Fetal-Not Maternal-APOL1 Genotype Associated with Risk for Preeclampsia in Those with African Ancestry.

Abstract

Black Americans are at increased risk for preeclampsia. Genetic variants in apolipoprotein L1 (APOL1) account for much of the increased risk for kidney disease in blacks. APOL1 is expressed in human placenta and transgenic mice expressing APOL1 develop preeclampsia. We evaluated the role of APOL1 variants in human preeclampsia. We determined maternal and fetal APOL1 genotypes in black women with preeclampsia in two populations. At Einstein Montefiore Center (EMC) Affiliated Hospitals, we studied 121 pregnancies in black women with preeclampsia. At University of Tennessee Health Science Center (UTHSC), we studied 93 pregnancies in black women with preeclampsia and 793 pregnancies without preeclampsia. We measured serum markers of preeclampsia soluble fms-like tyrosine kinase 1 (sFlt-1), placental growth factor (PlGF), and soluble endoglin (sEng). Fetal APOL1 high-risk (HR) genotype was associated with preeclampsia, with odds ratios at EMC and UTHSC of 1.84 (95% CI 1.11, 2.93) and 1.92 (95% CI 1.05, 3.49), respectively. Maternal APOL1 HR genotype was not associated with preeclampsia. Mothers with the fetal APOL1 HR genotype had more cerebral or visual disturbances (63% versus 37%, p = 0.04). In addition, fetal APOL1 HR genotype was associated with a higher sFLT-1/PlGF ratio at birth (p = 0.04). Fetal APOL1 high-risk genotype increases the risk for preeclampsia, likely by adversely affecting placental function. Further research is needed to assess whether APOL1 genetic testing can predict preeclampsia and improve pregnancy outcomes.

• Authors: Kimberly J Reidy, Rebecca C Hjorten, Claire L Simpson, Avi Z Rosenberg, Stacy D Rosenblum, Csaba P Kovesdy, Frances A Tylavsky, Joseph Myrie, Bianca L Ruiz, Soulin Haque, Khyobeni Mozhui, George W Nelson, Victor A David, Xiaoping Yang, Masako Suzuki, Jack Jacob, Sandra E Reznik, Frederick J Kaskel, Jeffrey B Kopp, Cheryl A Winkler, Robert L Davis
• Journal: American journal of human genetics (Am J Hum Genet) Vol. 103 Issue 3 Pg. 367-376 (09 06 2018) ISSN: 1537-6605 [Electronic] United States
• PMID: 30173819 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, N.I.H., Intramural, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2018 The Author(s). Published by Elsevier Inc. All rights reserved.

Chemical References

• APOL1 protein, human
• Apolipoprotein L1
• Biomarkers

Topics

• Adult
• Black or African American (genetics)
• Apolipoprotein L1 (genetics)
• Biomarkers (blood, metabolism)
• Case-Control Studies
• Female
• Fetus (metabolism)
• Genetic Testing (methods)
• Genotype
• Humans
• Mothers
• Pre-Eclampsia (blood, genetics, metabolism)
• Pregnancy
• Risk