Genetic Variants Associated With Mineral Metabolism Traits in Chronic Kidney Disease

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CONTEXT: Chronic kidney disease (CKD) causes multiple interrelated disturbances in mineral metabolism. Genetic studies in the general population have identified common genetic variants associated with circulating phosphate, calcium, parathyroid hormone (PTH), and fibroblast growth factor 23 (FGF23).

OBJECTIVE: In this study we aimed to discover genetic variants associated with circulating mineral markers in CKD.

METHODS: We conducted candidate single-nucleotide variation (SNV) analysis in 3027 participants in the multiethnic Chronic Renal Insufficiency Cohort (CRIC) to determine the associations between SNVs and circulating levels of mineral markers.

RESULTS: SNVs adjacent to or within genes encoding the regulator of G protein-coupled signaling 14 (RGS14) and the calcium-sensing receptor (CASR) were associated with levels of mineral metabolites. The strongest associations (P < .001) were at rs4074995 (RGS14) for phosphate (0.09 mg/dL lower per minor allele) and FGF23 (8.6% lower), and at rs1801725 (CASR) for calcium (0.12 mg/dL higher). In addition, the prevalence of hyperparathyroidism differed by rs4074995 (RGS14) genotype (chi-square P < .0001). Differential inheritance by race was noted for the minor allele of RGS14. Expression quantitative loci (eQTL) analysis showed that rs4074995 was associated with lower RGS14 gene expression in glomeruli (P = 1.03 × 10-11) and tubules (P = 4.0 × 10-4).

CONCLUSION: We evaluated genetic variants associated with mineral metabolism markers in a CKD population. Participants with CKD and the minor allele of rs4074995 (RGS14) had lower phosphorus, lower plasma FGF23, and lower prevalence of hyperparathyroidism. The minor allele of RGS14 was also associated with lower gene expression in the kidney. Further studies are needed to elucidate the effect of rs4074995 on the pathogenesis of disordered mineral metabolism in CKD.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:107

Enthalten in:

The Journal of clinical endocrinology and metabolism - 107(2022), 9 vom: 18. Aug., Seite e3866-e3876

Sprache:

Englisch

Beteiligte Personen:

Laster, Marciana L [VerfasserIn]
Rowan, Bryce [VerfasserIn]
Chen, Hua-Chang [VerfasserIn]
Schwantes-An, Tae-Hwi [VerfasserIn]
Sheng, Xin [VerfasserIn]
Friedman, Peter A [VerfasserIn]
Ikizler, T Alp [VerfasserIn]
Sinshiemer, Janet S [VerfasserIn]
Ix, Joachim H [VerfasserIn]
Susztak, Katalin [VerfasserIn]
de Boer, Ian H [VerfasserIn]
Kestenbaum, Bryan [VerfasserIn]
Hung, Adriana [VerfasserIn]
Moe, Sharon M [VerfasserIn]
Perwad, Farzana [VerfasserIn]
Robinson-Cohen, Cassianne [VerfasserIn]

Links:

Volltext

Themen:

62031-54-3
Biomarkers
CKD-MBD
Calcium
Chronic kidney disease
Fibroblast Growth Factors
Genetics
Journal Article
Mineral metabolism
Minerals
Parathyroid Hormone
Phosphates
Receptors, Calcium-Sensing
Research Support, N.I.H., Extramural
SY7Q814VUP

Anmerkungen:

Date Completed 22.08.2022

Date Revised 20.05.2023

published: Print

Citation Status MEDLINE

doi:

10.1210/clinem/dgac318

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM341103543