigimaa, M., Vinay, DG., Vineis, P., Voight, BF., Vollenweider, P., Wagenknecht, LE., Wain, LV., Wang, X., Wang, TJ., Wareham, NJ., Watkins, H., Weder, AB., Whincup, PH., Wiggins, KL., Witteman, JC., Wong, A., Wu, Y., Yajnik, CS., Yao, J., Young, JH., Zelenika, D., Zhai, G., Zhang, W., Zhang, F., Zhao, JH., Zhu, H., Zhu, X., Zitting, P., Zukowska-Szczechowska, E., Okada, Y., Wu, JY., Gu, D., Takeuchi, F., Takahashi, A., Maeda, S., Tsunoda, T., Chen, P., Lim, SC., Wong, TY., Liu, J., Young, TL., Aung, T., Teo, YY., Kim, YJ., Kang, D., Chen, CH., Tsai, FJ., Chang, LC., Fann, SJ., Mei, H., Hixson, JE., Chen, S., Katsuya, T., Isono, M., Albrecht, E., Yamamoto, K., Kubo, M., Nakamura, Y., Kamatani, N., Kato, N., He, J., Chen, YT., Tanaka, T., Reilly, MP., Schunkert, H., Assimes, TL., Hall, A., Hengstenberg, C., König, IR., Laaksonen, R., McPherson, R., Thompson, JR., Thorsteinsdottir, U., Ziegler, A., Absher, D., Chen, L., Cupples, LA., Halperin, E., Li, M., Musunuru, K., Preuss, M., Schillert, A., Thorleifsson, G., Wells, GA., Holm, H., Roberts, R., Stewart, AF., Fortmann, S., Go, A., Hlatky, M., Iribarren, C., Knowles, J., Myers, R., Quertermous, T., Sidney, S., Risch, N., Tang, H., Blankenberg, S., Schnabel, R., Sinning, C., Lackner, KJ., Tiret, L., Nicaud, V., Cambien, F., Bickel, C., Rupprecht, HJ., Perret, C., Proust, C., Münzel, TF., Barbalic, M., Chen, IY., Demissie-Banjaw, S., Folsom, A., Lumley, T., Marciante, K., Taylor, KD., Volcik, K., Gretarsdottir, S., Gulcher, JR., Kong, A., Stefansson, K., Thorgeirsson, G., Andersen, K., Fischer, M., Grosshennig, A., Linsel-Nitschke, P., Stark, K., Schreiber, S., Aherrahrou, Z., Bruse, P., Doering, A., Klopp, N., Diemert, P., Loley, C., Medack, A., Nahrstedt, J., Peters, A., Wagner, AK., Willenborg, C., Böhm, BO., Dobnig, H., Grammer, TB., Hoffmann, MM., Meinitzer, A., Winkelmann, BR., Pilz, S., Renner, W., Scharnagl, H., Stojakovic, T., Tomaschitz, A., Winkler, K., Guiducci, C., Burtt, N., Gabriel, SB., Dandona, S., Jarinova, O., Qu, L., Wilensky, R., Matthai, W., Hakonarson, HH., Devaney, J., Burnett, MS., Pichard, AD., Kent, KM., Satler, L., Lindsay, JM., Waksman, R., Knouff, CW., Waterworth, DM., Walker, MC., Epstein, SE., Rader, DJ., Nelson, CP., Wright, BJ., Balmforth, AJ., Ball, SG., Loehr, LR., Rosamond, WD., Benjamin, E., Haritunians, T., Couper, D., Murabito, J., Wang, YA., Stricker, BH., Chang, PP., Willerson, JT., Felix, SB., Watzinger, N., Aragam, J., Zweiker, R., Lind, L., Rodeheffer, RJ., Greiser, KH., Deckers, JW., Stritzke, J., Ingelsson, E., Kullo, I., Haerting, J., Reffelmann, T., Redfield, MM., Werdan, K., Mitchell, GF., Arnett, DK., Gottdiener, JS., Blettner, M., Friedrich, N., Pattaro, C., Teumer, A., Gorski, M., Chu, 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Abstract

Reduced glomerular filtration rate defines chronic kidney disease and is associated with cardiovascular and all-cause mortality. We conducted a meta-analysis of genome-wide association studies for estimated glomerular filtration rate (eGFR), combining data across 133,413 individuals with replication in up to 42,166 individuals. We identify 24 new and confirm 29 previously identified loci. Of these 53 loci, 19 associate with eGFR among individuals with diabetes. Using bioinformatics, we show that identified genes at eGFR loci are enriched for expression in kidney tissues and in pathways relevant for kidney development and transmembrane transporter activity, kidney structure, and regulation of glucose metabolism. Chromatin state mapping and DNase I hypersensitivity analyses across adult tissues demonstrate preferential mapping of associated variants to regulatory regions in kidney but not extra-renal tissues. These findings suggest that genetic determinants of eGFR are mediated largely through direct effects within the kidney and highlight important cell types and biological pathways.

Published
2016

43. Genetic associations at 53 loci highlight cell types and biological pathways relevant for kidney function

Author

Pattaro, C, Teumer, A, Gorski, M, Chu, AY, Li, M, Mijatovic, V, Garnaas, M, Tin, A, Sorice, R, Li, Y, Taliun, D, Olden, M, Foster, M, Yang, Q, Chen, M-H, Pers, TH, Johnson, AD, Ko, Y-A, Fuchsberger, C, Tayo, B, Nalls, M, Feitosa, MF, Isaacs, A, Dehghan, A, d'Adamo, P, Adeyemo, A, Dieffenbach, AK, Zonderman, AB, Nolte, IM, van der Most, PJ, Wright, AF, Shuldiner, AR, Morrison, AC, Hofman, A, Smith, AV, Dreisbach, AW, Franke, A, Uitterlinden, AG, Metspalu, A, Tonjes, A, Lupo, A, Robino, A, Johansson, A, Demirkan, A, Kollerits, B, Freedman, BI, Ponte, B, Oostra, BA, Paulweber, B, Kraemer, BK, Mitchell, BD, Buckley, BM, Peralta, CA, Hayward, C, Helmer, C, Rotimi, CN, Shaffer, CM, Mueller, C, Sala, C, van Duijn, CM, Saint-Pierre, A, Ackermann, D, Shriner, D, Ruggiero, D, Toniolo, D, Lu, Y, Cusi, D, Czamara, D, Ellinghaus, D, Siscovick, DS, Ruderfer, D, Gieger, C, Grallert, H, Rochtchina, E, Atkinson, EJ, Holliday, EG, Boerwinkle, E, Salvi, E, Bottinger, EP, Murgia, F, Rivadeneira, F, Ernst, F, Kronenberg, F, Hu, FB, Navis, GJ, Curhan, GC, Ehret, GB, Homuth, G, Coassin, S, Thun, G-A, Pistis, G, Gambaro, G, Malerba, G, Montgomery, GW, Eiriksdottir, G, Jacobs, G, Li, G, Wichmann, H-E, Campbell, H, Schmidt, H, Wallaschofski, H, Voelzke, H, Brenner, H, Kroemer, HK, Kramer, H, Lin, H, Leach, IM, Ford, I, Guessous, I, Rudan, I, Prokopenko, I, Borecki, I, Heid, IM, Kolcic, I, Persico, I, Jukema, JW, Wilson, JF, Felix, JF, Divers, J, Lambert, J-C, Stafford, JM, Gaspoz, J-M, Smith, JA, Faul, JD, Wang, JJ, Ding, J, Hirschhorn, JN, Attia, J, Whitfield, JB, Chalmers, J, Viikari, J, Coresh, J, Denny, JC, Karjalainen, J, Fernandes, JK, Endlich, K, Butterbach, K, Keene, KL, Lohman, K, Portas, L, Launer, LJ, Lyytikaeinen, L-P, Yengo, L, Franke, L, Ferrucci, L, Rose, LM, Kedenko, L, Rao, M, Struchalin, M, Kleber, ME, Cavalieri, M, Haun, M, Cornelis, MC, Ciullo, M, Pirastu, M, de Andrade, M, McEvoy, MA, Woodward, M, Adam, M, Cocca, M, Nauck, M, Imboden, M, Waldenberger, M, Pruijm, M, Metzger, M, Stumvoll, M, Evans, MK, Sale, MM, Kaehoenen, M, Boban, M, Bochud, M, Rheinberger, M, Verweij, N, Bouatia-Naji, N, Martin, NG, Hastie, N, Probst-Hensch, N, Soranzo, N, Devuyst, O, Raitakari, O, Gottesman, O, Franco, OH, Polasek, O, Gasparini, P, Munroe, PB, Ridker, PM, Mitchell, P, Muntner, P, Meisinger, C, Smit, JH, Kovacs, P, Wild, PS, Froguel, P, Rettig, R, Maegi, R, Biffar, R, Schmidt, R, Middelberg, RPS, Carroll, RJ, Penninx, BW, Scott, RJ, Katz, R, Sedaghat, S, Wild, SH, Kardia, SLR, Ulivi, S, Hwang, S-J, Enroth, S, Kloiber, S, Trompet, S, Stengel, B, Hancock, SJ, Turner, ST, Rosas, SE, Stracke, S, Harris, TB, Zeller, T, Zemunik, T, Lehtimaeki, T, Illig, T, Aspelund, T, Nikopensius, T, Esko, T, Tanaka, T, Gyllensten, U, Voelker, U, Emilsson, V, Vitart, V, Aalto, V, Gudnason, V, Chouraki, V, Chen, W-M, Igl, W, Maerz, W, Koenig, W, Lieb, W, Loos, RJF, Liu, Y, Snieder, H, Pramstaller, PP, Parsa, A, O'Connell, JR, Susztak, K, Hamet, P, Tremblay, J, de Boer, IH, Boeger, CA, Goessling, W, Chasman, DI, Koettgen, A, Kao, WHL, Fox, CS, Pattaro, C, Teumer, A, Gorski, M, Chu, AY, Li, M, Mijatovic, V, Garnaas, M, Tin, A, Sorice, R, Li, Y, Taliun, D, Olden, M, Foster, M, Yang, Q, Chen, M-H, Pers, TH, Johnson, AD, Ko, Y-A, Fuchsberger, C, Tayo, B, Nalls, M, Feitosa, MF, Isaacs, A, Dehghan, A, d'Adamo, P, Adeyemo, A, Dieffenbach, AK, Zonderman, AB, Nolte, IM, van der Most, PJ, Wright, AF, Shuldiner, AR, Morrison, AC, Hofman, A, Smith, AV, Dreisbach, AW, Franke, A, Uitterlinden, AG, Metspalu, A, Tonjes, A, Lupo, A, Robino, A, Johansson, A, Demirkan, A, Kollerits, B, Freedman, BI, Ponte, B, Oostra, BA, Paulweber, B, Kraemer, BK, Mitchell, BD, Buckley, BM, Peralta, CA, Hayward, C, Helmer, C, Rotimi, CN, Shaffer, CM, Mueller, C, Sala, C, van Duijn, CM, Saint-Pierre, A, Ackermann, D, Shriner, D, Ruggiero, D, Toniolo, D, Lu, Y, Cusi, D, Czamara, D, Ellinghaus, D, Siscovick, DS, Ruderfer, D, Gieger, C, Grallert, H, Rochtchina, E, Atkinson, EJ, Holliday, EG, Boerwinkle, E, Salvi, E, Bottinger, EP, Murgia, F, Rivadeneira, F, Ernst, F, Kronenberg, F, Hu, FB, Navis, GJ, Curhan, GC, Ehret, GB, Homuth, G, Coassin, S, Thun, G-A, Pistis, G, Gambaro, G, Malerba, G, Montgomery, GW, Eiriksdottir, G, Jacobs, G, Li, G, Wichmann, H-E, Campbell, H, Schmidt, H, Wallaschofski, H, Voelzke, H, Brenner, H, Kroemer, HK, Kramer, H, Lin, H, Leach, IM, Ford, I, Guessous, I, Rudan, I, Prokopenko, I, Borecki, I, Heid, IM, Kolcic, I, Persico, I, Jukema, JW, Wilson, JF, Felix, JF, Divers, J, Lambert, J-C, Stafford, JM, Gaspoz, J-M, Smith, JA, Faul, JD, Wang, JJ, Ding, J, Hirschhorn, JN, Attia, J, Whitfield, JB, Chalmers, J, Viikari, J, Coresh, J, Denny, JC, Karjalainen, J, Fernandes, JK, Endlich, K, Butterbach, K, Keene, KL, Lohman, K, Portas, L, Launer, LJ, Lyytikaeinen, L-P, Yengo, L, Franke, L, Ferrucci, L, Rose, LM, Kedenko, L, Rao, M, Struchalin, M, Kleber, ME, Cavalieri, M, Haun, M, Cornelis, MC, Ciullo, M, Pirastu, M, de Andrade, M, McEvoy, MA, Woodward, M, Adam, M, Cocca, M, Nauck, M, Imboden, M, Waldenberger, M, Pruijm, M, Metzger, M, Stumvoll, M, Evans, MK, Sale, MM, Kaehoenen, M, Boban, M, Bochud, M, Rheinberger, M, Verweij, N, Bouatia-Naji, N, Martin, NG, Hastie, N, Probst-Hensch, N, Soranzo, N, Devuyst, O, Raitakari, O, Gottesman, O, Franco, OH, Polasek, O, Gasparini, P, Munroe, PB, Ridker, PM, Mitchell, P, Muntner, P, Meisinger, C, Smit, JH, Kovacs, P, Wild, PS, Froguel, P, Rettig, R, Maegi, R, Biffar, R, Schmidt, R, Middelberg, RPS, Carroll, RJ, Penninx, BW, Scott, RJ, Katz, R, Sedaghat, S, Wild, SH, Kardia, SLR, Ulivi, S, Hwang, S-J, Enroth, S, Kloiber, S, Trompet, S, Stengel, B, Hancock, SJ, Turner, ST, Rosas, SE, Stracke, S, Harris, TB, Zeller, T, Zemunik, T, Lehtimaeki, T, Illig, T, Aspelund, T, Nikopensius, T, Esko, T, Tanaka, T, Gyllensten, U, Voelker, U, Emilsson, V, Vitart, V, Aalto, V, Gudnason, V, Chouraki, V, Chen, W-M, Igl, W, Maerz, W, Koenig, W, Lieb, W, Loos, RJF, Liu, Y, Snieder, H, Pramstaller, PP, Parsa, A, O'Connell, JR, Susztak, K, Hamet, P, Tremblay, J, de Boer, IH, Boeger, CA, Goessling, W, Chasman, DI, Koettgen, A, Kao, WHL, and Fox, CS

Abstract

Reduced glomerular filtration rate defines chronic kidney disease and is associated with cardiovascular and all-cause mortality. We conducted a meta-analysis of genome-wide association studies for estimated glomerular filtration rate (eGFR), combining data across 133,413 individuals with replication in up to 42,166 individuals. We identify 24 new and confirm 29 previously identified loci. Of these 53 loci, 19 associate with eGFR among individuals with diabetes. Using bioinformatics, we show that identified genes at eGFR loci are enriched for expression in kidney tissues and in pathways relevant for kidney development and transmembrane transporter activity, kidney structure, and regulation of glucose metabolism. Chromatin state mapping and DNase I hypersensitivity analyses across adult tissues demonstrate preferential mapping of associated variants to regulatory regions in kidney but not extra-renal tissues. These findings suggest that genetic determinants of eGFR are mediated largely through direct effects within the kidney and highlight important cell types and biological pathways.

Published
2016

44. Genetic associations at 53 loci highlight cell types and biological pathways relevant for kidney function

Author

UCL - SSS/IREC/NEFR - Pôle de Néphrologie, UCL - (SLuc) Service de néphrologie, Pattaro, C., Teumer, A., Gorski, M., Chu, A.Y., Li, M., Mijatovic, V., Garnaas, M., Tin, A., Sorice, R., Li, Y., Taliun, D., Olden, M., Foster, M., Yang, Q., Chen, M.-H., Pers, T.H., Johnson, A.D., Ko, Y.-A., Fuchsberger, C., Tayo, B., Nalls, M., Feitosa, M.F., Isaacs, A., Dehghan, A., D'Adamo, P., Adeyemo, A., Dieffenbach, A.K., Zonderman, A.B., Nolte, I.M., Van Der Most, P.J., Wright, A.F., Shuldiner, A.R., Morrison, A.C., Hofman, A., Smith, A.V., Dreisbach, A.W., Franke, A., Uitterlinden, A.G., Metspalu, A., Tonjes, A., Lupo, A., Robino, A., Johansson, Å., Demirkan, A., Kollerits, B., Freedman, B.I., Ponte, B., Oostra, B.A., Paulweber, B., Krämer, B.K., Mitchell, B.D., Buckley, B.M., Peralta, C.A., Hayward, C., Helmer, C., Rotimi, C.N., Shaffer, C.M., Müller, C., Sala, C., Van Duijn, C.M., Saint-Pierre, A., Ackermann, D., Shriner, D., Ruggiero, D., Toniolo, D., Lu, Y., Cusi, D., Czamara, D., Ellinghaus, D., Siscovick, D.S., Ruderfer, D., Gieger, C., Grallert, H., Rochtchina, E., Atkinson, E.J., Holliday, E.G., Boerwinkle, E., Salvi, E., Bottinger, E.P., Murgia, F., Rivadeneira, F., Ernst, F., Kronenberg, F., Hu, F.B., Navis, G.J., Curhan, G.C., Ehret, G.B., Homuth, G., Coassin, S., Thun, G.-A., Pistis, G., Gambaro, G., Malerba, G., Montgomery, G.W., Eiriksdottir, G., Jacobs, G., Li, G., Wichmann, H.-E., Campbell, H., Schmidt, H., Wallaschofski, H., Völzke, H., Brenner, H., Kroemer, H.K., Kramer, H., Lin, H., Leach, I.M., Ford, I., Guessous, I., Rudan, I., Prokopenko, I., Borecki, I., Heid, I.M., Kolcic, I., Persico, I., Jukema, J.W., Wilson, J.F., Felix, J.F., Divers, J., Lambert, J.-C., Stafford, J.M., Gaspoz, J.-M., Smith, J.A., Faul, J.D., Wang, J.J., Ding, J., Hirschhorn, J.N., Attia, J., Whitfield, J.B., Chalmers, J., Viikari, J., Coresh, J., Denny, J.C., Karjalainen, J., Fernandes, J.K., Endlich, K., Butterbach, K., Keene, K.L., Lohman, K., Portas, L., Launer, L.J., Lyytikäinen, L.-P., Yengo, L., Franke, L., Ferrucci, L., Rose, L.M., Kedenko, L., Rao, M., Struchalin, M., Kleber, M.E., Cavalieri, M., Haun, M., Cornelis, M.C., Ciullo, M., Pirastu, M., De Andrade, M., McEvoy, M.A., Woodward, M., Adam, M., Cocca, M., Nauck, M., Imboden, M., Waldenberger, M., Pruijm, M., Metzger, M., Stumvoll, M., Evans, M.K., Sale, M.M., Kähönen, M., Boban, M., Bochud, M., Rheinberger, M., Verweij, N., Bouatia-Naji, N., Martin, N.G., Hastie, N., Probst-Hensch, N., Soranzo, N., Devuyst, O., Raitakari, O., Gottesman, O., Franco, O.H., Polasek, O., Gasparini, P., Munroe, P.B., Ridker, P.M., Mitchell, P., Muntner, P., Meisinger, C., Smit, J.H., Abecasis, G.R., Adair, L.S., Alexander, M., Altshuler, D., Amin, N., Arking, D.E., Arora, P., Aulchenko, Y., Bakker, S.J.L., Bandinelli, S., Barroso, I., Beckmann, J.S., Beilby, J.P., Bergman, R.N., Bergmann, S., Bis, J.C., Boehnke, M., Bonnycastle, L.L., Bornstein, S.R., Bots, M.L., Bragg-Gresham, J.L., Brand, S.-M., Brand, E., Braund, P.S., Brown, M.J., Burton, P.R., Casas, J.P., Caulfield, M.J., Chakravarti, A., Chambers, J.C., Chandak, G.R., Chang, Y.-P.C., Charchar, F.J., Chaturvedi, N., Cho, Y.S., Clarke, R., Collins, F.S., Collins, R., Connell, J.M., Cooper, J.A., Cooper, M.N., Cooper, R.S., Corsi, A.M., Dörr, M., Dahgam, S., Danesh, J., Smith, G.D., Day, I.N.M., Deloukas, P., Denniff, M., Dominiczak, A.F., Dong, Y., Doumatey, A., Elliott, P., Elosua, R., Erdmann, J., Eyheramendy, S., Farrall, M., Fava, C., Forrester, T., Fowkes, F.G.R., Fox, E.R., Frayling, T.M., Galan, P., Ganesh, S.K., Garcia, M., Gaunt, T.R., Glazer, N.L., Go, M.J., Goel, A., Grässler, J., Grobbee, D.E., Groop, L., Guarrera, S., Guo, X., Hadley, D., Hamsten, A., Han, B.-G., Hardy, R., Hartikainen, A.-L., Heath, S., Heckbert, S.R., Hedblad, B., Hercberg, S., Hernandez, D., Hicks, A.A., Hilton, G., Hingorani, A.D., Hoffman Bolton, J.A., Hopewell, J.C., Howard, P., Humphries, S.E., Hunt, S.C., Hveem, K., Ikram, M.A., Islam, M., Iwai, N., Jarvelin, M.-R., Jackson, A.U., Jafar, T.H., Janipalli, C.S., Johnson, T., Kathiresan, S., Khaw, K.-T., Kim, H.-L., Kinra, S., Kita, Y., Kivimaki, M., Kooner, J.S., Kumar, M.J.K., Kuh, D., Kulkarni, S.R., Kumari, M., Kuusisto, J., Kuznetsova, T., Laakso, M., Laan, M., Laitinen, J., Lakatta, E.G., Langefeld, C.D., Larson, M.G., Lathrop, M., Lawlor, D.A., Lawrence, R.W., Lee, J.-Y., Lee, N.R., Levy, D., Longstreth, W.T., Luan, J., Lucas, G., Ludwig, B., Mangino, M., Mani, K.R., Marmot, M.G., Mattace-Raso, F.U.S., Matullo, G., McArdle, W.L., McKenzie, C.A., Meitinger, T., Melander, O., Meneton, P., Meschia, J.F., Miki, T., Milaneschi, Y., Mohlke, K.L., Mooser, V., Morken, M.A., Morris, R.W., Mosley, T.H., Najjar, S., Narisu, N., Newton-Cheh, C., Nguyen, K.-D.H., Nilsson, P., Nyberg, F., O'Donnell, C.J., Ogihara, T., Ohkubo, T., Okamura, T., Ong, R.T.-H., Ongen, H., Onland-Moret, N.C., O'Reilly, P.F., Org, E., Orru, M., Palmas, W., Palmen, J., Palmer, L.J., Palmer, N.D., Parker, A.N., Peden, J.F., Peltonen, L., Perola, M., Pihur, V., Platou, C.G.P., Plump, A., Prabhakaran, D., Psaty, B.M., Raffel, L.J., Rao, D.C., Rasheed, A., Ricceri, F., Rice, K.M., Rosengren, A., Rotter, J.I., Rudock, M.E., Sõber, S., Salako, T., Saleheen, D., Salomaa, V., Samani, N.J., Schwartz, S.M., Schwarz, P.E.H., Scott, L.J., Scott, J., Scuteri, A., Sehmi, J.S., Seielstad, M., Seshadri, S., Sharma, P., Shaw-Hawkins, S., Shi, G., Shrine, N.R.G., Sijbrands, E.J.G., Sim, X., Singleton, A., Sjögren, M., Smith, N.L., Artigas, M.S., Spector, T.D., Staessen, J.A., Stancakova, A., Steinle, N.I., Strachan, D.P., Stringham, H.M., Sun, Y.V., Swift, A.J., Tabara, Y., Tai, E.-S., Talmud, P.J., Taylor, A., Terzic, J., Thelle, D.S., Tobin, M.D., Tomaszewski, M., Tripathy, V., Tuomilehto, J., Tzoulaki, I., Uda, M., Ueshima, H., Uiterwaal, C.S.P.M., Umemura, S., Van Der Harst, P., Van Der Schouw, Y.T., Van Gilst, W.H., Vartiainen, E., Vasan, R.S., Veldre, G., Verwoert, G.C., Viigimaa, M., Vinay, D.G., Vineis, P., Voight, B.F., Vollenweider, P., Wagenknecht, L.E., Wain, L.V., Wang, X., Wang, T.J., Wareham, N.J., Watkins, H., Weder, A.B., Whincup, P.H., Wiggins, K.L., Witteman, J.C.M., Wong, A., Wu, Y., Yajnik, C.S., Yao, J., Young, J.H., Zelenika, D., Zhai, G., Zhang, W., Zhang, F., Zhao, J.H., Zhu, H., Zhu, X., Zitting, P., Zukowska-Szczechowska, E., Okada, Y., Wu, J.-Y., Gu, D., Takeuchi, F., Takahashi, A., Maeda, S., Tsunoda, T., Chen, P., Lim, S.-C., Wong, T.-Y., Liu, J., Young, T.L., Aung, T., Teo, Y.-Y., Kim, Y.J., Kang, D., Chen, C.-H., Tsai, F.-J., Chang, L.-C., Fann, S.-J.C., Mei, H., Hixson, J.E., Chen, S., Katsuya, T., Isono, M., Albrecht, E., Yamamoto, K., Kubo, M., Nakamura, Y., Kamatani, N., Kato, N., He, J., Chen, Y.-T., Tanaka, T., Reilly, M.P., Schunkert, H., Assimes, T.L., Hall, A., Hengstenberg, C., König, I.R., Laaksonen, R., McPherson, R., Thompson, J.R., Thorsteinsdottir, U., Ziegler, A., Absher, D., Chen, L., Cupples, L.A., Halperin, E., Musunuru, K., Preuss, M., Schillert, A., Thorleifsson, G., Wells, G.A., Holm, H., Roberts, R., Stewart, A.F.R., Fortmann, S., Go, A., Hlatky, M., Iribarren, C., Knowles, J., Myers, R., Quertermous, T., Sidney, S., Risch, N., Tang, H., Blankenberg, S., Schnabel, R., Sinning, C., Lackner, K.J., Tiret, L., Nicaud, V., Cambien, F., Bickel, C., Rupprecht, H.J., Perret, C., Proust, C., Münzel, T.F., Barbalic, M., Chen, I.Y.-D., Demissie-Banjaw, S., Folsom, A., Lumley, T., Marciante, K., Taylor, K.D., Volcik, K., Gretarsdottir, S., Gulcher, J.R., Kong, A., Stefansson, K., Thorgeirsson, G., Andersen, K., Fischer, M., Grosshennig, A., Linsel-Nitschke, P., Stark, K., Schreiber, S., Aherrahrou, Z., Bruse, P., Doering, A., Klopp, N., Diemert, P., Loley, C., Medack, A., Nahrstedt, J., Peters, A., Wagner, A.K., Willenborg, C., Böhm, B.O., Dobnig, H., Grammer, T.B., Hoffmann, M.M., Meinitzer, A., Winkelmann, B.R., Pilz, S., Renner, W., Scharnagl, H., Stojakovic, T., Tomaschitz, A., Winkler, K., Guiducci, C., Burtt, N., Gabriel, S.B., Dandona, S., Jarinova, O., Qu, L., Wilensky, R., Matthai, W., Hakonarson, H.H., Devaney, J., Burnett, M.S., Pichard, A.D., Kent, K.M., Satler, L., Lindsay, J.M., Waksman, R., Knouff, C.W., Waterworth, D.M., Walker, M.C., Epstein, S.E., Rader, D.J., Nelson, C.P., Wright, B.J., Balmforth, A.J., Ball, S.G., Loehr, L.R., Rosamond, W.D., Benjamin, E., Haritunians, T., Couper, D., Murabito, J., Wang, Y.A., Stricker, B.H., Chang, P.P., Willerson, J.T., Felix, S.B., Watzinger, N., Aragam, J., Zweiker, R., Lind, L., Rodeheffer, R.J., Greiser, K.H., Deckers, J.W., Stritzke, J., Ingelsson, E., Kullo, I., Haerting, J., Reffelmann, T., Redfield, M.M., Werdan, K., Mitchell, G.F., Arnett, D.K., Gottdiener, J.S., Blettner, M., Friedrich, N., Kovacs, P., Wild, P.S., Froguel, P., Rettig, R., Mägi, R., Biffar, R., Schmidt, R., Middelberg, R.P.S., Carroll, R.J., Penninx, B.W., Scott, R.J., Katz, R., Sedaghat, S., Wild, S.H., Kardia, S.L.R., Ulivi, S., Hwang, S.-J., Enroth, S., Kloiber, S., Trompet, S., Stengel, B., Hancock, S.J., Turner, S.T., Rosas, S.E., Stracke, S., Harris, T.B., Zeller, T., Zemunik, T., Lehtimäki, T., Illig, T., Aspelund, T., Nikopensius, T., Esko, T., Gyllensten, U., Völker, U., Emilsson, V., Vitart, V., Aalto, V., Gudnason, V., Chouraki, V., Chen, W.-M., Igl, W., März, W., Koenig, W., Lieb, W., Loos, R.J.F., Liu, Y., Snieder, H., Pramstaller, P.P., Parsa, A., O'Connell, J.R., Susztak, K., Hamet, P., Tremblay, J., De Boer, I.H., Böger, C.A., Goessling, W., Chasman, D.I., Köttgen, A., Kao, W.H.L., Fox, C.S., UCL - SSS/IREC/NEFR - Pôle de Néphrologie, UCL - (SLuc) Service de néphrologie, Pattaro, C., Teumer, A., Gorski, M., Chu, A.Y., Li, M., Mijatovic, V., Garnaas, M., Tin, A., Sorice, R., Li, Y., Taliun, D., Olden, M., Foster, M., Yang, Q., Chen, M.-H., Pers, T.H., Johnson, A.D., Ko, Y.-A., Fuchsberger, C., Tayo, B., Nalls, M., Feitosa, M.F., Isaacs, A., Dehghan, A., D'Adamo, P., Adeyemo, A., Dieffenbach, A.K., Zonderman, A.B., Nolte, I.M., Van Der Most, P.J., Wright, A.F., Shuldiner, A.R., Morrison, A.C., Hofman, A., Smith, A.V., Dreisbach, A.W., Franke, A., Uitterlinden, A.G., Metspalu, A., Tonjes, A., Lupo, A., Robino, A., Johansson, Å., Demirkan, A., Kollerits, B., Freedman, B.I., Ponte, B., Oostra, B.A., Paulweber, B., Krämer, B.K., Mitchell, B.D., Buckley, B.M., Peralta, C.A., Hayward, C., Helmer, C., Rotimi, C.N., Shaffer, C.M., Müller, C., Sala, C., Van Duijn, C.M., Saint-Pierre, A., Ackermann, D., Shriner, D., Ruggiero, D., Toniolo, D., Lu, Y., Cusi, D., Czamara, D., Ellinghaus, D., Siscovick, D.S., Ruderfer, D., Gieger, C., Grallert, H., Rochtchina, E., Atkinson, E.J., Holliday, E.G., Boerwinkle, E., Salvi, E., Bottinger, E.P., Murgia, F., Rivadeneira, F., Ernst, F., Kronenberg, F., Hu, F.B., Navis, G.J., Curhan, G.C., Ehret, G.B., Homuth, G., Coassin, S., Thun, G.-A., Pistis, G., Gambaro, G., Malerba, G., Montgomery, G.W., Eiriksdottir, G., Jacobs, G., Li, G., Wichmann, H.-E., Campbell, H., Schmidt, H., Wallaschofski, H., Völzke, H., Brenner, H., Kroemer, H.K., Kramer, H., Lin, H., Leach, I.M., Ford, I., Guessous, I., Rudan, I., Prokopenko, I., Borecki, I., Heid, I.M., Kolcic, I., Persico, I., Jukema, J.W., Wilson, J.F., Felix, J.F., Divers, J., Lambert, J.-C., Stafford, J.M., Gaspoz, J.-M., Smith, J.A., Faul, J.D., Wang, J.J., Ding, J., Hirschhorn, J.N., Attia, J., Whitfield, J.B., Chalmers, J., Viikari, J., Coresh, J., Denny, J.C., Karjalainen, J., Fernandes, J.K., Endlich, K., Butterbach, K., Keene, K.L., Lohman, K., Portas, L., Launer, L.J., Lyytikäinen, L.-P., Yengo, L., Franke, L., Ferrucci, L., Rose, L.M., Kedenko, L., Rao, M., Struchalin, M., Kleber, M.E., Cavalieri, M., Haun, M., Cornelis, M.C., Ciullo, M., Pirastu, M., De Andrade, M., McEvoy, M.A., Woodward, M., Adam, M., Cocca, M., Nauck, M., Imboden, M., Waldenberger, M., Pruijm, M., Metzger, M., Stumvoll, M., Evans, M.K., Sale, M.M., Kähönen, M., Boban, M., Bochud, M., Rheinberger, M., Verweij, N., Bouatia-Naji, N., Martin, N.G., 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B., Mangino, M., Mani, K.R., Marmot, M.G., Mattace-Raso, F.U.S., Matullo, G., McArdle, W.L., McKenzie, C.A., Meitinger, T., Melander, O., Meneton, P., Meschia, J.F., Miki, T., Milaneschi, Y., Mohlke, K.L., Mooser, V., Morken, M.A., Morris, R.W., Mosley, T.H., Najjar, S., Narisu, N., Newton-Cheh, C., Nguyen, K.-D.H., Nilsson, P., Nyberg, F., O'Donnell, C.J., Ogihara, T., Ohkubo, T., Okamura, T., Ong, R.T.-H., Ongen, H., Onland-Moret, N.C., O'Reilly, P.F., Org, E., Orru, M., Palmas, W., Palmen, J., Palmer, L.J., Palmer, N.D., Parker, A.N., Peden, J.F., Peltonen, L., Perola, M., Pihur, V., Platou, C.G.P., Plump, A., Prabhakaran, D., Psaty, B.M., Raffel, L.J., Rao, D.C., Rasheed, A., Ricceri, F., Rice, K.M., Rosengren, A., Rotter, J.I., Rudock, M.E., Sõber, S., Salako, T., Saleheen, D., Salomaa, V., Samani, N.J., Schwartz, S.M., Schwarz, P.E.H., Scott, L.J., Scott, J., Scuteri, A., Sehmi, J.S., Seielstad, M., Seshadri, S., Sharma, P., Shaw-Hawkins, S., Shi, G., Shrine, N.R.G., Sijbrands, E.J.G., Sim, X., Singleton, A., Sjögren, M., Smith, N.L., Artigas, M.S., Spector, T.D., Staessen, J.A., Stancakova, A., Steinle, N.I., Strachan, D.P., Stringham, H.M., Sun, Y.V., Swift, A.J., Tabara, Y., Tai, E.-S., Talmud, P.J., Taylor, A., Terzic, J., Thelle, D.S., Tobin, M.D., Tomaszewski, M., Tripathy, V., Tuomilehto, J., Tzoulaki, I., Uda, M., Ueshima, H., Uiterwaal, C.S.P.M., Umemura, S., Van Der Harst, P., Van Der Schouw, Y.T., Van Gilst, W.H., Vartiainen, E., Vasan, R.S., Veldre, G., Verwoert, G.C., Viigimaa, M., Vinay, D.G., Vineis, P., Voight, B.F., Vollenweider, P., Wagenknecht, L.E., Wain, L.V., Wang, X., Wang, T.J., Wareham, N.J., Watkins, H., Weder, A.B., Whincup, P.H., Wiggins, K.L., Witteman, J.C.M., Wong, A., Wu, Y., Yajnik, C.S., Yao, J., Young, J.H., Zelenika, D., Zhai, G., Zhang, W., Zhang, F., Zhao, J.H., Zhu, H., Zhu, X., Zitting, P., Zukowska-Szczechowska, E., Okada, Y., Wu, J.-Y., Gu, D., Takeuchi, F., Takahashi, A., Maeda, S., Tsunoda, T., Chen, P., Lim, S.-C., Wong, T.-Y., Liu, J., Young, T.L., Aung, T., Teo, Y.-Y., Kim, Y.J., Kang, D., Chen, C.-H., Tsai, F.-J., Chang, L.-C., Fann, S.-J.C., Mei, H., Hixson, J.E., Chen, S., Katsuya, T., Isono, M., Albrecht, E., Yamamoto, K., Kubo, M., Nakamura, Y., Kamatani, N., Kato, N., He, J., Chen, Y.-T., Tanaka, T., Reilly, M.P., Schunkert, H., Assimes, T.L., Hall, A., Hengstenberg, C., König, I.R., Laaksonen, R., McPherson, R., Thompson, J.R., Thorsteinsdottir, U., Ziegler, A., Absher, D., Chen, L., Cupples, L.A., Halperin, E., Musunuru, K., Preuss, M., Schillert, A., Thorleifsson, G., Wells, G.A., Holm, H., Roberts, R., Stewart, A.F.R., Fortmann, S., Go, A., Hlatky, M., Iribarren, C., Knowles, J., Myers, R., Quertermous, T., Sidney, S., Risch, N., Tang, H., Blankenberg, S., Schnabel, R., Sinning, C., Lackner, K.J., Tiret, L., Nicaud, V., Cambien, F., Bickel, C., Rupprecht, H.J., Perret, C., Proust, C., Münzel, T.F., Barbalic, M., Chen, I.Y.-D., Demissie-Banjaw, S., Folsom, A., Lumley, T., Marciante, K., Taylor, K.D., Volcik, K., Gretarsdottir, S., Gulcher, J.R., Kong, A., Stefansson, K., Thorgeirsson, G., Andersen, K., Fischer, M., Grosshennig, A., Linsel-Nitschke, P., Stark, K., Schreiber, S., Aherrahrou, Z., Bruse, P., Doering, A., Klopp, N., Diemert, P., Loley, C., Medack, A., Nahrstedt, J., Peters, A., Wagner, A.K., Willenborg, C., Böhm, B.O., Dobnig, H., Grammer, T.B., Hoffmann, M.M., Meinitzer, A., Winkelmann, B.R., Pilz, S., Renner, W., Scharnagl, H., Stojakovic, T., Tomaschitz, A., Winkler, K., Guiducci, C., Burtt, N., Gabriel, S.B., Dandona, S., Jarinova, O., Qu, L., Wilensky, R., Matthai, W., Hakonarson, H.H., Devaney, J., Burnett, M.S., Pichard, A.D., Kent, K.M., Satler, L., Lindsay, J.M., Waksman, R., Knouff, C.W., Waterworth, D.M., Walker, M.C., Epstein, S.E., Rader, D.J., Nelson, C.P., Wright, B.J., Balmforth, A.J., Ball, S.G., Loehr, L.R., Rosamond, W.D., Benjamin, E., Haritunians, T., Couper, D., Murabito, J., Wang, Y.A., Stricker, B.H., Chang, P.P., Willerson, J.T., Felix, S.B., Watzinger, N., Aragam, J., Zweiker, R., Lind, L., Rodeheffer, R.J., Greiser, K.H., Deckers, J.W., Stritzke, J., Ingelsson, E., Kullo, I., Haerting, J., Reffelmann, T., Redfield, M.M., Werdan, K., Mitchell, G.F., Arnett, D.K., Gottdiener, J.S., Blettner, M., Friedrich, N., Kovacs, P., Wild, P.S., Froguel, P., Rettig, R., Mägi, R., Biffar, R., Schmidt, R., Middelberg, R.P.S., Carroll, R.J., Penninx, B.W., Scott, R.J., Katz, R., Sedaghat, S., Wild, S.H., Kardia, S.L.R., Ulivi, S., Hwang, S.-J., Enroth, S., Kloiber, S., Trompet, S., Stengel, B., Hancock, S.J., Turner, S.T., Rosas, S.E., Stracke, S., Harris, T.B., Zeller, T., Zemunik, T., Lehtimäki, T., Illig, T., Aspelund, T., Nikopensius, T., Esko, T., Gyllensten, U., Völker, U., Emilsson, V., Vitart, V., Aalto, V., Gudnason, V., Chouraki, V., Chen, W.-M., Igl, W., März, W., Koenig, W., Lieb, W., Loos, R.J.F., Liu, Y., Snieder, H., Pramstaller, P.P., Parsa, A., O'Connell, J.R., Susztak, K., Hamet, P., Tremblay, J., De Boer, I.H., Böger, C.A., Goessling, W., Chasman, D.I., Köttgen, A., Kao, W.H.L., and Fox, C.S.

Abstract

Reduced glomerular filtration rate defines chronic kidney disease and is associated with cardiovascular and all-cause mortality. We conducted a meta-analysis of genome-wide association studies for estimated glomerular filtration rate (eGFR), combining data across 133,413 individuals with replication in up to 42,166 individuals. We identify 24 new and confirm 29 previously identified loci. Of these 53 loci, 19 associate with eGFR among individuals with diabetes. Using bioinformatics, we show that identified genes at eGFR loci are enriched for expression in kidney tissues and in pathways relevant for kidney development and transmembrane transporter activity, kidney structure, and regulation of glucose metabolism. Chromatin state mapping and DNase I hypersensitivity analyses across adult tissues demonstrate preferential mapping of associated variants to regulatory regions in kidney but not extra-renal tissues. These findings suggest that genetic determinants of eGFR are mediated largely through direct effects within the kidney and highlight important cell types and biological pathways. © 2016, Nature Publishing Group. All rights reserved.

Published
2016

45. Genome-wide association studies identify genetic loci associated with Albuminuria in diabetes

Author

UCL - SSS/IREC/NEFR - Pôle de Néphrologie, UCL - (SLuc) Service de néphrologie, Teumer, A., Tin, A., Sorice, R., Gorski, M., Yeo, N.C., Chu, A.Y., Li, M., Li, Y., Mijatovic, V., Ko, Y.-A., Taliun, D., Luciani, A., Chen, M.-H., Yang, Q., Foster, M.C., Olden, M., Hiraki, L.T., Tayo, B.O., Fuchsberger, C., Dieffenbach, A.K., Shuldiner, A.R., Smith, A.V., Zappa, A.M., Lupo, A., Kollerits, B., Ponte, B., Stengel, B., Krämer, B.K., Paulweber, B., Mitchell, B.D., Hayward, C., Helmer, C., Meisinger, C., Gieger, C., Shaffer, C.M., Müller, C., Langenberg, C., Ackermann, D., Siscovick, D., Fox, C.S., Boerwinkle, E., Kronenberg, F., Ehret, G.B., Homuth, G., Waeber, G., Navis, G., Gambaro, G., Malerba, G., Eiriksdottir, G., Li, G., Wichmann, H.E., Grallert, H., Wallaschofski, H., Völzke, H., Brenner, H., Kramer, H., Leach, I.M., Rudan, I., Hillege, H.L., Beckmann, J.S., Lambert, J.C., Luan, J., Zhao, J.H., Chalmers, J., Coresh, J., Denny, J.C., Butterbach, K., Launer, L.J., Ferrucci, L., Kedenko, L., Haun, M., Metzger, M., Woodward, M., Hoffman, M.J., Nauck, M., Waldenberger, M., Pruijm, M., Bochud, M., Rheinberger, M., Verweij, N., Wareham, N.J., Endlich, N., Soranzo, N., Polasek, O., Van Der Harst, P., Pramstaller, P.P., Vollenweider, P., Wild, P.S., Gansevoort, R.T., Rettig, R., Biffar, R., Carroll, R.J., Katz, R., Loos, R.J.F., Hwang, S.-J., Coassin, S., Bergmann, S., Rosas, S.E., Stracke, S., Harris, T.B., Corre, T., Zeller, T., Illig, T., Aspelund, T., Tanaka, T., Lendeckel, U., Völker, U., Gudnason, V., Chouraki, V., Koenig, W., Kutalik, Z., O'Connell, J.R., Parsa, A., Heid, I.M., Paterson, A.D., De Boer, I.H., Devuyst, Olivier, Lazar, J., Endlich, K., Susztak, K., Tremblay, J., Hamet, P., Jacob, H.J., Böger, C.A., Pattaro, C., Köttgen, A., UCL - SSS/IREC/NEFR - Pôle de Néphrologie, UCL - (SLuc) Service de néphrologie, Teumer, A., Tin, A., Sorice, R., Gorski, M., Yeo, N.C., Chu, A.Y., Li, M., Li, Y., Mijatovic, V., Ko, Y.-A., Taliun, D., Luciani, A., Chen, M.-H., Yang, Q., Foster, M.C., Olden, M., Hiraki, L.T., Tayo, B.O., Fuchsberger, C., Dieffenbach, A.K., Shuldiner, A.R., Smith, A.V., Zappa, A.M., Lupo, A., Kollerits, B., Ponte, B., Stengel, B., Krämer, B.K., Paulweber, B., Mitchell, B.D., Hayward, C., Helmer, C., Meisinger, C., Gieger, C., Shaffer, C.M., Müller, C., Langenberg, C., Ackermann, D., Siscovick, D., Fox, C.S., Boerwinkle, E., Kronenberg, F., Ehret, G.B., Homuth, G., Waeber, G., Navis, G., Gambaro, G., Malerba, G., Eiriksdottir, G., Li, G., Wichmann, H.E., Grallert, H., Wallaschofski, H., Völzke, H., Brenner, H., Kramer, H., Leach, I.M., Rudan, I., Hillege, H.L., Beckmann, J.S., Lambert, J.C., Luan, J., Zhao, J.H., Chalmers, J., Coresh, J., Denny, J.C., Butterbach, K., Launer, L.J., Ferrucci, L., Kedenko, L., Haun, M., Metzger, M., Woodward, M., Hoffman, M.J., Nauck, M., Waldenberger, M., Pruijm, M., Bochud, M., Rheinberger, M., Verweij, N., Wareham, N.J., Endlich, N., Soranzo, N., Polasek, O., Van Der Harst, P., Pramstaller, P.P., Vollenweider, P., Wild, P.S., Gansevoort, R.T., Rettig, R., Biffar, R., Carroll, R.J., Katz, R., Loos, R.J.F., Hwang, S.-J., Coassin, S., Bergmann, S., Rosas, S.E., Stracke, S., Harris, T.B., Corre, T., Zeller, T., Illig, T., Aspelund, T., Tanaka, T., Lendeckel, U., Völker, U., Gudnason, V., Chouraki, V., Koenig, W., Kutalik, Z., O'Connell, J.R., Parsa, A., Heid, I.M., Paterson, A.D., De Boer, I.H., Devuyst, Olivier, Lazar, J., Endlich, K., Susztak, K., Tremblay, J., Hamet, P., Jacob, H.J., Böger, C.A., Pattaro, C., and Köttgen, A.

Abstract

Elevated concentrations of albumin in the urine, albuminuria, are a hallmark of diabetic kidney disease and are associated with an increased risk for end-stage renal disease and cardiovascular events. To gain insight into the pathophysiological mechanisms underlying albuminuria, we conducted meta-analyses of genome-wide association studies and independent replication in up to 5,825 individuals of European ancestry with diabetes and up to 46,061 without diabetes, followed by functional studies. Known associations of variants in CUBN, encoding cubilin, with the urinary albumin-to-creatinine ratio (UACR) were confirmed in the overall sample (P = 2.4 × 10210). Gene-by-diabetes interactions were detected and confirmed for variants in HS6ST1 and near RAB38/CTSC. Single nucleotide polymorphisms at these loci demonstrated a genetic effect on UACR in individuals with but not without diabetes. The change in the average UACR per minor allele was 21% for HS6ST1 (P = 6.3 × 10-7) and 13% for RAB38/CTSC (P = 5.8 × 1027). Experiments using streptozotocin-induced diabetic Rab38 knockout and control rats showed higher urinary albumin concentrations and reduced amounts of megalin and cubilin at the proximal tubule cell surface in Rab38 knockout versus control rats. Relative expression of RAB38 was higher in tubuli of patients with diabetic kidney disease compared with control subjects. The loci identified here confirm known pathways and highlight novel pathways influencing albuminuria. © 2016 by the American Diabetes Association.

Published
2016

48. Prevalence and determinants of chronic kidney disease in the Swiss population

Author

Forni, Ogna, primary, Ogna, A, additional, Ponte, B, additional, Gabutti, L, additional, Binet, I, additional, Conen, D, additional, Erne, P, additional, Gallino, A, additional, Guessous, I, additional, Hayoz, D, additional, Muggli, F, additional, Paccaud, F, additional, Péchère-Bertschi, A, additional, Suter, PM, additional, Bochud, M, additional, and Burnier, M, additional

Published
2016
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49. Heritability of blood pressure in the swiss population: the family-based skipogh study

Author

Alwan, H., Ehret, G., Ponte, B., Pruijm, M., Ackermann, D., Guessous, I., Pechère-Bertschi, A., Paccaud, F., Burnier, M, and Bochud, M.

Abstract

Objective: Blood pressure is known to aggregate in families. Yet, heritability estimates are population-specific and no Swiss data have been published so far. Moreover, little is known on the heritability of the white-coat effect. We investigated the heritability of various blood pressure (BP) traits in a Swiss population-based sample. Methods: SKIPOGH (Swiss Kidney Project on Genes in Hypertension) is a family-based multi-centre (Lausanne, Bern, Geneva) cross-sectional study that examines the role of genes in determining BP levels. Office and 24-hour ambulatory BP were measured using validated devices (A&D UM-101 and Diasys Integra). We estimated the heritability of systolic BP (SBP), diastolic BP (DBP), heart rate (HR), pulse pressure (PP), proportional white-coat effect (i.e. [office BP-mean ambulatory daytime BP]/mean ambulatory daytime BP), and nocturnal BP dipping (difference between mean ambulatory daytime and night-time BP) using a maximum likelihood method implemented in the SAGE software. Analyses were adjusted for age, sex, body mass index (BMI), and study centre. Analyses involving PP were additionally adjusted for DBP. Results: The 517 men and 579 women included in this analysis had a mean (}SD) age of 46.8 (17.8) and 47.8 (17.1) years and a mean BMI of 26.0 (4.2) and 24.2 (4.6) kg/m2, respectively. Heritability estimates (}SE) for office SBP, DBP, HR, and PP were 0.20}0.07, 0.20}0.07, 0.39}0.08, and 0.16}0.07 (all P

Published
2013

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