APOL1 Kidney Disease Risk Variants: An Evolving Landscape.

Abstract:

:Apolipoprotein L1 (APOL1) genetic variants account for much of the excess risk of chronic and end-stage kidney disease, which results in a significant global health disparity for persons of African ancestry. We estimate the lifetime risk of kidney disease in APOL1 dual-risk allele individuals to be at least 15%. Experimental evidence suggests a direct role of APOL1 in pore formation, cellular injury, and programmed cell death in renal injury. The APOL1 BH3 motif, often associated with cell death, is unlikely to play a role in APOL1-induced cytotoxicity because it is not conserved within the APOL family and is dispensable for cell death in vitro. We discuss two models for APOL1 trypanolytic activity: one involving lysosome permeabilization and another involving colloid-osmotic swelling of the cell body, as well as their relevance to human pathophysiology. Experimental evidence from human cell culture models suggests that both mechanisms may be operative. A systems biology approach whereby APOL1-associated perturbations in gene and protein expression in affected individuals are correlated with molecular pathways may be productive to elucidate APOL1 function in vivo.

journal_name

Semin Nephrol

journal_title

Seminars in nephrology

authors

Dummer PD,Limou S,Rosenberg AZ,Heymann J,Nelson G,Winkler CA,Kopp JB

doi

10.1016/j.semnephrol.2015.04.008

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

222-36

issue

3

eissn

0270-9295

issn

1558-4488

pii

S0270-9295(15)00068-6

journal_volume

35

pub_type

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