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Gene & Protein in Disease





                                        ORIGINAL RESEARCH ARTICLE
                                        Association of CCR2 gene polymorphism with

                                        chronic kidney disease in the North Indian
                                        population



                                                   1
                                        Aseem Yadav , Saliha Rizvi *, Devendra Kumar , Syed Tasleem Raza ,
                                                                                                   3
                                                                                 1
                                                               2
                                        Jalees Fatima , Farheen Khan , and Ajay Mishra 1
                                                    1
                                                                 2
                                        1 Department of Medicine, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India
                                        2 Department of Biotechnology, Era University, Lucknow, Uttar Pradesh, India
                                        3 Department of Biochemistry, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

                                        Abstract
                                        Chronic kidney disease (CKD), characterized by decreased renal function, is associated
                                        with  an  underlying  elevated  renal  inflammatory  state.  The  chemokine  receptor
                                        2 (CCR2) mediates leukocyte chemoattraction in the initiation and amplification
                                        phases of renal inflammation. In this study, which involved 62  patients and
                                        62 controls, we aim to elucidate the association between the CCR2 G190A (rs1799864)
                                        polymorphism and CKD. Polymerase chain reaction-restriction fragment length
                                        polymorphism technique-based single-nucleotide polymorphism genotyping of
                                        the CCR2 gene (rs1799864) was used to assess the allele and genotype frequencies
                                        of CCR2. The Chi-square test was used to assess the potential association between
                                        G190A polymorphism and CKD, including its stages. The presence of the CCR2 G190A
                                        polymorphism was significantly associated with CKD. The results unveiled a significant
                                        difference in the genotype and allele frequency distribution of CCR2 G190A in CKD
                                        patients and control subjects. CCR2 GA genotype (P = 0.003) and A allele (P = 0.007;
            *Corresponding author:
            Saliha Rizvi                odds ratio [OR] = 0.40; 95% confidence interval [CI] = 0.20 – 0.80) were found to be
            (saliha.rizvi@erauniversity.in)  significantly associated with CKD. A  significant association was identified between
            Citation: Yadav A, Rizvi S,   genotype and stage of CKD, with the GA genotype more common among end-stage
            Kumar D, et al., 2023, Association   renal disease (ESRD) (stage 5) and the GG genotype among non-ESRD (stages 1 – 4)
            of CCR2 gene polymorphism with   patients (P < 0.001). The polymorphism was significantly associated with deteriorating
            chronic kidney disease in the North
            Indian population. Gene Protein Dis.   renal function, as evidenced by elevated levels of serum urea, serum creatinine, and spot
            https://doi.org/10.36922/gpd.2253   urine, alongside a decrease in serum calcium and estimated glomerular filtration rate.
                                        The study revealed that the GA genotype of CCR2 is associated with CKD, ESRD, severe
            Received: November 15, 2023
            Accepted: January 5, 2024   albuminuria, and renal dysfunction. However, no association was observed between
            Published Online: January 10, 2024  the CCR2 gene polymorphism and the causes of CKD in the North Indian population.
            Copyright: © 2024 Author(s).
            This is an Open-Access article
            distributed under the terms of the   Keywords: Chronic kidney disease; End-stage renal disease; Chemokine receptor-2;
            Creative Commons Attribution   Single-nucleotide polymorphism; Polymerase chain reaction-restriction fragment length
            License, permitting distribution,   polymorphism
            and reproduction in any medium,
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience
            Publishing remains neutral with   1. Introduction
            regard to jurisdictional claims in                                                     [1]
            published maps and institutional   Chronic kidney disease (CKD) is a leading public health problem worldwide  and affects
            affiliations.               between 8% and 16% of the global population. However, evidence suggests that it is

            Volume 2 Issue 4 (2023)                         1                        https://doi.org/10.36922/gpd.2253
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