AS476 - APOL1, sickle cell trait and risk of chronic kidney disease in African Americans

Investigator Names and Contact Information

Nora Franceschini (noraf@unc.edu)

Introduction/Intent

Pilot study of African-specific Variants and chronic kidney disease

Aim 1: Leveraging the existing, but untapped biorepository resource of the largest population-based longitudinal data set of African Americans in the U.S., perform baseline serum creatinine measurements in 3,826 AA women from the Women's Health Initiative, to allow an unprecedented examination of the risk and progression of CKD and ESRD associated with APOL1 and SCT individually in African Americans, while accounting for traditional risk factors and the competing risk of early death.

Aim 2: Assess whether the effects of APOL1 and SCT variants on the risk of CKD in African Americans are modified by other known genetic risk factors for CKD using (a) trans-ethnic genome wide association study (GWAS) derived risk scores.; (b) novel genome-wide analytic approaches and local ancestry-based admixture mapping.

Results/ Findings

For a complete, up-to-date list of WHI papers related to this ancillary study, please use the searchable Papers section of this website.

Data Dictionaries and Study Documentation

This section displays all study-related data dictionaries and study-related files. The investigators for this study will upload the datasets, data dictionaries, and other study-related files. Study-related files will be made available to the public one year after the completion of the ancillary study, with the exception of the datasets, which will only be available to those with a Data Distribution Agreement. Those will be available to those with permission to download and will appear as a download link next to the data dictionary

Data Dictionaries

Name
Description
No results found

Study Documents

Related Papers

APOL1, sickle cell trait and chronic kidney disease in African Americans

Approved Proposal, Franceschini, Nora et al., 2015/3 MSID: 2715
Keywords: Apol1; Sickle Cell Trait; Kidney Traits; Genetics
Related Studies: 476

Gene-gene interaction to identify loci modifying APOL1 penetrance for kidney disease

Approved Proposal, Franceschini, Nora et al., 2015/8 MSID: 2819
Keywords: Apol1; Gene-Gene Interaction; Chronic Kidney Disease
Related Studies: 476

DNA methylation and kidney-specific risk variants in postmenopausal women

Approved Proposal, Breeze, Charles et al., 2020/12 MSID: 4360
Keywords: Multi-Omics; Epigenetic; Metabolomics; Transcriptome; Proteomics
Related Studies: 476, 564

Cardiovascular consequences of common African ancestral variants in U.S. African Americans

Approved Proposal, Franceschini, Nora et al., 2016/3 MSID: 2996
Keywords: G6pd; African American; Sickle Cell; Cvd; Thalassemia; Apol1
Related Studies: 476, 518

Multi-omic study of kidney traits in the Women’s Health Initiative

Approved Proposal, Lin, Bridget et al., 2020/12 MSID: 4361
Keywords: Multi-Omics; Epigenetic; Metabolomics; Transcriptome; Proteomics
Related Studies: 476, 564, BA23

Association of APOL1 with heart failure with preserved ejection fraction in postmenopausal African-American women

Nora Franceschini et al., 2018/8 PubMed #29971324 MSID: 2714
Importance: APOL1 genotypes are associated with kidney diseases in African American individuals and may influence cardiovascular disease and mortality risk, but findings have been inconsistent. Objective: To discern whether high-risk APOL1 genotypes are associated with cardiovascular disease and stroke in postmenopausal African American women, who are at high risk for these outcomes. Design, Setting, and Participants: The Women's Health Initiative is a prospective cohort that enrolled 161 838 po...
Keywords: Apol1; Coronary Heart Disease; Stroke; Genetics
Related Studies: 476

Discovery and fine-mapping of kidney function loci in first genome-wide association study in Africans

Segun Fatumo et al., 2021/3 PubMed #33783510 MSID: 3975
Background: Genome-wide association studies (GWAS) of kidney function have uncovered hundreds of loci, primarily in populations of European ancestry. We have undertaken the first continental African GWAS of estimated glomerular filtration rate (eGFR), a measure of kidney function used to define chronic kidney disease (CKD). Method: We conducted GWAS of eGFR in 3288 East Africans from the Uganda General Population Cohort (GPC) and replicated in 8224 African Americans from the Women's Health Initi...
Keywords: Kidney Traits; Genomics; Cogent-Kidney Consortium
Related Studies: 476, 516

Genome-wide association study for kidney function in admixed African and American ancestry populations provide insight into novel effector genes and polygenic prediction

Approved Manuscript, Franceschini, Nora et al., 2023/1 MSID: 4857
Keywords: Kidney Function; Chronic Kidney Disease; Genome-Wide Association Study; Multi-Ancestry; Admixed Populations; Heterogeneity; Fine-Mapping; Colocalization; Polygenic Risk Scores
Related Studies: 476, 516

African ancestry-derived APOL1 risk genotypes show proximal epigenetic associations

Charles Breeze et al., 2024/5 PubMed #38714935 MSID: 4991
Abstract Apolipoprotein L1 (APOL1) coding variants, termed G1 and G2, are established genetic risk factors for a growing spectrum of diseases, including kidney disease, in individuals of African ancestry. Evidence suggests that the risk variants, which show a recessive mode of inheritance, lead to toxic gain-of-function changes of the APOL1 protein. Disease occurrence and presentation vary, likely due to modifiers or second hits. To understand the role of the epigenetic landscape in relation to ...
Related Studies: 476, 564

Admixture Mapping of Chronic Kidney Disease and Risk Factors in Hispanic/Latino Individuals From Central America Country of Origin

Nora Franceschini et al., 2024/8 PubMed #38950085 MSID: 4693
Background: Chronic kidney disease (CKD) is highly prevalent in Central America, and genetic factors may contribute to CKD risk. To understand the influences of genetic admixture on CKD susceptibility, we conducted an admixture mapping screening of CKD traits and risk factors in US Hispanic and Latino individuals from Central America country of origin. Methods: We analyzed 1023 participants of HCHS/SOL (Hispanic Community Health Study/Study of Latinos) who reported 4 grandparents originating fro...
Keywords: Admixture Mapping; Native American; Hispanic; Central America
Related Studies: 476

Epigenetic study of cardiovascular risk prediction in the Women’s Health Initiative

Approved Proposal, Lin, Bridget et al., 2004/1 MSID: 5043
Keywords: Multi-Omics; Epigenetic; Cardiovascular Disease; Risk Prediction
Related Studies: 476, 517, BA23

Telomere length and kidney outcomes in postmenopausal women

Approved Proposal, Franceschini, Nora et al., 2018/5 MSID: 3625
Keywords: Telomere Length; Chronic Kidney Disease; Postmenopausal Women
Related Studies: 476, BA25

Admixture mapping to identify loci modifying APOL1 penetrance for kidney disease

Approved Proposal, Limou, Sophie et al., 2015/10 MSID: 2863
Keywords: Apol1; Risk Factors; Chronic Kidney Disease
Related Studies: 476