Skip to main content
Log in

A novel WT1 gene mutation in a patient with Wilms’ tumor and 46, XY gonadal dysgenesis

  • Short Report
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Denys–Drash syndrome (DDS) is a rare genetic disorder featuring the triad of Wilms' tumor, early-onset renal failure, and 46, XY disorder of sex development. DDS is usually caused by heterozygous missense mutations in the zinc-finger region of the WT1 gene. The most frequent constitutional WT1 mutations in DDS patients are missense mutations in exons 8 and 9. We present a new case of variable DDS in a child who was found to have a novel heterozygous missense mutation in exon 7 (c.905G>T) and a splicing mutation in exon 6 (IVS6-1G>T).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Benetti E, Caridi G, Malaventura C, Dagnino M, Leonardi E, Artifoni L, Ghiggeri GM, Tosatto SC, Murer L (2010) A novel WT1 gene mutation in a three-generation family with progressive isolated focal segmental glomerulosclerosis. Clin J Am Soc Nephrol 5:698–702

    Article  PubMed  CAS  Google Scholar 

  2. Chiang PW, Aliaga S, Travers S, Spector E, Tsai AC (2008) Case report: WT1 exon 6 truncation mutation and ambiguous genitalia in a patient with Denys–Drash syndrome. Curr Opin Pediatr 20:103–106

    Article  PubMed  Google Scholar 

  3. Discenza MT, Pelletier J (2004) Insights into the physiological role of WT1 from studies of genetically modified mice. Physiol Genomics 16:287–300

    Article  PubMed  CAS  Google Scholar 

  4. Hahn H, Cho YM, Park YS, You HW, Cheong HI (2006) Two cases of isolated diffuse mesangial sclerosis with WT1 mutations. J Korean Med Sci 21:160–164

    Article  PubMed  CAS  Google Scholar 

  5. Hu M, Craig J, Howard N, Kan A, Chaitow J, Little D, Alexander SI (2004) A novel mutation of WT1 exon 9 in a patient with Denys–Drash syndrome and pyloric stenosis. Pediatr Nephrol 19:1160–1163

    Article  PubMed  Google Scholar 

  6. Köhler B, Schumacher V, l'Allemand D, Royer-Pokora B, Grüters A (2001) Germline Wilms tumor suppressor gene (WT1) mutation leading to isolated genital malformation without Wilms tumor or nephropathy. J Pediatr 138:421–424

    Article  PubMed  Google Scholar 

  7. Kucinskas L, Just W (2005) Human male sex determination and sexual differentiation: pathways, molecular interactions and genetic disorders. Medicina (Kaunas) 41:633–640

    Google Scholar 

  8. Little S, Hanks S, King-Underwood L, Picton S, Cullinane C, Rapley E, Rahman N, Pritchard-Jones K (2005) A WT1 exon 1 mutation in a child diagnosed with Denys–Drash syndrome. Pediatr Nephrol 20:81–85

    Article  PubMed  Google Scholar 

  9. Mendonca BB, Domenice S, Arnhold IJP, Costa EMF (2009) 46, XY disorders of sex development (DSD). Clin Endocrinol 70:173–187

    Article  CAS  Google Scholar 

  10. Moore AW, McInnes L, Kreidberg J, Hastie ND, Schedl A (1999) YAC complementation shows a requirement for Wt1 in the development of epicardium, adrenal gland and throughout nephrogenesis. Development 126:1845–1857

    PubMed  CAS  Google Scholar 

  11. Ohta S, Ozawa T, Izumino K, Sakuragawa N, Fuse H (2000) A novel missense mutation of the Wt1 gene causing Denys–Drash syndrome with exceptionally mild renal manifestations. J Urol 163:1857–1858

    Article  PubMed  CAS  Google Scholar 

  12. Ohta S, Ozawa T, Shiraga H, Fuse H (2000) Genetic analysis of two female patients with incomplete Denys–Drash syndrome. Endocr J 47:683–687

    Article  PubMed  CAS  Google Scholar 

  13. Royer-Pokora B, Beier M, Henzler M, Alam R, Schumacher V, Weirich A, Huff V (2004) Twenty-four new cases of WT1 germline mutations and review of the literature: genotype/phenotype correlations for Wilms tumor development. Am J Med Genet A 127A:249–257

    Article  PubMed  Google Scholar 

  14. Schumacher V, Thumfart J, Drechsler M, Essayie M, Royer-Pokora B, Querfeld U, Muller D (2006) A novel WT1 missense mutation presenting with Denys–Drash syndrome and cortical atrophy. Nephrol Dial Transplant 21:518–521

    Article  PubMed  CAS  Google Scholar 

  15. Sugiyama H (2010) WT1 (Wilms' tumor gene 1): biology and cancer immunotherapy. Jpn J Clin Oncol 40:377–387

    Article  PubMed  Google Scholar 

  16. Wagner N, Wagner KD, Afanetti M, Nevo F, Antignac C, Michiels JF, Schedl A, Berard E (2008) A novel Wilms' tumor 1 gene mutation in a child with severe renal dysfunction and persistent renal blastema. Pediatr Nephrol 23:1445–1453

    Article  PubMed  Google Scholar 

Download references

Conflict of interests

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Minki Baek.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee, DG., Han, D.H., Park, K.H. et al. A novel WT1 gene mutation in a patient with Wilms’ tumor and 46, XY gonadal dysgenesis. Eur J Pediatr 170, 1079–1082 (2011). https://doi.org/10.1007/s00431-011-1439-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00431-011-1439-0

Keywords

Navigation