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Abstract
Chronic kidney disease (CKD) is defined by reduced estimated glomerular filtration rate (eGFR). Previous genetic studies have implicated regulatory mechanisms contributing to CKD. Here we present epigenome-wide association studies of eGFR and CKD using whole-blood DNA methylation of 2264 ARIC Study and 2595 Framingham Heart Study participants to identify epigenetic signatures of kidney function. Of 19 CpG sites significantly associated (P < 1e-07) with eGFR/CKD and replicated, five also associate with renal fibrosis in biopsies from CKD patients and show concordant DNA methylation changes in kidney cortex. Lead CpGs at PTPN6/PHB2, ANKRD11, and TNRC18 map to active enhancers in kidney cortex. At PTPN6/PHB2 cg19942083, methylation in kidney cortex associates with lower renal PTPN6 expression, higher eGFR, and less renal fibrosis. The regions containing the 243 eGFR-associated (P < 1e-05) CpGs are significantly enriched for transcription factor binding sites of EBF1, EP300, and CEBPB (P < 5e-6). Our findings highlight kidney function associated epigenetic variation.
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1 The Population Sciences Branch, Division of Intramural Research, NHLBI, NIH, Bethesda, MD, USA; NHLBI’s Framingham Heart Study, Framingham, MA, USA
2 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
3 Institute of Genetic Epidemiology, Faculty of Medicine and Medical Center—University of Freiburg, Freiburg, Germany
4 Renal Electrolyte and Hypertension Division, Department of Medicine, Department of Genetics, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA
5 Institute of Aging Research, Hebrew Senior Life, Boston, MA, USA; Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA; The Population Sciences Branch, Division of Intramural Research, NHLBI, NIH, Bethesda, MD, USA; NHLBI’s Framingham Heart Study, Framingham, MA, USA
6 Department of Biostatistics, Harvard University School of Public Health, Boston, MA, USA
7 Human Genetics Center, University of Texas Health Science Center, Houston, TX, USA
8 Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA
9 Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA; NHLBI’s Framingham Heart Study, Framingham, MA, USA
10 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Institute of Genetic Epidemiology, Faculty of Medicine and Medical Center—University of Freiburg, Freiburg, Germany