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Aim 1:
Determine if there is an association between the APOL1 risk variants and allograft survival and function in African Americans
Aim 2:
Determine if there is an association between the presence of APOL1 risk variants in an African American kidney transplant recipient and the risk of recurrent disease
Aim 3:
Investigate mechanisms of APOL1 associated kidney disease by prospectively following African American kidney transplant recipients throughout their clinical course.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 2 APOL1 genotypes | African American transplant recipients with homozygous APOL1 gene variants | ||
| 0 or 1 APOL1 genotypes | African American transplant recipients without homozygous APOL1 gene variants |
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| Measure | Description | Time Frame |
|---|---|---|
| Allograft survival | year 1, 3, 5 |
| Measure | Description | Time Frame |
|---|---|---|
| Allograft function as measured by serum creatinine | creatinine levels at year-1, year-3 and year-5 |
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Aim 1:
Inclusion Criteria:
Aim 2:
Inclusion Criteria for patients with recurrent disease:
Inclusion Criteria for control group:
Exclusion Criteria for control group:
Aim 3:
Inclusion Criteria:
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African American Renal Transplant Patients
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| Name | Affiliation | Role |
|---|---|---|
| Anil K Chandraker, MD | Brigham and Women's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | United States |
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| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D007676 | Kidney Failure, Chronic |
| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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Aims 1 and 2:
Subjects will collect a saliva specimen in an Oragene®•DNA sample collection kit for genotyping. We will also collected any discarded (no longer utilized for clinical purposes) tissue from biopsies.
Aim 3:
Prior to transplant, subjects will collect saliva in an Oragene®•DNA sample collection kit for genotyping and 10cc of blood will be drawn into a Na heparin collection tube for APOL1 protein analysis. When applicable, plasmapheresis effluent will be collected. We will also collected any discarded (no longer utilized for clinical purposes)tissue from biopsies.
| D052801 | Male Urogenital Diseases |
| D051436 | Renal Insufficiency, Chronic |
| D051437 | Renal Insufficiency |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |