Nature Communications (Jan 2024)

X-chromosome and kidney function: evidence from a multi-trait genetic analysis of 908,697 individuals reveals sex-specific and sex-differential findings in genes regulated by androgen response elements

  • Markus Scholz,
  • Katrin Horn,
  • Janne Pott,
  • Matthias Wuttke,
  • Andreas Kühnapfel,
  • M. Kamal Nasr,
  • Holger Kirsten,
  • Yong Li,
  • Anselm Hoppmann,
  • Mathias Gorski,
  • Sahar Ghasemi,
  • Man Li,
  • Adrienne Tin,
  • Jin-Fang Chai,
  • Massimiliano Cocca,
  • Judy Wang,
  • Teresa Nutile,
  • Masato Akiyama,
  • Bjørn Olav Åsvold,
  • Nisha Bansal,
  • Mary L. Biggs,
  • Thibaud Boutin,
  • Hermann Brenner,
  • Ben Brumpton,
  • Ralph Burkhardt,
  • Jianwen Cai,
  • Archie Campbell,
  • Harry Campbell,
  • John Chalmers,
  • Daniel I. Chasman,
  • Miao Ling Chee,
  • Miao Li Chee,
  • Xu Chen,
  • Ching-Yu Cheng,
  • Renata Cifkova,
  • Martha Daviglus,
  • Graciela Delgado,
  • Katalin Dittrich,
  • Todd L. Edwards,
  • Karlhans Endlich,
  • J. Michael Gaziano,
  • Ayush Giri,
  • Franco Giulianini,
  • Scott D. Gordon,
  • Daniel F. Gudbjartsson,
  • Stein Hallan,
  • Pavel Hamet,
  • Catharina A. Hartman,
  • Caroline Hayward,
  • Iris M. Heid,
  • Jacklyn N. Hellwege,
  • Bernd Holleczek,
  • Hilma Holm,
  • Nina Hutri-Kähönen,
  • Kristian Hveem,
  • Berend Isermann,
  • Jost B. Jonas,
  • Peter K. Joshi,
  • Yoichiro Kamatani,
  • Masahiro Kanai,
  • Mika Kastarinen,
  • Chiea Chuen Khor,
  • Wieland Kiess,
  • Marcus E. Kleber,
  • Antje Körner,
  • Peter Kovacs,
  • Alena Krajcoviechova,
  • Holly Kramer,
  • Bernhard K. Krämer,
  • Mikko Kuokkanen,
  • Mika Kähönen,
  • Leslie A. Lange,
  • James P. Lash,
  • Terho Lehtimäki,
  • Hengtong Li,
  • Bridget M. Lin,
  • Jianjun Liu,
  • Markus Loeffler,
  • Leo-Pekka Lyytikäinen,
  • Patrik K. E. Magnusson,
  • Nicholas G. Martin,
  • Koichi Matsuda,
  • Yuri Milaneschi,
  • Pashupati P. Mishra,
  • Nina Mononen,
  • Grant W. Montgomery,
  • Dennis O. Mook-Kanamori,
  • Josyf C. Mychaleckyj,
  • Winfried März,
  • Matthias Nauck,
  • Kjell Nikus,
  • Ilja M. Nolte,
  • Raymond Noordam,
  • Yukinori Okada,
  • Isleifur Olafsson,
  • Albertine J. Oldehinkel,
  • Brenda W. J. H. Penninx,
  • Markus Perola,
  • Nicola Pirastu,
  • Ozren Polasek,
  • David J. Porteous,
  • Tanja Poulain,
  • Bruce M. Psaty,
  • Ton J. Rabelink,
  • Laura M. Raffield,
  • Olli T. Raitakari,
  • Humaira Rasheed,
  • Dermot F. Reilly,
  • Kenneth M. Rice,
  • Anne Richmond,
  • Paul M. Ridker,
  • Jerome I. Rotter,
  • Igor Rudan,
  • Charumathi Sabanayagam,
  • Veikko Salomaa,
  • Neil Schneiderman,
  • Ben Schöttker,
  • Mario Sims,
  • Harold Snieder,
  • Klaus J. Stark,
  • Kari Stefansson,
  • Hannah Stocker,
  • Michael Stumvoll,
  • Patrick Sulem,
  • Gardar Sveinbjornsson,
  • Per O. Svensson,
  • E-Shyong Tai,
  • Kent D. Taylor,
  • Bamidele O. Tayo,
  • Andrej Teren,
  • Yih-Chung Tham,
  • Joachim Thiery,
  • Chris H. L. Thio,
  • Laurent F. Thomas,
  • Johanne Tremblay,
  • Anke Tönjes,
  • Peter J. van der Most,
  • Veronique Vitart,
  • Uwe Völker,
  • Ya Xing Wang,
  • Chaolong Wang,
  • Wen Bin Wei,
  • John B. Whitfield,
  • Sarah H. Wild,
  • James F. Wilson,
  • Thomas W. Winkler,
  • Tien-Yin Wong,
  • Mark Woodward,
  • Xueling Sim,
  • Audrey Y. Chu,
  • Mary F. Feitosa,
  • Unnur Thorsteinsdottir,
  • Adriana M. Hung,
  • Alexander Teumer,
  • Nora Franceschini,
  • Afshin Parsa,
  • Anna Köttgen,
  • Pascal Schlosser,
  • Cristian Pattaro

DOI
https://doi.org/10.1038/s41467-024-44709-1
Journal volume & issue
Vol. 15, no. 1
pp. 1 – 17

Abstract

Read online

Abstract X-chromosomal genetic variants are understudied but can yield valuable insights into sexually dimorphic human traits and diseases. We performed a sex-stratified cross-ancestry X-chromosome-wide association meta-analysis of seven kidney-related traits (n = 908,697), identifying 23 loci genome-wide significantly associated with two of the traits: 7 for uric acid and 16 for estimated glomerular filtration rate (eGFR), including four novel eGFR loci containing the functionally plausible prioritized genes ACSL4, CLDN2, TSPAN6 and the female-specific DRP2. Further, we identified five novel sex-interactions, comprising male-specific effects at FAM9B and AR/EDA2R, and three sex-differential findings with larger genetic effect sizes in males at DCAF12L1 and MST4 and larger effect sizes in females at HPRT1. All prioritized genes in loci showing significant sex-interactions were located next to androgen response elements (ARE). Five ARE genes showed sex-differential expressions. This study contributes new insights into sex-dimorphisms of kidney traits along with new prioritized gene targets for further molecular research.