Evidence map›Paper›PMID 29110763›Full record

ReviewSeminars in nephrology2017

Clinical Genetic Testing for APOL1: Are we There Yet?

Bessie A Young, Stephanie Malia Fullerton, James G Wilson, Kerri Cavanaugh, Erika Blacksher, Clarence Spigner, Jonathan Himmelfarb, Wylie Burke

Open access · greenAbstract readReview
In one paragraph

Review in Seminars in nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Race, Ancestry, and Genetic Risk for Kidney Failure.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Opinions of African American adults about the use of apolipoprotein L1 (ApoL1) genetic testing in living kidney donation and transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  11. Review
  12. Review
  13. Genetic Testing forClinical journal of the American Society of Nephrology : CJASN · 2020
    Article
  14. Article
  15. Article
  16. APOL1 Genetic Testing in Living Kidney Transplant Donors.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019
    Review
  17. Article
  18. Article
  19. Biomarkers in Solid Organ Transplantation.Clinics in laboratory medicine · 2019
    Review
  20. African American Living Donors' Attitudes About APOL1 Genetic Testing: A Mixed Methods Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Bessie A YoungNephrology Section, Hospital and Specialty Medicine, VA Puget Sound Health Care System, Seattle, WA; Kidney Research Institute and Division of Nephrology, University of Washington, Seattle, WA. Electronic address: youngb@uw.edu.
Stephanie Malia FullertonBioethics and Humanities, University of Washington, Seattle, WA.
James G WilsonDepartment of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, MS.
Kerri CavanaughDivision of Nephrology, Vanderbilt University, Nashville, TN.
Erika BlacksherBioethics and Humanities, University of Washington, Seattle, WA.
Clarence SpignerDepartment of Health Services, School of Public Health, University of Washington, Seattle, WA.
Jonathan HimmelfarbKidney Research Institute and Division of Nephrology, University of Washington, Seattle, WA.
Wylie BurkeBioethics and Humanities, University of Washington, Seattle, WA.
University of Washington · USUniversity of Mississippi Medical Center · USVanderbilt University · USVA Puget Sound Health Care System · US

Funding

Community-Based Evaluation of APOL1 Genetic Testing in African AmericansR01HG007879 · NHGRI · UNIVERSITY OF WASHINGTON · PI BURKE, WYLIE G., YOUNG, BESSIE ANN · 2015 to 2017
$2.1M
NHGRI NIH HHS R01 HG007879
6 · The paper itself

Abstract

End-stage renal disease (ESRD) disproportionately affects African Americans, who are two to four times more likely than European Americans to develop ESRD. Two independent variants of the apolipoprotein L1 (APOL1) gene, G1 and G2, have been associated with a 7- to 10-fold greater risk of developing nondiabetic ESRD in African Americans. Those who inherit two risk variants (G1/G1, G2/G2, or G1/G2) are also more likely to develop ESRD at a younger age and to have progression of chronic kidney disease. Currently, it is not known what proportion of persons with high-risk genotypes will develop ESRD in the general population, the exact mechanism of injury for APOL1-related risk, its relation to environmental exposures, or whether patients with comorbid conditions are more likely to develop ESRD. To address the above uncertainties, research that includes assessment of APOL1 status is needed before guidelines for general testing can be endorsed. Currently, APOL1 testing has been proposed as part of kidney transplant protocols both for living donors and recipients. However, because of uncertainties regarding the clinical implications of APOL1 variants, testing could generate confusion, anxiety, or stigma. Multiple forms of evidence, including the views of community members, are needed to support responsible approaches to providing information about APOL1 status as part of clinical care or in population screening. Informed consent with subsequent counseling regarding the risks and benefits of APOL1 testing should be considered for patients at high risk.

Indexed as

Genetic TestingApolipoprotein L1AttitudeBlack or African AmericanGenotypeHumansKidney Failure, ChronicKidney TransplantationMutationRisk AssessmentAPOL1 protein, humanApolipoprotein L1African AmericansAPOL1apolipoprotein L1Genetic testingkidney disease

Identifiers

PMID29110763
PMCPMC6774255
OpenAlexW2767007189

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.