The APOL1 genotype of African American kidney transplant recipients does not impact 5‐year allograft survival

BT Lee, V Kumar, TA Williams, R Abdi… - American journal of …, 2012 - Wiley Online Library
BT Lee, V Kumar, TA Williams, R Abdi, A Bernhardy, C Dyer, S Conte, G Genovese
American journal of transplantation, 2012Wiley Online Library
Apolipoprotein L‐1 (APOL1) gene variants are associated with end‐stage renal disease in
African Americans (AAs). Here we investigate the impact of recipient APOL1 gene
distributions on kidney allograft outcomes. We conducted a retrospective analysis of 119 AA
kidney transplant recipients, and found that 58 (48.7%) carried two APOL1 kidney disease
risk variants. Contrary to the association seen in native kidney disease, there is no difference
in allograft survival at 5‐year posttransplant for recipients with high‐risk APOL1 genotypes …
Apolipoprotein L‐1 (APOL1) gene variants are associated with end‐stage renal disease in African Americans (AAs). Here we investigate the impact of recipient APOL1 gene distributions on kidney allograft outcomes. We conducted a retrospective analysis of 119 AA kidney transplant recipients, and found that 58 (48.7%) carried two APOL1 kidney disease risk variants. Contrary to the association seen in native kidney disease, there is no difference in allograft survival at 5‐year posttransplant for recipients with high‐risk APOL1 genotypes. Thus, we were able to conclude that APOL1 genotypes do not increase risk of allograft loss after kidney transplantations, and carrying 2 APOL1 risk alleles should not be an impediment to transplantation.
Wiley Online Library