Lupus & antiphospholipid syndrome

Genetics of longitudinal kidney function in children and adults with systemic lupus erythematosus

Rheumatology (Oxford)Published Genetic association cohort study

Authors' conclusion

We observed significant associations between SLE and eGFR PRSs and repeated eGFR measurements, in a large cohort of children and adults with SLE.

Study context

Population
Children and adults with SLE (≥4 ACR and/or SLICC criteria) from two tertiary care lupus clinics37% biopsy-confirmed LN
Participants
1,158 children
Exposure
SLE and estimated glomerular filtration rate (eGFR) polygenic risk scores vs repeated eGFR measures
Outcome
Association of SLE- and eGFR-PRSs with eGFR mean and variance
Methodological detailstwo tertiary care lupus clinics, polygenic risk scores, longitudinal repeated eGFR measures, 36 733 eGFR measures over a median of 7.6 years (IQR: 3.9-15.3)
  • Two tertiary care lupus clinics
  • Polygenic risk scores
  • Longitudinal repeated eGFR measures
  • 36 733 eGFR measures over a median of 7.6 years (IQR: 3.9-15.3)

Main finding

As reported in the abstract

Association of polygenic risk scores (PRSs) with eGFR mean and variance
  • Increasing SLE-PRSs associated with lower mean eGFR and greater variance
  • Increasing eGFR-PRS associated with increased eGFR mean and variance

Observational data: associations, not effects.

Further findings

Within-person mean eGFR, LN vs non-LN

P < 0.0001

Within-person eGFR variance, LN vs non-LN

P < 0.0001

Original publication

Genetics of longitudinal kidney function in children and adults with systemic lupus erythematosus. Rheumatology (Oxford). Published 14 March 2023. doi:10.1093/rheumatology/kead119

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