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Genome-wide association study of acute kidney injury after coronary bypass graft surgery identifies susceptibility loci

  • Mark Stafford-Smith
  • , Yi Ju Li
  • , Joseph P. Mathew
  • , Yen Wei Li
  • , Yunqi Ji
  • , Barbara G. Phillips-Bute
  • , Carmelo A. Milano
  • , Mark F. Newman
  • , William E. Kraus
  • , Miklos D. Kertai
  • , Svati H. Shah
  • , Mihai V. Podgoreanu
  • , R. D. Davis
  • , B. Funk
  • , J. G. Gaca
  • , G. S. Ginsburg
  • , D. D. Glower
  • , R. L. Hall
  • , E. Hauser
  • , D. T. Laskowitz
  • Y. J. Li, A. J. Lodge, C. A. Milano, M. F. Newman, B. Phillips-Bute, M. V. Podgoreanu, M. P. Smith, P. K. Smith, M. Swaminathan, I. J. Welsby, W. D. White

Producción científica: Article › revisión exhaustiva

48 Citas (Scopus)

Resumen

Acute kidney injury (AKI) is a common, serious complication of cardiac surgery. Since prior studies have supported a genetic basis for postoperative AKI, we conducted a genome-wide association study (GWAS) for AKI following coronary bypass graft (CABG) surgery. The discovery data set consisted of 873 nonemergent CABG surgery patients with cardiopulmonary bypass (PEGASUS), while a replication data set had 380 cardiac surgical patients (CATHGEN). Single-nucleotide polymorphism (SNP) data were based on Illumina Human610-Quad (PEGASUS) and OMNI1-Quad (CATHGEN) BeadChips. We used linear regression with adjustment for a clinical AKI risk score to test SNP associations with the postoperative peak rise relative to preoperative serum creatinine concentration as a quantitative AKI trait. Nine SNPs meeting significance in the discovery set were detected. The rs13317787 in GRM7|LMCD1-AS1 intergenic region (3p21.6) and rs10262995 in BBS9 (7p14.3) were replicated with significance in the CATHGEN data set and exhibited significantly strong overall association following meta-analysis. Additional fine mapping using imputed SNPs across these two regions and meta-analysis found genome-wide significance at the GRM7|LMCD1-AS1 locus and a significantly strong association at BBS9. Thus, through an unbiased GWAS approach, we found two new loci associated with post-CABG AKI providing new insights into the pathogenesis of perioperative AKI.

Idioma originalEnglish
Páginas (desde-hasta)823-832
Número de páginas10
PublicaciónKidney International
Volumen88
N.º4
DOI
EstadoPublished - oct 3 2015

Nota bibliográfica

Funding Information:
We thank all patients who participated in this study. This study was funded in part by National Institutes of Health grants HL075273 and HL092071 (to MVP); AG09663, HL054316, and HL069081 (to MFN); HL096978, HL108280, and HL109971 (to JPM); HL095987 (to SHS), and HL101621 (to WEK); American Heart Association grants 0120492U (to MVP), 0256342U (to JPM), and 9970128N (to MFN); and the Duke Clinical Research Centers Program (NIH grant M01-RR-30).

Financiación

We thank all patients who participated in this study. This study was funded in part by National Institutes of Health grants HL075273 and HL092071 (to MVP); AG09663, HL054316, and HL069081 (to MFN); HL096978, HL108280, and HL109971 (to JPM); HL095987 (to SHS), and HL101621 (to WEK); American Heart Association grants 0120492U (to MVP), 0256342U (to JPM), and 9970128N (to MFN); and the Duke Clinical Research Centers Program (NIH grant M01-RR-30).

FinanciadoresNúmero del financiador
National Institutes of Health (NIH)HL069081, HL101621, HL075273, HL095987, HL092071, HL109971, R01HL096978, AG09663, M01-RR-30, R21HL108280
National Heart, Lung, and Blood Institute (NHLBI)R01HL054316
American the American Heart Association0256342U, 9970128N, 0120492U

    ASJC Scopus subject areas

    • Nephrology

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