Abstract
Autosomal recessive nephrogenic diabetes insipidus (ARNDI) is a rare disease usually seen in patients with consanguineous parents. We report on a case of ARNDI in a patient with non-consanguineous parents who presented with recurrent febrile attacks. The differential diagnosis of ARNDI was made by desmopressin infusion test. A homozygous mutation, R85X, was detected in the aquaporin 2 gene (AQP2) of our patient, which has been described only once previously. This case is presented to stress that even male patients with non-consanguineous parents could have ARNDI with a AQP2 gene defect, and the desmopressin infusion test is useful for differential diagnosis.
References
Knoers NV, Deen PM (2001) Molecular and cellular defects in nephrogenic diabetes insipidus. Pediatr Nephrol 16:1146–1152
Kamsteeg E-J, Mulders SM, Bichet DG, Deen PMT, Van Os C (2000) Consequences of aquaporin 2 tetramerization for genetics and routing. Nephrol Dial Transplant 15:26–28
Cheong HI, Cho SJ, Zheng SH, Cho HY, Ha IS, Choi Y (2005) Two novel mutations in the aquaporin 2 gene in a girl with congenital nephrogenic diabetes insipidus. J Korean Med Sci 20:1076–1078
Vargas-Poussou R, Forestier L, Dautzenberg MD, Niaudet P, Dechaux M, Antignac C (1997) Mutations in the vasopressin V2 receptor and aquaporin-2 genes in 12 families with congenital nephrogenic diabetes insipidus. J Am Soc Nephrol 8:1855–1862
Hochberg Z, Van Lieburg A, Even L, Brenner B, Lanir N, Van Oost BA, Knoers NV (1997) Autosomal recessive nephrogenic diabetes insipidus caused by an aquaporin-2 mutation. J Clin Endocrinol Metab 82:686–689
Arthus M-F, Lonergan M, Crumley MJ, Naumova AK, Morin D, De Marco LA, Kaplan BS, Robertson GL, Sasaki S, Morgan K, Bichet DG, Fujiwara TM (2000) Report of 33 novel AVPR2 mutations and analysis of 117 families with X-linked nephrogenic diabetes insipidus. J Am Soc Nephrol 11:1044–1054
Tajima T, Okuhara K, Satoh K, Nakae J, Fujieda K (2003) Two novel aquaporin-2 mutations in a sporadic Japanese patient with autosomal recessive nephrogenic diabetes insipidus. Endocr J 50:473–476
Marr N, Bichet DG, Hoefs S, Savelkoul PJM, Konings IBM, De Mattia F, Graat MPJ, Arthus M-F, Lonergan M, Fujiwara TM, Knoers NV, Landau D, Balfe WJ, Oksche A, Rosenthal W, Müller D, Van Os CH, Deen PM (2002) Cell-biologic and functional analyses of five new aquaporin-2 missense mutations that cause recessive nephrogenic diabetes insipidus. J Am Soc Nephrol 13:2267–2277
Carroll P, Al-Mojalli H, Al-Abbad A, Al-Hassoun I, Al-Hamed M, Al-Amr R, Butt AI, Meyer BF (2006) Novel mutations underlying nephrogenic diabetes insipidus in Arab families. Genet Med 8:443–447
Van Lieburg AF, Verdijk MA, Knoers VV, Van Essen AJ, Proesmans W, Mallmann R, Monnens LA, Van Oost BA, Van Os CH, Deen PM (1994) Patients with autosomal nephrogenic diabetes insipidus homozygous for mutations in the aquaporin 2 water-channel gene. Am J Hum Genet 55:648–652
Mulders SM, Knoers NV, Van Lieburg AF, Monnens LAH, Leumann E, Wuhl E, Schober E, Rijss JPL, Van Os CH, Deen PM (1997) New mutations in the AQP2 gene in nephrogenic diabetes insipidus resulting in functional but misrouted water channels. J Am Soc Nephrol 8:242–248
Kuwahara M (1998) Aquaporin-2, a vasopressin-sensitive water channel, and nephrogenic diabetes insipidus. Intern Med 2:215–217
Goji K, Kuwahara M, Gu Y, Matsuo M, Marumo F, Sasaki S (1998) Novel mutations in aquaporin-2 gene in female siblings with nephrogenic diabetes insipidus: evidence of disrupted water channel function. J Clin Endocrinol Metab 83:3205–3209
Pasel K, Schulz A, Timmermann K, Linnemann K, Hoeltzenbein M, Jaaskelainen J, Gruters A, Filler G, Schöneberg T (2000) Functional characterization of the molecular defects causing nephrogenic diabetes insipidus in eight families. J Clin Endocrinol Metab 85:1703–1710
Lin S-H, Bichet DG, Sasaki S, Kuwahara M, Arthus M-F, Lonergan M, Lin Y-F (2002) Two novel aquaporin-2 mutations responsible for congenital nephrogenic diabetes insipidus in Chinese families. J Clin Endocrinol Metab 87:2694–2700
Boccalandro C, De Mattia F, Guo D-C, Xue L, Orlander P, King TM, Gupta P, Deen PM, Lavis VR, Milewicz DM (2004) Characterization of an aquaporin-2 water channel gene mutation causing partial nephrogenic diabetes insipidus in a Mexican family: evidence of increased frequency of the mutation in the town of origin. J Am Soc Nephrol 15:1223–1231
Parashar A, Martinucci P, Panesar M (2007) Vasopressin receptor antagonists. Dial Transplant 5:266–274
Fujiwara TM, Bichet DG (2005) Molecular biology of hereditary diabetes insipidus. J Am Soc Nephrol 16:2836–2846
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Bircan, Z., Karacayir, N. & II Cheong, H. A case of aquaporin 2 R85X mutation in a boy with congenital nephrogenic diabetes insipidus. Pediatr Nephrol 23, 663–665 (2008). https://doi.org/10.1007/s00467-007-0682-0
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DOI: https://doi.org/10.1007/s00467-007-0682-0