May 8, 2026 · Journal of the American Society of Nephrology : JASN · DOI: 10.1681/ASN.0000001129

Purine Metabolism Regulates the Severity of APOL1 Nephropathy

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This study investigates how purine metabolism influences the severity of nephropathy associated with high-risk APOL1 genotypes in African Americans. The authors found that impaired purine biosynthesis and subsequent ATP depletion are significant factors in disease progression, and that supplementation with the purine precursor AICAr can alleviate cellular injury and reduce albuminuria in models of APOL1 nephropathy. These findings suggest that targeting purine metabolism may offer therapeutic potential for managing APOL1-related kidney disease.

Huihui Huang, Calum Tattersfield, Sonako Jacas, Esilida S Karreci, Aarya Rumde, Jessica Kelly, Lauren Francey, Balajikarthick Subramanian, Ming Huang, Birgitta Ryback, Valerie Schumacher, Seth L Alper, Zsuzsanna K Zsengellér, Martin R Pollak, David J Friedman

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