Kidney function is reported as a single number, and that number is calculated rather than measured — which is where genetics, and an argument about race in medicine, both come in.
Why this topic The equation used to estimate it was changed in 2021 to remove a race coefficient, which is one of the few times a clinical formula has been rewritten on an argument about who it was fitted to.
2026-03-25 · Queen Mary University of London & University of the Witwatersrand (KidneyGenAfrica consortium, ~26,000 continental Africans + 81,000 African-ancestry diaspora)
Largest genomic study of kidney function in Africa reveals new genetic risk factors
The KidneyGenAfrica consortium's GWAS of kidney function (eGFR) in ~26,000 continental Africans plus 81,000 African-ancestry people elsewhere found 4 genome-wide significant loci in continental Africa (2 new) and 19 in a broader pan-African analysis (3 new), and confirmed APOL1's kidney-disease-risk variants occur at lower frequency in continental Africa than in African Americans. The main finding: genetic risk scores built from genetically similar populations predicted kidney function meaningfully better than scores built on larger but more distant datasets -- a direct argument for the population-specific reference data this topic's own eGFR-equation history turns on, not a change to the equation itself.
2026-08-19 · Garrett ME et al., Blood Advances 2026 (PMID 42616615)
Why kidneys fail in sickle cell disease: genetic clues from both sides of patients’ ancestry
Kidney damage is a common complication of sickle cell disease, linked to early death. Splitting each patient’s genome into its African and European stretches, researchers searched both for genes tied to kidney function (eGFR) and found 12 regions in the African stretches and 38 in the European ones, supporting the idea that sickle cell kidney disease differs from other kidney disease. The same population question this topic turns on, asked inside one person’s genome.
Solid lines are connections this site curates. Dashed lines mean the two ends share a research paper — worth knowing, and not a claim that one explains the other.
Counted in Europe PMC, where the title or abstract names both this topic and that rsID. The number is papers, not evidence of a cause.
CYP3A5
CYP3A5 expression (*3 allele)
13 papers →SHROOM3
Renal function and chronic kidney disease
11 papers →UMOD
Renal function-related traits (sCR)
4 papers →CUBN
Urinary albumin excretion
4 papers →TGFB1
Colorectal cancer
4 papers →APOE
Lewy body disease
4 papers →ACE
Angiotensin-converting enzyme activity
4 papers →ALDH2
Alcohol flush reaction
4 papers →GCKR
Uric acid levels
4 papers →SLC2A9
Urate levels
3 papers →MTHFR
Folate metabolism (MTHFR C677T)
3 papers →AGER
Pulmonary function
3 papers →SLCO1B1
Statin muscle-side-effect risk
3 papers →LPA
Parental lifespan (LPA, lipoprotein(a))
2 papers →CPS1
Plasma homocysteine levels (post-methionine load test)
2 papers →SLC2A9
Urate levels
2 papers →CYP2C19
CYP2C19 *2 — clopidogrel activation
2 papers →ICAM1
Soluble ICAM-1
2 papers →F5
Blood clotting risk (Factor V Leiden)
2 papers →APOA5
Triglyceride levels
2 papers →CYP1A2
Caffeine metabolism
2 papers →CHRNA3
Smoking behavior
1 paper →PGPEP1
Growth differentiation factor-15 levels
1 paper →DCDC5
Renal function-related traits (BUN)
1 paper →IRF5
Systemic seropositive rheumatic diseases (Systemic sclerosis or systemic lupus erythematosus or rheumatoid arthritis or idiopathic inflammatory myopathies)
1 paper →TRPM6
Magnesium levels
1 paper →FTO
Body mass index (SNP x SNP interaction)
1 paper →CYP2C19
CYP2C19 *17 — increased enzyme activity
1 paper →PDILT
Urinary uromodulin levels
1 paper →TERC
Telomere length
1 paper →KIAA0350
Type 1 diabetes
1 paper →MC4R
Waist circumference and related phenotypes
1 paper →SLC2A9
Urate levels
1 paper →CUBN
Urinary albumin excretion
1 paper →NLRC5
HDL cholesterol
1 paper →GIPR
Obesity
1 paper →MTHFR
Folate metabolism (MTHFR A1298C)
1 paper →BCHE
Cardiovascular disease risk factors
1 paper →ADIPOQ
Adiponectin levels
1 paper →C12orf51
Renal function-related traits (BUN)
1 paper →KCNQ1
Type 2 diabetes
1 paper →KCNQ1
Type 2 diabetes
1 paper →GC
Vitamin D levels
1 paper →PSCA
Bladder cancer
1 paper →MEIS1
Restless legs syndrome
1 paper →KCNQ1
Type 2 diabetes
1 paper →BCL11A
Mean corpuscular volume
1 paper →SETDB1
Chronic kidney disease
1 paper →TERT
Lung adenocarcinoma
1 paper →DARC / ACKR1
Duffy blood group (malaria resistance)
1 paper →SLC22A2
Creatinine levels
1 paper →LPA
Coronary heart disease
1 paper →BTBD9
Restless legs syndrome
1 paper →AGR3
Urinary albumin excretion
1 paper →APOE
LDL cholesterol
1 paper →SLC2A9
Metabolic traits
1 paper →IRF5
Systemic sclerosis
1 paper →SHROOM3
Glomerular filtration rate
1 paper →CYP2C19
CYP2C19 *3 — clopidogrel activation
1 paper →SLC22A12
Urate levels
1 paper →EDN1
Circulating vasoactive peptide levels
1 paper →PLTP
Triglycerides
1 paper →GCKR
Crohn's disease
1 paper →PRKAG2
Chronic kidney disease
1 paper →TCF7L2
Type 2 diabetes
1 paper →CFH
Circulating myeloperoxidase levels (serum)
1 paper →FTO
Type 2 diabetes
1 paper →SLC7A9
Urinary metabolites
1 paper →JAZF1
Type 2 diabetes
1 paper →PGPEP1
Growth differentiation factor-15 levels
1 paper →VKORC1
Warfarin sensitivity
1 paper →FTO
Obesity-related traits
1 paper →FTO
Menarche (age at onset)
1 paper →Europe PMC, title and abstract only, searched for “kidney function”, “chronic kidney disease”, “glomerular filtration rate” alongside each published rsID. Full text was not counted: it returns every paper with an rsID buried in a supplementary table. Recounted monthly.
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Kidneys. MyGeneLog™. https://www.mygenelog.com/topics/kidney
Kidneys is this site's topic page for kidney-function genetics — a field where the number a clinic reports is calculated rather than directly measured, which is exactly where genetics enters.
It has a real genetic component, but the number reported by a clinic — estimated glomerular filtration rate — is a calculation, not a direct measurement, so several non-genetic factors shape it too.
The equation used to estimate kidney function was changed in 2021 to remove a race coefficient — one of the few times a clinical formula has been rewritten over an argument about who it was fitted to.
Europe PMC is searched for kidney function, chronic kidney disease or glomerular filtration rate appearing in a paper's title or abstract alongside a published rsID, recounted every month.