| Title: | Contributions of obesity to kidney health and disease: insights from Mendelian randomization and the human kidney transcriptomics |
| Journal: | Cardiovascular Research |
| Published: | 10 Dec 2021 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/34893803/ |
| DOI: | https://doi.org/10.1093/cvr/cvab357 |
| URL: | https://academic.oup.com/cardiovascres/advance-article-pdf/doi/10.1093/cvr/cvab357/42334075/cvab357.pdf |
| Citations: | 20 (16 in last 2 years) as of 8 Aug 2024 |
Publication 7235
WARNING: the interactive features of this website use CSS3, which your browser does not support. To use the full features of this website, please update your browser.
Abstract
AIMS: Obesity and kidney diseases are common complex disorders with an increasing clinical and economic impact on healthcare around the globe. Our objective was to examine if modifiable anthropometric obesity indices show putatively causal association with kidney health and disease and highlight biological mechanisms of potential relevance to the association between obesity and the kidney.</p>
METHODS AND RESULTS: We performed observational, one-sample, two-sample Mendelian randomization (MR) and multivariable MR studies in ∼300 000 participants of white-British ancestry from UK Biobank and participants of predominantly European ancestry from genome-wide association studies. The MR analyses revealed that increasing values of genetically predicted body mass index and waist circumference were causally associated with biochemical indices of renal function, kidney health index (a composite renal outcome derived from blood biochemistry, urine analysis, and International Classification of Disease-based kidney disease diagnoses), and both acute and chronic kidney diseases of different aetiologies including hypertensive renal disease and diabetic nephropathy. Approximately 13-16% and 21-26% of the potentially causal effect of obesity indices on kidney health were mediated by blood pressure and type 2 diabetes, respectively. A total of 61 pathways mapping primarily onto transcriptional/translational regulation, innate and adaptive immunity, and extracellular matrix and metabolism were associated with obesity measures in gene set enrichment analysis in up to 467 kidney transcriptomes.</p>
CONCLUSIONS: Our data show that a putatively causal association of obesity with renal health is largely independent of blood pressure and type 2 diabetes and uncover the signatures of obesity on the transcriptome of human kidney.</p>
13 Authors
- Xiaoguang Xu
- James M Eales
- Xiao Jiang
- Eleanor Sanderson
- Maciej Drzal
- Sushant Saluja
- David Scannali
- Bryan Williams
- Andrew P Morris
- Tomasz J Guzik
- Fadi J Charchar
- Michael V Holmes
- Maciej Tomaszewski
1 Application
| Application ID | Title |
|---|---|
| 46114 | Genetic, environmental and clinical determinants of blood pressure, kidney health and disease. |
Enabling scientific discoveries that improve human health