Evidence map›Paper›PMID 30332315›Full record

ReviewAmerican journal of physiology. Renal physiology2019

APOL1 polymorphisms and kidney disease: loss-of-function or gain-of-function?

Leslie A Bruggeman, John F O'Toole, John R Sedor

Open access · bronzeAbstract readReview
In one paragraph

Review in American journal of physiology. Renal physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

27 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Article
  3. Molecular Mechanisms of APOL1-Associated Kidney Disease.International journal of molecular sciences · 2026
    Review
  4. A novelRenal failure · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Multiethnic prevalence of theClinical kidney journal · 2025
    Article
  9. Article
  10. Novel Therapies inKidney international reports · 2023
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Frontiers in genetics · 2022
    Article
  16. Review
  17. The First Thousand Days: Kidney Health and Beyond.Healthcare (Basel, Switzerland) · 2021
    Review
  18. Review
  19. Review
  20. 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

3 authors at 1 institution in 1 country.

Leslie A BruggemanDepartment of Inflammation and Immunity, Cleveland Clinic , Cleveland, Ohio.ORCID 0000-0001-5874-705X
John F O'TooleDepartment of Inflammation and Immunity, Cleveland Clinic , Cleveland, Ohio.
John R SedorDepartment of Inflammation and Immunity, Cleveland Clinic , Cleveland, Ohio.
Cleveland Clinic · US

Funding

Mechanisms of APOL1-mediated kidney diseaseR01DK108329 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI BRUGGEMAN, LESLIE A, O'TOOLE, JOHN F. · 2015 to 2019
$2.0M
Kidney disease mechanisms associated with human genetic variationR01DK097836 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI BRUGGEMAN, LESLIE A, O'TOOLE, JOHN F. · 2014 to 2017
$2.0M
NIDDK NIH HHS R01 DK097836NIDDK NIH HHS R01 DK108329
6 · The paper itself

Abstract

The mechanism that explains the association of APOL1 variants with nondiabetic kidney diseases in African Americans remains unclear. Kidney disease risk is inherited as a recessive trait, and many studies investigating the intracellular function of APOL1 have indicated the APOL1 variants G1 and G2 are associated with cytotoxicity. Whether cytotoxicity results from the absence of a protective effect conferred by the G0 allele or is induced by a deleterious effect of variant allele expression has not be conclusively established. A central issue hampering basic biology studies is the lack of model systems that authentically replicate APOL1 expression patterns. APOL1 is present in humans and a few other primates and appears to have important functions in the kidney, as the kidney is the primary target for disease associated with the genetic variance. There have been no studies to date assessing the function of untagged APOL1 protein under native expression in human or primate kidney cells, and no studies have examined the heterozygous state, a disease-free condition in humans. A second major issue is the chronic kidney disease (CKD)-associated APOL1 variants are conditional mutations, where the disease-inducing function is only evident under the appropriate environmental stimulus. In addition, it is possible there may be more than one mechanism of pathogenesis that is dependent on the nature of the stressor or other genetic variabilities. Studies addressing the function of APOL1 and how the CKD-associated APOL1 variants cause kidney disease are challenging and remain to be fully investigated under conditions that faithfully model known human genetics and physiology.

Indexed as

Gain of Function MutationLoss of Function MutationPolymorphism, GeneticAnimalsApolipoprotein L1Black or African AmericanGene-Environment InteractionGenetic Predisposition to DiseaseHeredityHumansPhenotypePodocytesRenal Insufficiency, ChronicRisk FactorsAPOL1 protein, humanApolipoprotein L1chronic kidney diseasegeneticspodocytes

Identifiers

PMID30332315
PMCPMC6383195
OpenAlexW2896148719

What OpenQuestion holds

Textmetadata
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.