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NDT Advance Access published online on March 31, 2009

Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfp015
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org



Genetic analysis of coronary artery disease single-nucleotide polymorphisms in diabetic nephropathy

Amy Jayne McKnight1, Alexander P. Maxwell1, Damian G. Fogarty1, Denise Sadlier2, David A. Savage1 and The Warren 3/UK GoKinD Study Group

1 Nephrology Research Group, Queen's University of Belfast, Belfast, Northern Ireland 2 Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland

Correspondence and offprint requests to: Amy Jayne McKnight, Nephrology Research Group, Queen's University of Belfast, c/o Regional Genetics Centre, Level A, Tower Block, Belfast City Hospital, Lisburn Road, Belfast BT9 7AB, Northern Ireland. Tel: +44-2890-329241 ext 2558; Fax: +44-2890-236911; E-mail: a.j.mcknight{at}qub.ac.uk



  Abstract

Background. Diabetic nephropathy is a leading cause of end-stage renal disease. Premature mortality is common in patients with nephropathy, largely due to cardiovascular disease. Genetic variants implicated in macrovascular disease are therefore excellent candidates to assess for association with diabetic nephropathy. Recent genome-wide association studies have identified a total of 15 single-nucleotide polymorphisms (SNPs) that are reproducibly associated with cardiovascular disease.

Methods. We initially assessed these SNPs for association in UK type 1 diabetic patients with (cases; n = 597) and without (controls; n = 502) nephropathy using iPLEXTM and TaqMan® assays. Replication studies were performed with DNA genotyped in a total of 2668 individuals from the British Isles.

Results. One SNP (rs4420638) on chromosome 19q13 was found to be significantly associated with diabetic nephropathy before (P = 0.0002) and after correction for multiple testing (Pcorrected = 0.002). We replicated this finding in a phenotypically similar case–control collection comprising 709 individuals with type 1 diabetes (P = 0.002; combined P < 0.00001; OR = 1.54, 95% CI: 1.29–1.84).

Conclusions. Our case–control data suggest that rs4420638, or a functional SNP in linkage disequilibrium with this SNP, may be associated with diabetic nephropathy.

Keywords: apolipoprotein; association; diabetic nephropathy; genetics; single-nucleotide polymorphisms

Received for publication: 14.10.08
Accepted in revised form: 7. 1.09


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