Hypertension

Cell-Specific Inducible Human Apolipoprotein L1 (APOL1) Risk Variant Expression in Mice Causes Hypertension and Renal Damage

CirculationPublished Mechanistic study

Authors' conclusion

These findings indicate a role of G2APOL1 in hypertension development through STING and endothelin 1 activation, offering new precision therapeutics for addressing hypertension in Black people carrying APOL1 RVs.

Study context

Population
Patient kidney samples and transgenic mice with podocyte- or endothelium-specific APOL1 expression
Comparison
G2APOL1 risk variant vs G0 reference allele
Outcome
Causal role of APOL1 RVs in hypertension and renal damage
Methodological detailshuman kidney samples, transgenic mouse models, in vitro primary cell experiments
  • Human kidney samples
  • Transgenic mouse models
  • In vitro primary cell experiments

Main finding

As reported in the abstract

APOL1 expression and RV-mediated hypertension and kidney damage
  • In the human kidney, APOL1 highly expressed by glomerular podocytes and endothelial cells
  • Podocyte-specific G2APOL1 mice developed severe secondary hypertension after albuminuria and kidney disease; G0 mice did not
  • Endothelium-specific G2APOL1 mice developed mild hypertension with aging, exacerbated after unilateral nephrectomy and subsequent high-salt diet, with slight alteration in kidney function
  • APOL1 RV activates cytosolic nucleotide sensor STING, leading to increased production of endothelin 1 (in vitro and in vivo)
  • Endothelium-specific STING knockout or endothelin inhibitor treatment protected from G2APOL1 RV-mediated hypertension

Original publication

Cell-Specific Inducible Human APOL1 Risk Variant Expression in Mice Causes Hypertension and Renal Damage. Circulation. Published 11 December 2025. doi:10.1161/circulationaha.124.071351

Summarised from the published abstract; every number is checked against it

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