Specific risk factors we included were pre-existing lung disease (defined as any of asthma, alpha-1-antitrypsin, emphysema/COPD, cystic fibrosis, interstitial lung disease, pulmonary alveolar proteinosis, pulmonary fibrosis, sarcoidosis, silicosis), diabetes, HIV, end-stage renal disease, collagen vascular disease, and history of transplant or cancer. The gene discussed is SERPINA1; the disease is stage 5 chronic kidney disease.