Abstract
The effect of polymorphims in leptin and adiponectin genes on long-term outcomes of renal transplantation is unknown. In 349 renal transplant recipients (RTR), we aimed to determine associations between five SNPs in the leptin receptor (LEPR) and adiponectin (ADIPOQ) genes and these outcomes. Follow-up time ranged from 2 to 25 years (mean 10.29 ± 5.16 years). Two SNPs showed associations with long-term outcomes and their statistical significance greatly increased after 39 RTR with a history of cardiovascular events prior to transplantation were removed from the analysis. Adjusted odds ratios (OR) for LEPR rs1805094 and ADIPOQ rs1501299 and risk of graft loss were 0.35 (0.16–0.74) p = 0.006 and 2.37 (1.28–4.37) p = 0.006, respectively. The assessment of risk for global mortality revealed OR values of 0.20 (0.06–0.62), p = 0.005, and 2.43 (1.08–5.44), p = 0.031 for LEPR rs1805094 and ADIPOQ rs1501299, respectively. Our results show that polymorphism in genes involved in leptin and adiponectin function modify long-term outcomes in renal transplantation.
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Acknowledgements
The authors want to thank the technical and human support provided by the Facility of Bioscience Applied Techniques of SAIUEx (financed by UEX, Junta de Extremadura, MICINN, FEDER and FSE). This work has been supported in part by grants PI15/00804 and PI18/00745 from Instituto de Salud Carlos III, Madrid (Spain), and grants IB16014 and GR18007 from Junta de Extremadura, Mérida (Spain) and Fondo Europeo de Desarrollo Regional (FEDER) “Una manera de hacer Europa”.
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Gervasini, G., García-Pino, G., Mota-Zamorano, S. et al. Association of polymorphisms in leptin and adiponectin genes with long-term outcomes in renal transplant recipients. Pharmacogenomics J 20, 388–397 (2020). https://doi.org/10.1038/s41397-019-0128-7
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DOI: https://doi.org/10.1038/s41397-019-0128-7
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