European Journal of Pediatrics

, Volume 167, Issue 5, pp 579–581 | Cite as

WT1 gene mutations in three girls with nephrotic syndrome

  • Khalid Ismaili
  • Véronique Verdure
  • Katherina Vandenhoute
  • Françoise Janssen
  • Michelle Hall
Short Report

Abstract

Denys-Drash syndrome and Frasier syndrome are two related conditions caused by mutations of the Wilms tumor gene, WT1. Both syndromes are characterized by male pseudohermaphrodism, a progressive glomerulopathy, and the development of genitourinary tumors. This study examines three girls with steroid-resistant nephrotic syndrome related to mutations in the WT1 gene, but with normal 46, XX karyotype and normal female phenotype. WT1 mutation analysis should be routinely done in females with steroid-resistant nephrotic syndrome.

Keywords

Nephrotic syndrome Intersex Denys-Drash syndrome Frasier syndrome Renal insufficiency 

References

  1. 1.
    Aucella F, Bisceglia L, De Bonis P, Gigante M, Caridi G, Barbano G, Mattioli G, Perfumo F, Gesualdo L, Ghiggeri GM (2006) WT1 mutations in nephrotic syndrome revised. High prevalence in young girls, associations and renal phenotypes. Pediatr Nephrol 21:1393–1398PubMedCrossRefGoogle Scholar
  2. 2.
    Barbaux S, Niaudet P, Gubler MC, Grunfeld J-P, Jaubert F, Kuttenn F, Fekete CN, Souleyreau-Therville N, Thibaud E, Fellous M, McElreavey K (1997) Donor-splice-site mutations in WT1 are responsible for Frasier syndrome. Nat Genet 17:467–470PubMedCrossRefGoogle Scholar
  3. 3.
    Call KM, Glaser T, Ito CY, Buckler AL, Pelletier J, Haber DA, Rose EA, Krai A, Yeger H, Lewis WH, Jones C, Housman DE (1990) Isolation and characterization of zinc finger polypeptide gene at the human chromosome 11 Wilms’ tumor locus. Cell 60:509–520PubMedCrossRefGoogle Scholar
  4. 4.
    Denys P, Malvaux P, Vanden Berghe H, Tanghe W, Proesmans W (1967) Association d’un syndrome anatomopathologique de pseudohermaphrodisme masculin, d’une tumeur de Wilms, d’une nephropathie parenchymateuse et d’un mosaicisme XX/XY. Arch Fr Pediatr 24:729–739PubMedGoogle Scholar
  5. 5.
    Haber DA (1991) Alternative splicing and genomic structure of the Wilms’ tumor gene WT1. Proc Natl Acad Sci USA 88:9618–9622PubMedCrossRefGoogle Scholar
  6. 6.
    Habib R, Gubler MC, Antignac C, Gagnadoux MF (1993) Diffuse mesangial sclerosis: a congenital glomerulopathy with nephrotic syndrome. Adv Nephrol 22:43–56Google Scholar
  7. 7.
    Habib R, Loirat C, Gubler MC, Niaudet P, Bensman A, Levy M, Broyer M (1985) The nephropathy associated with male pseudohermaphrodism and Wilm’s tumor (Drash syndrome): a distinctive glomerular lesion-report of 10 cases. Clin Nephrol 24:269–278PubMedGoogle Scholar
  8. 8.
    Jeanpierre C, Denamur E, Cabanis MO, Luce S, Cecille A, Elion J, Peuchmaur M, Loirat C, Niaudet P, Gubler MC, Junien C (1998) Identification of constitutional WT1 mutations in patients with isolated diffuse mesengial sclerosis and analysis of genotype-phenotype correlations using a computerized mutation database. Am J Hum Genet 62:824–833PubMedCrossRefGoogle Scholar
  9. 9.
    Klamt B, Koziell A, Poulat F, Wieacker P, Scambler P, Berta P, Gessler M (1998) Frasier syndrome is caused by defective alternative splicing of WT1 +/-KTS splice isoforms. Hum Mol Genet 7:709–714PubMedCrossRefGoogle Scholar
  10. 10.
    McTaggart SJ, Algar E, Chow CW, Powell HR, Jones CL (2001) Clinical spectrum of Denys-Drash and Frasier syndrome. Pediatr Nephrol 16:335–339PubMedCrossRefGoogle Scholar
  11. 11.
    Moorthy AV, Chesney RW, Lubinsky M (1987) Chronic renal failure and XY gonadal dysgenesis: “Frasier” syndrome-a commentary on reported cases. Am J Med Genet 3:297–302CrossRefGoogle Scholar
  12. 12.
    Mueller RF (1994) The Denys-Drash syndrome. J Med Genet 31:471–477PubMedCrossRefGoogle Scholar
  13. 13.
    Niaudet P, Gubler MC (2006) WT1 and glomerular diseases. Pediatr Nephrol 21:1653–1660PubMedCrossRefGoogle Scholar
  14. 14.
    Souka AP, Skentou H, Geerts L, Bower S, Nicolaides KH (2002) Congenital nephrotic syndrome presenting with increase nuchal translucency in the first trimester. Prenat Diagn 22:93–95PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Khalid Ismaili
    • 1
    • 4
  • Véronique Verdure
    • 2
  • Katherina Vandenhoute
    • 3
  • Françoise Janssen
    • 1
  • Michelle Hall
    • 1
  1. 1.Department of Pediatric Nephrology, Hôpital Universitaire des Enfants Reine FabiolaUniversité Libre de BruxellesBrusselsBelgium
  2. 2.Department of Pediatrics, Hôpital Universitaire des Enfants Reine FabiolaUniversité Libre de BruxellesBrusselsBelgium
  3. 3.Department of Pathology, UVC BrugmannVrije Universiteit van BrusselBrusselsBelgium
  4. 4.Department of Perinatal and Pediatric NephrologyHôpital Universitaire des Enfants Reine FabiolaBrusselsBelgium

Personalised recommendations