Genetic Background and Clinicopathologic Features of Adult-onset Nephronophthisis.

adult-onset kidney disease chronic kidney disease human genetics nephronophthisis renal cystic disease renal pathology

Journal

Kidney international reports
ISSN: 2468-0249
Titre abrégé: Kidney Int Rep
Pays: United States
ID NLM: 101684752

Informations de publication

Date de publication:
May 2021
Historique:
received: 24 11 2020
revised: 29 01 2021
accepted: 01 02 2021
entrez: 20 5 2021
pubmed: 21 5 2021
medline: 21 5 2021
Statut: epublish

Résumé

Recently, nephronophthisis (NPH) has been considered a monogenic cause of end-stage renal disease (ESRD) in adults. However, adult-onset NPH is difficult to accurately diagnose and has not been reported in a cohort study. In this study, we assessed the genetic background and clinicopathologic features of adult NPH. We investigated 18 sporadic adult patients who were suspected as having NPH by renal biopsy. We analyzed 69 genes that cause hereditary cystic kidney disease and compared clinicopathologic findings between patients with and without pathogenic mutations in NPH-causing genes. Seven of 18 patients had pathogenic NPH-causing mutations in In adult patients with NPH, thick TBM duplication was the specific finding. Our analysis also suggested that older patients tended to have no pathogenic mutations, even when they were suspected to have NPH by renal biopsy. These findings could be the novel clinical clue for the diagnosis of NPH in adult patients.

Identifiants

pubmed: 34013113
doi: 10.1016/j.ekir.2021.02.005
pii: S2468-0249(21)00076-0
pmc: PMC8116764
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1346-1354

Informations de copyright

© 2021 International Society of Nephrology. Published by Elsevier Inc.

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Auteurs

Takuya Fujimaru (T)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Kunio Kawanishi (K)

Kidney and Vascular Pathology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Takayasu Mori (T)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Eikan Mishima (E)

Division of Nephrology, Endocrinology, and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.

Akinari Sekine (A)

Nephrology Center, Toranomon Hospital, Tokyo, Japan.
Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Tokyo, Japan.

Motoko Chiga (M)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Masayuki Mizui (M)

Department of Nephrology, Osaka University Graduate School of Medicine, Osaka, Japan.

Noriaki Sato (N)

Department of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Motoko Yanagita (M)

Department of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Institute for the Advanced Study of Human Biology, Kyoto University, Kyoto, Japan.

Yuki Ooki (Y)

Devision of Nephrology and Hypertension, Yokohama City University Medical Center, Yokohama, Japan.

Kiyotaka Nagahama (K)

Department of Pathology, Kyorin University School of Medicine, Tokyo, Japan.

Yuko Ohnuki (Y)

Department of Clinical Genetics, Tokai University School of Medicine, Isehara, Japan.

Naoto Hamano (N)

Division of Nephrology, Endocrinology and Metabolism, Tokai University School of Medicine, Isehara, Japan.

Saki Watanabe (S)

Department of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.

Toshio Mochizuki (T)

Department of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.

Katsushi Nagatsuji (K)

Department of Nephrology and Hypertension, Osaka City General Hospital, Osaka, Japan.

Kenichi Tanaka (K)

Department of Nephrology and Hypertension, Fukushima Medical University, Fukushima, Japan.

Tatsuo Tsukamoto (T)

Department of Nephrology and Dialysis, Kitano Hospital, The Tazuke Kofukai Medical Research Institute, Osaka, Japan.

Hideo Tsushima (H)

Department of Nephrology, Nara Medical University, Nara, Japan.

Mamiko Shimamoto (M)

Department of Nephrology, Sapporo City General Hospital, Sapporo, Japan.

Takahiro Tsuji (T)

Department of Pathology, Sapporo City General Hospital, Sapporo, Japan.

Tamaki Kuyama (T)

Department of Nephrology, Japanese Red Cross Musashino Hospital, Tokyo, Japan.

Shinya Kawamoto (S)

Department of Nephrology, Dokkyo Medical University Saitama Medical Center, Saitama, Japan.

Kenji Maki (K)

Department of Nephrology, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers, Fukuoka, Japan.

Ai Katsuma (A)

Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.

Mariko Oishi (M)

Department of Nephrology, Hiratsuka Kyosai Hospital, Kanagawa, Japan.

Kouhei Yamamoto (K)

Department of Comprehensive Pathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Shintaro Mandai (S)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Hiroaki Kikuchi (H)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Fumiaki Ando (F)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Yutaro Mori (Y)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Koichiro Susa (K)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Soichiro Iimori (S)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Shotaro Naito (S)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Tatemitsu Rai (T)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Junichi Hoshino (J)

Nephrology Center, Toranomon Hospital, Tokyo, Japan.
Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Tokyo, Japan.

Yoshifumi Ubara (Y)

Nephrology Center, Toranomon Hospital, Tokyo, Japan.
Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Tokyo, Japan.

Mariko Miyazaki (M)

Division of Nephrology, Endocrinology, and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.

Michio Nagata (M)

Kidney and Vascular Pathology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Shinichi Uchida (S)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Eisei Sohara (E)

Department of Nephrology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Classifications MeSH