Association of a single-nucleotide polymorphism in the immunoglobulin μ-binding protein 2 gene with immunoglobulin A nephropathy

Immunoglobulin A (IgA) nephropathy is the most common form of primary glomerulonephritis worldwide. The pathogenesis of IgA nephropathy unknown, but it is certain that some genetic factors are involved in susceptibility to the disease. Employing a large-scale, case-control association Study using gene-based single-nucleotide polymorphism (SNP) markers, we previously reported four candidate genes. We report here an additional significant association between IgA nephropathy and an SNP located in the gene encoding immunoglobulin mu-binding protein 2 (IGHMBP2) at chromosome 11q 13.2-q 13.4. The association (chi(2) = 17. 1, p=0.00003; odds ratio of 1.85 with 95% confidence interval of 1.39-2.50 in a dominant association model) was found using DNA from 465 affected individuals and 634 controls. The SNP (G34448A) caused ail amino acid substitution from glutamine to lysine (E928K). As the gene product is involved in immunoglobulin-class switching and patients with the A allele revealed higher serum levels of IgA (p=0.048) the amino acid change might influence a class switch to increase serum IgA levels. resulting in a higher risk of IgA nephropathy.