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Nephrotic syndrome

Genetic testing in steroid-resistant nephrotic syndrome

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Genetic forms of steroid-resistant nephrotic syndrome are characterized by an unremitting clinical course, resistance to treatment and a favorable outcome after transplantation. The recognition of these diseases is essential, but difficult, owing to genetic and phenotypic heterogeneity. Such difficulties have led to the proposal of a systematic step-wise approach for mutational screening.

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References

  1. Santín, S. et al. Clinical utility of genetic testing in children and adults with steroid-resistant nephrotic syndrome. Clin. J. Am. Soc. Nephrol. 6, 1139–1148 (2011).

    Article  Google Scholar 

  2. Benoit, G. et al. Hereditary nephrotic syndrome: a systematic approach for genetic testing and a review of associated podocyte gene mutations. Pediatr. Nephrol. 25, 1621–1632 (2010).

    Article  Google Scholar 

  3. Hinkes, B. G. et al. Nephrotic syndrome in the first year of life: two thirds of cases are caused by mutations in 4 genes (NPHS1, NPHS2, WT1, and LAMB2). Pediatrics 119, e907–e919 (2007).

    Article  Google Scholar 

  4. Brown, E. J. et al. Mutations in the formin gene INF2 cause focal segmental glomerulosclerosis. Nat. Genet. 42, 72–76 (2010).

    Article  CAS  Google Scholar 

  5. Boyer, O. et al. INF2, a major gene of autosomal dominant focal segmental glomerulosclerosis. J. Am. Soc. Nephrol. 22, 239–245 (2011).

    Article  CAS  Google Scholar 

  6. Machuca, E. et al. Clinical and epidemiological assessment of steroid-resistant nephrotic syndrome associated with the NPHS2 R229Q variant. Kidney Int. 75, 727–735 (2009).

    Article  CAS  Google Scholar 

  7. Kitamura, A. et al. Genetics and clinical features of 15 Asian families with steroid-resistant nephrotic syndrome. Nephrol. Dial. Transplant. 21, 3133–3138 (2006).

    Article  CAS  Google Scholar 

  8. Chemin, G. et al. Low prevalence of NPHS2 mutations in African American children with steroid-resistant nephrotic syndrome. Pediatr. Nephrol. 23, 1455–1460 (2008).

    Article  Google Scholar 

  9. Büscher, A. K. et al. Immunosuppression and renal outcome in congenital and pediatric steroid-resistant nephrotic syndrome. Clin. J. Am. Soc. Nephrol. 5, 2075–2084 (2010).

    Article  Google Scholar 

  10. Wasilewska, A. M., Kuroczycka-Saniutycz, E. & Zoch-Zwierz, W. Effect of cyclosporin A on proteinuria in the course of glomerulopathy associated with WT1 mutations. Eur. J. Pediatr. 170, 389–391 (2011).

    Article  CAS  Google Scholar 

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Gubler, M. Genetic testing in steroid-resistant nephrotic syndrome. Nat Rev Nephrol 7, 430–431 (2011). https://doi.org/10.1038/nrneph.2011.75

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