<i>UMOD</i> Polymorphisms Associated with Kidney Function, Serum Uromodulin and Risk of Mortality among Patients with Chronic Kidney Disease, Results from the C-STRIDE Study

We aimed to explore associations of several single nucleotide polymorphisms (SNPs) detected by genome-wide association studies in <i>uromodulin</i> (<i>UMOD</i>) gene with phenotypes and prognosis of chronic kidney disease (CKD) among 2731 Chinese patients with CKD stage 1–4....

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Autores principales: Jinwei Wang, Lili Liu, Kevin He, Bixia Gao, Fang Wang, Minghui Zhao, Luxia Zhang, on behalf of the Chinese Cohort Study of Chronic Kidney Disease (C-STRIDE)
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/6077d87a166d4e169b94cb506df9a673
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spelling oai:doaj.org-article:6077d87a166d4e169b94cb506df9a6732021-11-25T17:40:49Z<i>UMOD</i> Polymorphisms Associated with Kidney Function, Serum Uromodulin and Risk of Mortality among Patients with Chronic Kidney Disease, Results from the C-STRIDE Study10.3390/genes121116872073-4425https://doaj.org/article/6077d87a166d4e169b94cb506df9a6732021-10-01T00:00:00Zhttps://www.mdpi.com/2073-4425/12/11/1687https://doaj.org/toc/2073-4425We aimed to explore associations of several single nucleotide polymorphisms (SNPs) detected by genome-wide association studies in <i>uromodulin</i> (<i>UMOD</i>) gene with phenotypes and prognosis of chronic kidney disease (CKD) among 2731 Chinese patients with CKD stage 1–4. Polymorphisms of rs11864909, rs4293393, rs6497476, and rs13333226 were genotyped using the Sequenom MassARRAY iPLEX platform. The SNPs of rs13333226 and rs4293393 were in complete linkage disequilibrium. Based on the T dominant model, T allele of rs11864909 was associated with levels of estimated glomerular filtration rate (eGFR) and serum uromodulin with linear regression coefficients of 2.68 (95% confidence interval (CI): 0.61, 4.96) and −12.95 (95% CI: −17.59, −7.98), respectively, after adjustment for cardiovascular and kidney-specific risk factors. After a median follow-up of 4.94 years, both G allele of rs4293393/rs13333226 and C allele of rs6497476 were associated with reduced risk of all-cause mortality with multivariable-adjusted hazard ratios of 0.341 (95% CI: 0.105, 0.679) and 0.344 (95% CI: 0.104, 0.671), respectively. However, no associations were found between the variants and slope of eGFR in the linear mix effect model. In summary, the variant of rs11864909 in the UMOD gene was associated with levels of eGFR and serum uromodulin, while those of rs4293393 and rs6497476 were associated with all-cause mortality among patients with CKD.Jinwei WangLili LiuKevin HeBixia GaoFang WangMinghui ZhaoLuxia Zhangon behalf of the Chinese Cohort Study of Chronic Kidney Disease (C-STRIDE)MDPI AGarticleall-cause mortalitychronic kidney diseasegenetic associationoutcomessingle nucleotide polymorphism<i>UMOD</i> geneGeneticsQH426-470ENGenes, Vol 12, Iss 1687, p 1687 (2021)
institution DOAJ
collection DOAJ
language EN
topic all-cause mortality
chronic kidney disease
genetic association
outcomes
single nucleotide polymorphism
<i>UMOD</i> gene
Genetics
QH426-470
spellingShingle all-cause mortality
chronic kidney disease
genetic association
outcomes
single nucleotide polymorphism
<i>UMOD</i> gene
Genetics
QH426-470
Jinwei Wang
Lili Liu
Kevin He
Bixia Gao
Fang Wang
Minghui Zhao
Luxia Zhang
on behalf of the Chinese Cohort Study of Chronic Kidney Disease (C-STRIDE)
<i>UMOD</i> Polymorphisms Associated with Kidney Function, Serum Uromodulin and Risk of Mortality among Patients with Chronic Kidney Disease, Results from the C-STRIDE Study
description We aimed to explore associations of several single nucleotide polymorphisms (SNPs) detected by genome-wide association studies in <i>uromodulin</i> (<i>UMOD</i>) gene with phenotypes and prognosis of chronic kidney disease (CKD) among 2731 Chinese patients with CKD stage 1–4. Polymorphisms of rs11864909, rs4293393, rs6497476, and rs13333226 were genotyped using the Sequenom MassARRAY iPLEX platform. The SNPs of rs13333226 and rs4293393 were in complete linkage disequilibrium. Based on the T dominant model, T allele of rs11864909 was associated with levels of estimated glomerular filtration rate (eGFR) and serum uromodulin with linear regression coefficients of 2.68 (95% confidence interval (CI): 0.61, 4.96) and −12.95 (95% CI: −17.59, −7.98), respectively, after adjustment for cardiovascular and kidney-specific risk factors. After a median follow-up of 4.94 years, both G allele of rs4293393/rs13333226 and C allele of rs6497476 were associated with reduced risk of all-cause mortality with multivariable-adjusted hazard ratios of 0.341 (95% CI: 0.105, 0.679) and 0.344 (95% CI: 0.104, 0.671), respectively. However, no associations were found between the variants and slope of eGFR in the linear mix effect model. In summary, the variant of rs11864909 in the UMOD gene was associated with levels of eGFR and serum uromodulin, while those of rs4293393 and rs6497476 were associated with all-cause mortality among patients with CKD.
format article
author Jinwei Wang
Lili Liu
Kevin He
Bixia Gao
Fang Wang
Minghui Zhao
Luxia Zhang
on behalf of the Chinese Cohort Study of Chronic Kidney Disease (C-STRIDE)
author_facet Jinwei Wang
Lili Liu
Kevin He
Bixia Gao
Fang Wang
Minghui Zhao
Luxia Zhang
on behalf of the Chinese Cohort Study of Chronic Kidney Disease (C-STRIDE)
author_sort Jinwei Wang
title <i>UMOD</i> Polymorphisms Associated with Kidney Function, Serum Uromodulin and Risk of Mortality among Patients with Chronic Kidney Disease, Results from the C-STRIDE Study
title_short <i>UMOD</i> Polymorphisms Associated with Kidney Function, Serum Uromodulin and Risk of Mortality among Patients with Chronic Kidney Disease, Results from the C-STRIDE Study
title_full <i>UMOD</i> Polymorphisms Associated with Kidney Function, Serum Uromodulin and Risk of Mortality among Patients with Chronic Kidney Disease, Results from the C-STRIDE Study
title_fullStr <i>UMOD</i> Polymorphisms Associated with Kidney Function, Serum Uromodulin and Risk of Mortality among Patients with Chronic Kidney Disease, Results from the C-STRIDE Study
title_full_unstemmed <i>UMOD</i> Polymorphisms Associated with Kidney Function, Serum Uromodulin and Risk of Mortality among Patients with Chronic Kidney Disease, Results from the C-STRIDE Study
title_sort <i>umod</i> polymorphisms associated with kidney function, serum uromodulin and risk of mortality among patients with chronic kidney disease, results from the c-stride study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/6077d87a166d4e169b94cb506df9a673
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