Genetic variants affecting mitochondrial function provide further insights for kidney disease

Marisa Cañadas-Garre*, Blanca Baños-Jaime, Joaquin Maqueda, Laura J. Smyth, Ruaidhri Cappa, Ryan Skelly, Claire Hill, Eoin P. Brennan, Ross Doyle, Catherine Godson, Alexander P. Maxwell, Amy Jayne McKnight

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)
33 Downloads (Pure)

Abstract

Background
Chronic kidney disease (CKD) is a complex disorder that has become a high prevalence global health problem, with diabetes being its predominant pathophysiologic driver. Autosomal genetic variation only explains some of the predisposition to kidney disease. Variations in the mitochondrial genome (mtDNA) and nuclear-encoded mitochondrial genes (NEMG) are implicated in susceptibility to kidney disease and CKD progression, but they have not been thoroughly explored. Our aim was to investigate the association of variation in both mtDNA and NEMG with CKD (and related traits), with a particular focus on diabetes.

Methods
We used the UK Biobank (UKB) and UK-ROI, an independent collection of individuals with type 1 diabetes mellitus (T1DM) patients.

Results
Fourteen mitochondrial variants were associated with estimated glomerular filtration rate (eGFR) in UKB. Mitochondrial variants and haplogroups U, H and J were associated with eGFR and serum variables. Mitochondrial haplogroup H was associated with all the serum variables regardless of the presence of diabetes. Mitochondrial haplogroup X was associated with end-stage kidney disease (ESKD) in UKB. We confirmed the influence of several known NEMG on kidney disease and function and found novel associations for SLC39A13, CFL1, ACP2 or ATP5G1 with serum variables and kidney damage, and for SLC4A1, NUP210 and MYH14 with ESKD. The G allele of TBC1D32-rs113987180 was associated with higher risk of ESKD in patients with diabetes (OR:9.879; CI95%:4.440–21.980; P = 2.0E-08). In UK-ROI, AGXT2-rs71615838 and SURF1-rs183853102 were associated with diabetic nephropathies, and TFB1M-rs869120 with eGFR.

Conclusions
We identified novel variants both in mtDNA and NEMG which may explain some of the missing heritability for CKD and kidney phenotypes. We confirmed the role of MT-ND5 and mitochondrial haplogroup H on renal disease (serum variables), and identified the MT-ND5-rs41535848G variant, along with mitochondrial haplogroup X, associated with higher risk of ESKD. Despite most of the associations were independent of diabetes, we also showed potential roles for NEMG in T1DM.


Original languageEnglish
Article number576
Number of pages20
JournalBMC Genomics
Volume25
DOIs
Publication statusPublished - 10 Jun 2024

Keywords

  • Adult
  • Aged
  • Association
  • Chronic kidney disease
  • DNA, Mitochondrial - genetics
  • Diabetes Mellitus, Type 1 - genetics - complications
  • Diabetic kidney disease
  • Female
  • Genetic Predisposition to Disease
  • Genetic Variation
  • Glomerular Filtration Rate
  • Haplotypes
  • Humans
  • Male
  • Middle Aged
  • Mitochondria - genetics
  • Mitochondrial DNA
  • Mitochondrial haplogroups
  • Polymorphism, Single Nucleotide
  • Renal Insufficiency, Chronic - genetics
  • Single nucleotide polymorphisms
  • UK Biobank

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