Evidence map›Paper›PMID 41013308›Full record

ArticleBMC nephrology2025

A multi-ethnic polygenic risk score for chronic kidney disease is associated with increased risk of hypertension in African American individuals.

Aastha Kakar, Elizabeth M Litkowski, Ashley W Scadden, Mohammad Y Anwar, Iain R Konigsberg, Maggie A Stanislawski, Natalie C DuPre, Riten Mitra, Richard Baumgartner, Laura M Raffield and 3 more

Abstract read
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Aastha KakarDepartment of Epidemiology & Population Health, School of Public Health & Information Sciences, University of Louisville, Louisville, KY, USA. aastha.kakar@cuanschutz.edu.
Elizabeth M LitkowskiDepartment of Biomedical Informatics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Ashley W ScaddenDepartment of Biomedical Informatics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Mohammad Y AnwarDepartment of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Iain R KonigsbergDepartment of Biomedical Informatics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Maggie A StanislawskiDepartment of Biomedical Informatics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Natalie C DuPreDepartment of Epidemiology & Population Health, School of Public Health & Information Sciences, University of Louisville, Louisville, KY, USA.
Riten MitraDepartment of Epidemiology & Population Health, School of Public Health & Information Sciences, University of Louisville, Louisville, KY, USA.
Richard BaumgartnerDepartment of Epidemiology & Population Health, School of Public Health & Information Sciences, University of Louisville, Louisville, KY, USA.
Laura M RaffieldDepartment of Genetics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Ethan M LangeDepartment of Biomedical Informatics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Leslie A LangeDepartment of Biomedical Informatics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Kira C TaylorDepartment of Epidemiology & Population Health, School of Public Health & Information Sciences, University of Louisville, Louisville, KY, USA.

Funding

University of Louisville Center for Integrative Environmental Health SciencesP30ES030283 · NIEHS · UNIVERSITY OF LOUISVILLE · PI Michael L Merchant · 2020 to 2026
$10.0M
Integrative Approaches to Identifying Function and Clinical Significance of Adiposity Susceptibility GenesR01DK122503 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Anne Justice, Ching-Ti Liu · 2020 to 2026
$4.5M
The Contribution of Omic Profiles to Weight Loss and ObesityK01HL157658 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI Maggie A Stanislawski · 2022 to 2026
$794k
National Institute of Health, United States 3R01DK122503National Institute of Health, United States K01HL157658NHLBI NIH HHS K01 HL157658NIDDK NIH HHS R01 DK122503NIEHS NIH HHS P30 ES030283
6 · The paper itself

Abstract

backgroundHypertension (HT) and chronic kidney diseases (CKD) are complex conditions having both genetic and environmental contributions, disproportionately affecting African American (AA) individuals. Recent evidence is contradictory regarding the directionality of the relationship between the two conditions. This study investigates the relationship between CKD and blood pressure (BP)-related traits with CKD and BP by generating polygenic risk scores (PRSs) for CKD and BP-related traits in 2,995 participants of the Jackson Heart Study, a prospective cohort study of AA individuals from the Jackson, Mississippi metropolitan area.

methodsWe used multivariable regression models to evaluate associations of each PRS with CKD, HT, systolic blood pressure (SBP) and diastolic blood pressure (DBP), adjusting for age, sex, and genetic ancestry.

resultsWe observed positive associations for the CKD PRS (CKD-PRS) with both CKD (OR per standard deviation increase, 95% CI: 1.85, 1.64–2.09) and HT (1.10, 1.01–1.20). Adding the CKD-PRS to a multivariable model for CKD increased the area under the receiver operating curve (AUC) by 0.061. The CKD-PRS was also positively associated with DBP (beta = 0.37 mmHg, 95% CI: 0.01–0.73). The BP-PRSs were positively associated with HT, SBP and DBP; however, they were not associated with CKD.

conclusionsOur results suggest that genetic predisposition to CKD may increase the risk of hypertension in AA individuals. Our results also align with previous studies in European ancestry individuals that fail to support the causative role of blood pressure in kidney function decline, as we did not find an association between the blood pressure risk scores with CKD. Finally, we found a strong association between the CKD risk score with CKD in AA individuals, supporting its clinical use in an AA population. Overall, our findings provide valuable insights into the genetic underpinnings of CKD and HT in AA individuals.

Indexed as

Black or African AmericanHypertensionRenal Insufficiency, ChronicAdultAgedBlood PressureFemaleGenetic Predisposition to DiseaseGenetic Risk ScoreHumansMaleMiddle AgedMississippiMultifactorial InheritanceProspective StudiesRisk FactorsAfrican american individualsChronic kidney diseaseHypertensionPolygenic risk scores

Identifiers

PMID41013308
PMCPMC12465664

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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.