2021
DOI: 10.1016/j.ekir.2021.02.005
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Genetic Background and Clinicopathologic Features of Adult-onset Nephronophthisis

Abstract: Results: Seven of 18 patients had pathogenic NPH-causing mutations in NPHP1, NPHP3, NPHP4, or CEP164. Compared with patients without pathogenic mutations, those with pathogenic mutations were significantly younger but did not significantly differ in the classic NPH pathologic findings, such as tubular cysts. On the other hand, the number of tubules with thick tubular basement membrane (TBM) duplication, which was defined as >10-mm thickness, was significantly higher in patients with genetically proven adult NP… Show more

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Cited by 19 publications
(17 citation statements)
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“…This particularly applies to the homozygous NPHP1 deletion. 17, 18 Similarly, distinctive NPHP3 variants have been reported to cause late onset NPH in contrast to the majority of patients displaying an infantile disease course. [19][20][21] Despite the large number of identified NPHP genes, only a few of them are of relevance in routine clinical practice, namely NPHP1, NPHP3, NPHP4, and NPHP11/TMEM67.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…This particularly applies to the homozygous NPHP1 deletion. 17, 18 Similarly, distinctive NPHP3 variants have been reported to cause late onset NPH in contrast to the majority of patients displaying an infantile disease course. [19][20][21] Despite the large number of identified NPHP genes, only a few of them are of relevance in routine clinical practice, namely NPHP1, NPHP3, NPHP4, and NPHP11/TMEM67.…”
Section: Discussionmentioning
confidence: 99%
“…This is in line with previous case reports and the recent awareness of NPHP1 variants being responsible for a remarkable number of adult-onset ESKD. 12,13,[16][17][18] Biallelic variants in NPHP3 were originally described in a Venezuelan pedigree presenting with late onset ESKD. 15,19 Recent reports identified NPHP3 variants as one of the most relevant genetic causes for infantile NPH.…”
Section: Discussionmentioning
confidence: 99%
“…A diagnosis is based on clinical characteristics and confirmed by genetic testing [ 80 , 83 , 92 ]. However, as two-thirds of all cases have no clear gene mutation, a renal biopsy may be considered for a definitive diagnosis.…”
Section: Cystic Kidney Diseases That Require a Differential Diagnosis...mentioning
confidence: 99%
“…The role of CEP164 in spermatogenesis remains to be explored. Mutations in CEP164 have been identified in a host of ciliopathy patients including nephronophthisis, BBS, PCD, and oral-facial-digital syndrome [134][135][136][137][138], but male reproductive phenotypes have not been reported.…”
Section: Mouse Models With Defective Multicilia In Efferent Ductsmentioning
confidence: 99%