Balancing the genetic risk of APOL1 kidney disease variants

Abstract:

:African-Americans exhibit an excess risk for chronic and end-stage kidney disease compared to the non-African populations. Two APOL1 genetic variants were shown to account for the majority of this racial disparity in glomerulopathies and other non-diabetic kidney disease. The high-risk genotype has only been reported in populations with recent African ancestry (14 % in African-Americans and up to more than 30 % in West Africa). In less than 10 years, the community has accumulated extensive knowledge on APOL1 and its genetic variants, from their positive selection for resistance against African trypanosomes to potential molecular mechanisms of podocyte injury. Finally, APOL1 associations with kidney transplantation outcomes and with postdonation end-stage kidney disease in living donors have paved the way for a personalized medicine implementation of APOL1 genotyping.

journal_name

Nephrol Ther

authors

Kaboré NF,Limou S

doi

10.1016/j.nephro.2019.03.007

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

S79-S84

eissn

1769-7255

issn

1872-9177

pii

S1769-7255(19)30046-X

journal_volume

15 Suppl 1

pub_type

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