Evidence map›Paper›PMID 29277510›Full record

ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2018

HLA-DQA1 and APOL1 as Risk Loci for Childhood-Onset Steroid-Sensitive and Steroid-Resistant Nephrotic Syndrome.

Adebowale Adeyemo, Christopher Esezobor, Adaobi Solarin, Asiri Abeyagunawardena, Jameela A Kari, Sherif El Desoky, Larry A Greenbaum, Margret Kamel, Mahmoud Kallash, Cynthia Silva and 5 more

Open access · greenAbstract read
In one paragraph

Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Update on APOL1 and chronic kidney diseases in children.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. The New England journal of medicine · 2025
    Article
  10. Article
  11. Common Risk Variants inKidney international reports · 2023
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. A focus on the association of Apol1 with kidney disease in children.Pediatric nephrology (Berlin, Germany) · 2021
    Review
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

15 authors at 13 institutions in 5 countries.

Adebowale AdeyemoCenter for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD. Electronic address: adeyemoa@mail.nih.gov.
Christopher EsezoborDepartment of Pediatrics, Lagos University Teaching Hospital (LUTH), Lagos, Nigeria.
Adaobi SolarinDepartment of Pediatrics, Lagos State University Teaching Hospital (LASUTH), Lagos, Nigeria.
Asiri AbeyagunawardenaDepartment of Pediatrics, University of Peradeniya, Sri Lanka.
Jameela A KariPediatric Nephrology Center of Excellence, Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia.
Sherif El DesokyPediatric Nephrology Center of Excellence, Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia.
Larry A GreenbaumDivision of Pediatric Nephrology, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA.
Margret KamelDivision of Pediatric Nephrology, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA.
Mahmoud KallashDepartment of Pediatrics, State University of New York, Buffalo, NY.
Cynthia SilvaDivision of Nephrology, Connecticut Children's Hospital, Hartford, CT.
Alex YoungDivision of Nephrology, Department of Pediatrics, and Duke Molecular Physiology Institute, Duke University Medical Center, Durham, NC.
Tracey E HunleyDivision of Nephrology, Department of Pediatrics, Vanderbilt University, Nashville, TN.
Nilka de Jesus-GonzalezDepartment of Pediatrics, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Tarak SrivastavaDepartment of Nephrology, Children Mercy Hospital, Kansas City, MO.
Rasheed GbadegesinDivision of Nephrology, Department of Pediatrics, and Duke Molecular Physiology Institute, Duke University Medical Center, Durham, NC. Electronic address: rasheed.gbadegesin@duke.edu.
Duke Medical Center · USKing Abdulaziz University · SAChildren's Healthcare of Atlanta · USConnecticut Children's Medical Center · USEmory University · USLagos State University Teaching Hospital · NGLagos University Teaching Hospital · NGMercy Hospital · USNational Institutes of Health · USUniversity at Buffalo, State University of New York · USUniversity of Peradeniya · LKUniversity of Puerto Rico, Medical Sciences Campus · PRVanderbilt University · US

Funding

Genetic epidemiology of complex diseasesZIAHG200362 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI ROTIMI, CHARLES · 2009 to 2025
$54.7M
Resource for Biocomputing Visualization and InformaticsP41GM103311 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FERRIN, THOMAS E · 2012 to 2017
$8.2M
Renal Genomics CoreP30DK096493 · NIDDK · DUKE UNIVERSITY · PI PATEL, UPTAL D · 2012 to 2016
$5.9M
Gene Discovery in Autosomal Dominant Focal Segmental GlomerulosclerosisR01DK094987 · NIDDK · DUKE UNIVERSITY · PI GBADEGESIN, RASHEED ADEBAYO · 2012 to 2016
$2.5M
Functional and Phenotypic Characterization of a New FSGS GeneR01DK098135 · NIDDK · DUKE UNIVERSITY · PI GBADEGESIN, RASHEED ADEBAYO · 2014 to 2018
$1.8M
Genetic epidemiology of complex diseasesZ01HG200362 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI ROTIMI, CHARLES · 2008 to 2008
$1.7M
Intramural NIH HHS Z01 HG200362Intramural NIH HHS ZIA HG200362NIDDK NIH HHS P30 DK096493NIDDK NIH HHS R01 DK094987NIDDK NIH HHS R01 DK098135NIGMS NIH HHS P41 GM103311
6 · The paper itself

Abstract

backgroundFew data exist for the genetic variants underlying the risk for steroid-sensitive nephrotic syndrome (SSNS) in children. The objectives of this study were to evaluate HLA-DQA1 and APOL1 variants as risk factors for SSNS in African American children and use classic HLA antigen types and amino acid inference to refine the HLA-DQA1 association. STUDY

designCase-control study. SETTING &

participantsAfrican American children with SSNS or steroid-resistant nephrotic syndrome (SRNS) were enrolled from Duke University and centers participating in the Midwest Pediatric Nephrology Consortium. FACTOR: Genetic variants in HLA-DQA1 (C34Y [rs1129740]; F41S [rs1071630]) and APOL1 high-risk alleles. OUTCOMES: SSNS and SRNS. MEASUREMENTS: Direct sequencing for the HLA-DQA1 and APOL1 variants in 115 African American children (65 with SSNS and 50 with SRNS). Imputation of classic HLA alleles and amino acids was done in 363 South Asian children.

resultsThe 2 HLA-DQA1 variants were significantly associated with SSNS in African American children (C34Y: P=5.7 × 10 LIMITATIONS: Modest sample size and limited statistical power to detect small to moderate effect sizes. Children studied may not be representative of all African American children in the United States.

conclusionsHLA-DQA1 is a risk locus for SSNS, but not SRNS, in African American children, consistent with its role in SSNS risk in children of European, Asian, and African ancestries. There is little evidence of a significant role for the APOL1 high-risk alleles in childhood SSNS in African American children. Refinement of the HLA-DQA1 association identified the critical classic HLA antigen types and amino acids of the HLA-DQ α1 molecule.

Indexed as

Age DistributionAge of OnsetAllelesApolipoprotein L1Black or African AmericanCase-Control StudiesChildChild, PreschoolFemaleGenetic Predisposition to DiseaseGenetic VariationHLA-DQ alpha-ChainsHumansIncidenceInfantMaleAPOL1 protein, humanApolipoprotein L1HLA-DQA1 antigenHLA-DQ alpha-ChainsSteroidsAfrican AmericanAPOL1childhoodcorticosteroidsethnic disparitiesgeneticsHLA-DQA1kidney diseaseNephrotic syndromenonmodifiable risk factorpediatric kidney diseaserisk lociSRNSSSNSsteroid sensitivity

Identifiers

PMID29277510
PMCPMC5828864
OpenAlexW2780520506

What OpenQuestion holds

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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.