Arylsulphatase A Pseudodeficiency (ARSA-PD), hypertension and chronic renal disease in Aboriginal Australians

作者：Tang, Dave; Fakiola, Michaela; Syn, Genevieve; Anderson, Denise; Cordell, Heather J.; Scaman, Elizabeth S. H.; Davis, Elizabeth; Miles, Simon J.; McLeay, Toby; Jamieson, Sarra E.; Lassmann, Timo; Blackwell, Jenefer M.^*

来源：Scientific Reports, 2018, 8(1): 10912.

DOI：10.1038/s41598-018-29279-9

• METACHROMATIC LEUKODYSTROPHY
• A PSEUDODEFICIENCY
• MOLECULAR-GENETICS
• KIDNEY-DISEASE
• VARIANTS
• ASSOCIATION
• MUTATIONS
• INSULIN
• RISK
• POPULATION

Chronic renal disease (CRD) associated with cardiovascular disease (CVD) and/or type 2 diabetes (T2D) is a significant problem in Aboriginal Australians. Whole exome sequencing data (N = 72) showed enrichment for ClinVar pathogenic variants in gene sets/pathways linking lipoprotein, lipid and glucose metabolism. The top Ingenuity Pathway Analysis canonical pathways were Farsenoid X Receptor and Retinoid Receptor (FXR/RXR; (P = 1.86 x 10(-7)), Liver X Receptor and Retinoid Receptor (LXR/RXR; P = 2.88 x 10(-6)), and atherosclerosis signalling (P = 3.80 x 10(-6)). Top pathways/processes identified using Enrichr included: Reactome 2016 chylomicron-mediated lipid transport (P = 3.55 x 10(-7)); Wiki 2016 statin (P = 8.29 x 10(-8)); GO Biological Processes 2017 chylomicron remodelling (P = 1.92 x 10(-8)). ClinVar arylsulfatase A pseudodeficiency (ARSA-PD) pathogenic variants were common, including the missense variant c. 511 G > A (p.Asp171Asn; rs74315466; frequency 0.44) only reported in Polynesians. This variant is in cis with known ARSA-PD 3' regulatory c.*96 A > G (rs6151429; frequency 0.47) and missense c. 1055 A > G (p.Asn352Ser; rs2071421; frequency 0.47) variants. These latter two variants are associated with T2D (risk haplotype GG; odds ratio 2.67; 95% CI 2.32-3.08; P = 2.43 x 10(-4)) in genome-wide association data (N = 402), but are more strongly associated with quantitative traits (DBP, SBP, ACR, eGFR) for hypertension and renal function in non-diabetic than diabetic subgroups. Traits associated with CVD, CRD and T2D in Aboriginal Australians provide novel insight into function of ARSA-PD variants.

• 出版日期2018-7-19