Novel genetic susceptibility loci for diabetic end-stage renal disease identified through robust naive Bayes classification.
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Sambo Francesco, Malovini Alberto, Sandholm Niina, Stavarachi Monica, Forsblom Carol, Mäkinen Ville-Petteri, Harjutsalo Valma, Lithovius Raija, Gordin Daniel, Parkkonen Maija, Saraheimo Markku, Thorn Lena M, Tolonen Nina, Wadén Johan, He Bing, Osterholm Anne-May, Tuomilehto Jaako, Lajer Maria, Salem Rany M, McKnight Amy Jayne, GENIE Consortium, Tarnow Lise, Panduru Nicolae M, Barbarini Nicola, Di Camillo Barbara, Toffolo Gianna M, Tryggvason Karl, Bellazzi Riccardo, Cobelli Claudio, FinnDiane Study Group, Groop Per-Henrik
Аннотация
METHODS: We exploited a novel algorithm, 'Bag of Naive Bayes', whose marker selection strategy is complementary to that of conventional genome-wide association models based on univariate association tests. The analysis was performed on a genome-wide association study of 3,464 patients with type 1 diabetes from the Finnish Diabetic Nephropathy (FinnDiane) Study and subsequently replicated with 4,263 type 1 diabetes patients from the Steno Diabetes Centre, the All Ireland-Warren 3-Genetics of Kidneys in Diabetes UK collection (UK-Republic of Ireland) and the Genetics of Kidneys in Diabetes US Study (GoKinD US).
RESULTS: Five genetic loci (WNT4/ZBTB40-rs12137135, RGMA/MCTP2-rs17709344, MAPRE1P2-rs1670754, SEMA6D/SLC24A5-rs12917114 and SIK1-rs2838302) were associated with ESRD in the FinnDiane study. An association between ESRD and rs17709344, tagging the previously identified rs12437854 and located between the RGMA and MCTP2 genes, was replicated in independent case-control cohorts. rs12917114 near SEMA6D was associated with ESRD in the replication cohorts under the genotypic model (p < 0.05), and rs12137135 upstream of WNT4 was associated with ESRD in Steno.
CONCLUSIONS/INTERPRETATION: This study supports the previously identified findings on the RGMA/MCTP2 region and suggests novel susceptibility loci for ESRD. This highlights the importance of applying complementary statistical methods to detect novel genetic variants in diabetic nephropathy and, in general, in complex diseases.