PMID- 33655195 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240331 IS - 2515-4826 (Electronic) IS - 2515-4826 (Linking) VI - 3 DP - 2020 TI - The relationship between donor-recipient genetic distance and long-term kidney transplant outcome. PG - 47 LID - 10.12688/hrbopenres.13021.1 [doi] LID - 47 AB - Background: We set out to quantify shared genetic ancestry between unrelated kidney donor-recipient pairs and test it as a predictor of time to graft failure. Methods: In a homogenous, unrelated, European cohort of deceased-donor kidney transplant pairs (n pairs = 1,808), we calculated, using common genetic variation, shared ancestry at the genic (n loci=40,053) and genomic level. We conducted a sub-analysis focused on transmembrane protein coding genes (n transcripts=8,637) and attempted replication of a previously published nonsynonymous transmembrane mismatch score. Measures of shared genetic ancestry were tested in a survival model against time to death-censored graft failure. Results: Shared ancestry calculated across the human leukocyte antigen (HLA) significantly associated with graft survival in individuals who had a high serological mismatch (n pairs = 186) with those who did not have any HLA mismatches indicating that shared ancestry calculated specific loci can capture known associations with genes impacting graft outcome. None of the other measures of shared ancestry at a genic level, genome-wide scale, transmembrane subset or nonsynonymous transmembrane mismatch score analysis were significant predictors of time to graft failure. Conclusions: In a large unrelated, deceased-donor European ancestry renal transplant cohort, shared donor-recipient genetic ancestry, calculated using common genetic variation, has limited value in predicting transplant outcome both on a genomic scale and at a genic level (other than at the HLA loci). CI - Copyright: (c) 2020 Stapleton CP et al. FAU - Stapleton, Caragh P AU - Stapleton CP AUID- ORCID: 0000-0002-5354-7822 AD - Department of Molecular and Cellular Therapeutics, Royal College of Surgeons in Ireland, Dublin, Ireland. FAU - Lord, Graham M AU - Lord GM AUID- ORCID: 0000-0003-2069-4743 AD - Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. AD - NIHR Biomedical Research Centre at Guy's and St Thomas', NHS Foundation Trust and King's College London, London, UK. CN - UK and Ireland Renal Transplant Consortium FAU - Conlon, Peter J AU - Conlon PJ AD - Department of Nephrology, Beaumont Hospital, Dublin, Dublin, Ireland. AD - Department of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland. FAU - Cavalleri, Gianpiero L AU - Cavalleri GL AUID- ORCID: 0000-0002-9802-0506 AD - Department of Molecular and Cellular Therapeutics, Royal College of Surgeons in Ireland, Dublin, Ireland. LA - eng GR - G0802068/MRC_/Medical Research Council/United Kingdom GR - G0600698/MRC_/Medical Research Council/United Kingdom GR - WT_/Wellcome Trust/United Kingdom GR - MR/J006742/1/MRC_/Medical Research Council/United Kingdom GR - MR/K002996/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article DEP - 20200729 PL - Ireland TA - HRB Open Res JT - HRB open research JID - 101754913 PMC - PMC7888353 OTO - NOTNLM OT - HLA OT - graft failure OT - identity-by-descent OT - identity-by-state OT - kidney transplant OT - shared genetic ancestry OT - transplant COIS- No competing interests were disclosed. EDAT- 2021/03/04 06:00 MHDA- 2021/03/04 06:01 PMCR- 2020/07/29 CRDT- 2021/03/03 05:49 PHST- 2020/06/29 00:00 [accepted] PHST- 2021/03/03 05:49 [entrez] PHST- 2021/03/04 06:00 [pubmed] PHST- 2021/03/04 06:01 [medline] PHST- 2020/07/29 00:00 [pmc-release] AID - 10.12688/hrbopenres.13021.1 [doi] PST - epublish SO - HRB Open Res. 2020 Jul 29;3:47. doi: 10.12688/hrbopenres.13021.1. eCollection 2020.