Genomics in CKD: Is This the Path Forward?
- PMID: 26979150
- PMCID: PMC4795469
- DOI: 10.1053/j.ackd.2016.01.017
Genomics in CKD: Is This the Path Forward?
Abstract
Recent advances in genomics and sequencing technology have led to a better understanding of genetic risk in CKD. Genetics could account in part for racial differences in treatment response for medications including antihypertensives and immunosuppressive medications due to its correlation with ancestry. However, there is still a substantial lag between generation of this knowledge and its adoption in routine clinical care. This review summarizes the recent advances in genomics and CKD, discusses potential reasons for its underutilization, and highlights potential avenues for application of genomic information to improve clinical care and outcomes in this particularly vulnerable population.
Keywords: CKD; Disparities; Genetics; Genomics; Pharmacogenomics.
Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
Similar articles
-
Addressing the global burden of chronic kidney disease through clinical and translational research.Trans Am Clin Climatol Assoc. 2014;125:229-43; discussion 243-6. Trans Am Clin Climatol Assoc. 2014. PMID: 25125737 Free PMC article. Review.
-
Health disparities in kidney disease--emerging data from the human genome.N Engl J Med. 2013 Dec 5;369(23):2260-1. doi: 10.1056/NEJMe1312797. Epub 2013 Nov 9. N Engl J Med. 2013. PMID: 24206461 No abstract available.
-
APOL1 and progression of nondiabetic nephropathy.J Am Soc Nephrol. 2013 Sep;24(9):1344-6. doi: 10.1681/ASN.2013060589. Epub 2013 Jun 27. J Am Soc Nephrol. 2013. PMID: 23813212 Free PMC article. No abstract available.
-
Intensive blood-pressure control in hypertensive chronic kidney disease.N Engl J Med. 2010 Dec 23;363(26):2565; author reply 2565-6. doi: 10.1056/NEJMc1011419. N Engl J Med. 2010. PMID: 21175324 No abstract available.
-
Genetics of kidney failure and the evolving story of APOL1.J Clin Invest. 2011 Sep;121(9):3367-74. doi: 10.1172/JCI46263. Epub 2011 Sep 1. J Clin Invest. 2011. PMID: 21881214 Free PMC article. Review.
Cited by
-
Prioritizing diversity in human genomics research.Nat Rev Genet. 2018 Mar;19(3):175-185. doi: 10.1038/nrg.2017.89. Epub 2017 Nov 20. Nat Rev Genet. 2018. PMID: 29151588 Free PMC article. Review.
-
Implementation of a Renal Precision Medicine Program: Clinician Attitudes and Acceptance.Life (Basel). 2020 Mar 26;10(4):32. doi: 10.3390/life10040032. Life (Basel). 2020. PMID: 32224869 Free PMC article.
-
Effects of Testing and Disclosing Ancestry-Specific Genetic Risk for Kidney Failure on Patients and Health Care Professionals: A Randomized Clinical Trial.JAMA Netw Open. 2022 Mar 1;5(3):e221048. doi: 10.1001/jamanetworkopen.2022.1048. JAMA Netw Open. 2022. PMID: 35244702 Free PMC article. Clinical Trial.
-
Genetics and ESKD Disparities in African Americans.Am J Kidney Dis. 2019 Dec;74(6):811-821. doi: 10.1053/j.ajkd.2019.06.006. Epub 2019 Oct 10. Am J Kidney Dis. 2019. PMID: 31606237 Free PMC article. Review.
-
Renal Genetics Clinic: 3-Year Experience in the Cleveland Clinic.Kidney Med. 2022 Dec 13;5(2):100585. doi: 10.1016/j.xkme.2022.100585. eCollection 2023 Feb. Kidney Med. 2022. PMID: 36712315 Free PMC article.
References
-
- Sarnak MJ, Levey AS, Schoolwerth AC, et al. Kidney Disease as a Risk Factor for Development of Cardiovascular Disease A Statement From the American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology, and Epidemiology and Prevention. Circulation. 2003;108(17):2154–2169. doi: 10.1161/01.CIR.0000095676.90936.80. - DOI - PubMed
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Molecular Biology Databases
Miscellaneous