Identification of a Locus on the X Chromosome Linked to Familial Membranous NephropathyCitation formats
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Identification of a Locus on the X Chromosome Linked to Familial Membranous Nephropathy. / Downie, Mallory L; Gupta, Sanjana; Tekman, Mehmet C; Cheshire, Chris; Arora, Steven; Licht, Christoph; Robinson, Lisa A; Munoz, Marina; Aris, Alvaro Madrid; Al Attrach, Ibrahim; Brenchley, Paul E; Gale, Daniel P; Stanescu, Horia; Bockenhauer, Detlef; Kleta, Robert.
In: Kidney International Reports, Vol. 6, No. 6, 06.2021, p. 1669-1676.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Identification of a Locus on the X Chromosome Linked to Familial Membranous Nephropathy
AU - Downie, Mallory L
AU - Gupta, Sanjana
AU - Tekman, Mehmet C
AU - Cheshire, Chris
AU - Arora, Steven
AU - Licht, Christoph
AU - Robinson, Lisa A
AU - Munoz, Marina
AU - Aris, Alvaro Madrid
AU - Al Attrach, Ibrahim
AU - Brenchley, Paul E
AU - Gale, Daniel P
AU - Stanescu, Horia
AU - Bockenhauer, Detlef
AU - Kleta, Robert
N1 - Funding Information: RK, DB, and MLD were supported by St. Peter’s Trust for Kidney, Bladder, & Prostate Research. MLD was supported by the Kidney Research Scientist Core Education and National Training Program (KRESCENT) Post-Doctoral Fellowship from the Kidney Foundation of Canada . Publisher Copyright: © 2021 International Society of Nephrology
PY - 2021/6
Y1 - 2021/6
N2 - Introduction: Membranous nephropathy (MN) is the most common cause of nephrotic syndrome (NS) in adults and is a leading cause of end-stage renal disease due to glomerulonephritis. Primary MN has a strong male predominance, accounting for approximately 65% of cases; yet, currently associated genetic loci are all located on autosomes. Previous reports of familial MN have suggested the existence of a potential X-linked susceptibility locus. Identification of such risk locus may provide clues to the etiology of MN.Methods: We identified 3 families with 8 members affected by primary MN. Genotyping was performed using single-nucleotide polymorphism microarrays, and serum was sent for anti-phospholipase A2 receptor (PLA2R) antibody testing. All affected members were male and connected through the maternal line, consistent with X-linked inheritance. Genome-wide multipoint parametric linkage analysis using a model of X-linked recessive inheritance was conducted, and genetic risk scores (GRSs) based on known MN-associated variants were determined.Results: Anti-PLA2R testing was negative in all affected family members. Linkage analysis revealed a significant logarithm of the odds score (3.260) on the short arm of the X chromosome at a locus of approximately 11 megabases (Mb). Haplotype reconstruction further uncovered a shared haplotype spanning 2 Mb present in all affected individuals from the 3 families. GRSs in familial MN were significantly lower than in anti-PLA2R-associated MN and were not different from controls.Conclusions: Our study identifies linkage of familial membranous nephropathy to chromosome Xp11.3-11.22. Family members affected with MN have a significantly lower GRS than individuals with anti-PLA2R-associated MN, suggesting that X-linked familial MN represents a separate etiologic entity.
AB - Introduction: Membranous nephropathy (MN) is the most common cause of nephrotic syndrome (NS) in adults and is a leading cause of end-stage renal disease due to glomerulonephritis. Primary MN has a strong male predominance, accounting for approximately 65% of cases; yet, currently associated genetic loci are all located on autosomes. Previous reports of familial MN have suggested the existence of a potential X-linked susceptibility locus. Identification of such risk locus may provide clues to the etiology of MN.Methods: We identified 3 families with 8 members affected by primary MN. Genotyping was performed using single-nucleotide polymorphism microarrays, and serum was sent for anti-phospholipase A2 receptor (PLA2R) antibody testing. All affected members were male and connected through the maternal line, consistent with X-linked inheritance. Genome-wide multipoint parametric linkage analysis using a model of X-linked recessive inheritance was conducted, and genetic risk scores (GRSs) based on known MN-associated variants were determined.Results: Anti-PLA2R testing was negative in all affected family members. Linkage analysis revealed a significant logarithm of the odds score (3.260) on the short arm of the X chromosome at a locus of approximately 11 megabases (Mb). Haplotype reconstruction further uncovered a shared haplotype spanning 2 Mb present in all affected individuals from the 3 families. GRSs in familial MN were significantly lower than in anti-PLA2R-associated MN and were not different from controls.Conclusions: Our study identifies linkage of familial membranous nephropathy to chromosome Xp11.3-11.22. Family members affected with MN have a significantly lower GRS than individuals with anti-PLA2R-associated MN, suggesting that X-linked familial MN represents a separate etiologic entity.
KW - LOD score
KW - X-linked
KW - genetic risk score
KW - glomerulonephritis
KW - linkage analysis
KW - membranous nephropathy
U2 - 10.1016/j.ekir.2021.02.025
DO - 10.1016/j.ekir.2021.02.025
M3 - Article
C2 - 34169208
VL - 6
SP - 1669
EP - 1676
JO - Kidney International Reports
JF - Kidney International Reports
SN - 2468-0249
IS - 6
ER -