Genetic predisposition of donors affects the allograft outcome in kidney transplantation: Single-nucleotide polymorphism of aquaporin-11.
BACKGROUND
Aquaporin-11 (AQP11) is a novel member of the aquaporin family. Disruption of the murine Aqp11 gene causes severe proximal tubular injury and renal failure. The rs2276415 (G>A) single-nucleotide polymorphism in the human AQP11 gene results in glycine to serine substitution in a functionally important domain. In this study, the role of the genetic predispositions of AQP11 rs2276415 (G>A) on renal allograft outcomes was evaluated.


METHODS
A total of 198 pairs of donors and recipients were enrolled in this study. Long-term graft survival was traced and clinical parameters that could have influenced graft outcome were collected through the electronic medical record system.


RESULTS
The genotype distribution and allele frequency of rs2276415 polymorphism were not different between donors and recipients. Despite similar allele frequencies between donors and recipients, the minor allele rs2276415 (GA+AA) of AQP11 from the donors, but not from the recipients, had a harmful effect on the graft survival compared with the wild-type donor (GG; P=0.029). This association was significant after adjusting for several risk factors including age, sex, human leukocyte antigen mismatch, donor type, hypertension, and diabetes mellitus (P=0.032).


CONCLUSIONS
A donor-derived, not recipient-derived, genetic AQP11 polymorphism has different effects on graft outcome. Thus, the genetic influence from donors should be carefully considered for proper management of allografts after kidney transplantation.
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Ji In
JI
Park
Kidney Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Seung Hee
SH
Yang
Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
Jung Pyo
JP
Lee
Department of Forensic Medicine and Institute of Forensic Medicine, Seoul National University College of Medicine, Seoul, Korea.
Seong Ho
SH
Yoo
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Yon Su
YS
Kim
Aquaporins; Kidney transplantation; Single nucleotide polymorphism