Brief Report: APOL1 Renal Risk Variants Are Associated with Chronic Kidney Disease in Children and Youth with Perinatal HIV Infection

Murli U. Purswani, Kunjal Patel, Cheryl A. Winkler, Stephen A. Spector, Rohan Hazra, George R. Seage, Lynne Mofenson, Brad Karalius, Gwendolyn B. Scott, Russell B. Van Dyke, Jeffrey B. Kopp

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

APOL1 renal risk alleles are associated with chronic kidney disease (CKD) in adults, with the strongest effect being for HIV-associated nephropathy. Their role in youth with perinatal HIV-1 infection (PHIV) has not been studied. In a nested case-control study of 451 PHIV participants in the Pediatric HIV/AIDS Cohort Study, we found a 3.5-fold increased odds of CKD in those carrying high-risk APOL1 genotypes using a recessive model [95% confidence interval (CI): 1.2 to 10.0]. We report an unadjusted incidence of 1.2 CKD cases/100 person-years (95% CI: 0.5 to 2.5) in PHIV youth carrying APOL1 high-risk genotypes, with important implications for sub-Saharan Africa.

Original languageEnglish (US)
Pages (from-to)63-68
Number of pages6
JournalJournal of Acquired Immune Deficiency Syndromes
Volume73
Issue number1
DOIs
StatePublished - Sep 1 2016

Keywords

  • APOL1
  • African ancestry
  • HIV
  • chronic kidney disease
  • perinatal
  • youth

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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