Many common genetic variants identified by genome-wide association studies for complex traits map to genes previously linked to rare inherited Mendelian disorders. A systematic analysis of common single-nucleotide polymorphisms (SNPs) in genes responsible for Mendelian diseases with kidney phenotypes has not been performed. We thus developed a comprehensive database of genes for Mendelian kidney conditions and evaluated the association between common genetic variants within these genes and kidney function in the general population. Using the Online Mendelian Inheritance in Man database, we identified 731 unique disease entries related to specific renal search terms and confirmed a kidney phenotype in 218 of these entries, corresponding to mutations in 258 genes. We interrogated common SNPs (minor allele frequency .5%) within these genes for association with the estimated GFR in 74,354 European-ancestry participants from the CKDGen Consortium. However, the top four candidate SNPs (rs6433115 at LRP2, rs1050700 at TSC1, rs249942 at PALB2, and rs9827843 at ROBO2) did not achieve significance in a stage 2 meta-analysis performed in 56,246 additional independent individuals, indicating that these common SNPs are not associated with estimated GFR. The effect of less common or rare variants in these genes on kidney function in the general population and disease-specific cohorts requires further research.J Am Soc Nephrol 24: 2105 -2117, 2013 . doi: 10.1681 CKD affects approximately 10% of the general population in industrialized nations, and is significantly associated with cardiovascular morbidity and mortality. [1][2][3][4] Traditional risk factors for CKD, including diabetes and hypertension, fail to fully explain the increased risk of CKD, 5-9 suggesting other factors including a genetic component. Family studies indicate familial aggregation of CKD and ESRD risk. 10 For example, family studies have shown that genetic factors account for 36%-75% of the variability in kidney function, with similar estimates for disease susceptibility and CKD progression. [10][11][12][13][14] Therefore, unraveling the genetic underpinnings of CKD bears the potential of discovering novel disease mechanisms as a basis for research into much needed therapeutic targets and strategies.Genome-wide association studies (GWAS) recently identified several genomic loci associated with kidney traits. [15][16][17][18][19][20][21] The strongest of these associations is at the UMOD locus, 15,17,18,20,22,23 a gene in which rare variants are known to cause autosomal-dominant kidney diseases with high risk for ESRD: MCKD2 (Online Mendelian Inheritance in Man [OMIM] database #603860), HNFJ1 (OMIM #162000), or GCKD (OMIM #609886). In addition, other kidney disease genes in which mutations follow Mendelian inheritance patterns were uncovered in GWAS of kidney function (SLC7A9, SLC34A1) 17 and albuminuria (CUBN) 21 in the general population. Similar examples exist for traits such as hypertension and dyslipidemia, in which common variants in genes c...