RT Journal Article T1 Deletions in VANGL1 are a risk factor for antibody-mediated kidney disease A1 Jiang, Simon H. A1 Mercan, Sevcan A1 Papa, Ilenia A1 Moldovan, Max A1 Walters, Giles D. A1 Koina, Mark A1 Fadia, Mitali A1 Stanley, Maurice A1 Lea-Henry, Tom A1 Cook, Amelia A1 Ellyard, Julia A1 McMorran, Brendan A1 Sundaram, Madhivanan A1 Thomson, Russell A1 Canete, Pablo F. A1 Hoy, Wendy A1 Hutton, Holly A1 Srivastava, Monika A1 McKeon, Kathryn A1 de la Rua Figueroa, Inigo A1 Cervera, Ricard A1 Faria, Raquel A1 D'Alfonso, Sandra A1 Gatto, Mariele A1 Athanasopoulos, Vicki A1 Field, Matthew A1 Mathews, John A1 Cho, Eun A1 Andrews, Thomas D. A1 Kitching, A. Richard A1 Cook, Matthew C. A1 Alarcon Riquelme, Marta A1 Bahlo, Melanie A1 Vinuesa, Carola G. K1 Systemic-lupus-erythematosus K1 Susceptibility loci K1 Renal-disease K1 Genome-wide K1 Association K1 Nephritis K1 Classification K1 Mutations K1 Gene K1 Glomerulonephritis AB We identify an intronic deletion in VANGL1 that predisposes to renal injury in high risk populations through a kidney-intrinsic process. Half of all SLE patients develop nephritis, yet the predisposing mechanisms to kidney damage remain poorly understood. There is limited evidence of genetic contribution to specific organ involvement in SLE.(1,2) We identify a large deletion in intron 7 of Van Gogh Like 1 (VANGL1), which associates with nephritis in SLE patients. The same deletion occurs at increased frequency in an indigenous population (Tiwi Islanders) with 10-fold higher rates of kidney disease compared with non-indigenous populations. Vangl1 hemizygosity in mice results in spontaneous IgA and IgG deposition within the glomerular mesangium in the absence of autoimmune nephritis. Serum transfer into B cell-deficient Vangl1(+/-) mice results in mesangial IgG deposition indicating that Ig deposits occur in a kidney-intrinsic fashion in the absence of Vangl1. These results suggest that Vangl1 acts in the kidney to prevent Ig deposits and its deficiency may trigger nephritis in individuals with SLE. PB Cell press SN 2666-3791 YR 2021 FD 2021-12-21 LK https://hdl.handle.net/10668/28384 UL https://hdl.handle.net/10668/28384 LA en DS RISalud RD Apr 7, 2025