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Genetic Contributors to Kidney Stones in Children

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Diagnosis and Management of Pediatric Nephrolithiasis

Abstract

Hereditary causes of nephrolithiasis are a group of rare diseases that carry significant morbidity and even mortality. They often go unrecognized or misdiagnosed and have the potential to cause progressive renal disease. Recurrent kidney stones or nephrocalcinosis in a prepubertal child should raise the concern about this group of diseases and any possible inborn errors of metabolism. Fortunately, early diagnosis and novel therapies can transform these hereditary diseases into manageable conditions and spare the patient progressive and often irreversible kidney damage. In this chapter, we review the epidemiology, pathophysiology, clinical presentation, diagnosis, and treatment of adenine phosphoribosyltransferase (APRT) deficiency, Dent disease, cystinuria, primary hyperoxaluria, and Lesch-Nyhan syndrome.

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References

  1. Bollée G, Dollinger C, Boutaud L, Guillemot D, Bensman A, Harambat J, et al. Phenotype and genotype characterization of adenine phosphoribosyltransferase deficiency. J Am Soc Nephrol. 2010;21:679–88. [PubMed: 20150536]

    Article  Google Scholar 

  2. Edvardsson V, Palsson R, Olafsson I, Hjaltadottir G, Laxdal T. Clinical features and genotype of adenine phosphoribosyltransferase deficiency in Iceland. Am J Kidney Dis. 2001;38:473–80. [PubMed: 11532677]

    Article  CAS  Google Scholar 

  3. Harambat J, Bollee G, Daudon M, Ceballos-Picot I, Bensman A. Adenine phosphoribosyltransferase deficiency in children. Pediatr Nephrol. 2012;27:571–9. [PubMed: 22212387]

    Article  Google Scholar 

  4. Edvardsson VO, Goldfarb DS, Lieske JC, et al. Hereditary causes of kidney stones and chronic kidney disease. Pediatr Nephrol. 2013;28(10):1923–42. https://doi.org/10.1007/s00467-012-2329-z.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Edvardsson VO, Runolfsdottir HL, Thorsteinsdottir UA, et al. Comparison of the effect of allopurinol and febuxostat on urinary 2,8-dihydroxyadenine excretion in patients with adenine phosphoribosyltransferase deficiency (APRTd): a clinical trial. Eur J Intern Med. 2018;48:75–9. https://doi.org/10.1016/j.ejim.2017.10.007.

    Article  CAS  PubMed  Google Scholar 

  6. Dent CE, Friedman M. Hypercalcuric rickets associated with renal tubular damage. Arch Dis Child. 1964;39:240–9.

    Article  CAS  Google Scholar 

  7. Ludwig M, Utsch B, Monnens LA. Recent advances in understanding the clinical and genetic heterogeneity of Dent’s disease. Nephrol Dial Transplant. 2006;21:2708–17.

    Article  Google Scholar 

  8. Devuyst O, Thakker RV. Dent’s disease. Orphanet J Rare Dis. 2010;5:28. https://doi.org/10.1186/1750-1172-5-28. PMID: 20946626; PMCID: PMC2964617.

  9. Wu F, Reed AA, Williams SE, Loh NY, Lippiat JD, Christie PT, Large O, Bettinelli A, Dillon MJ, Goldraich NP, Hoppe B, Lhotta K, Loirat C, Malik R, Morel D, Kotanko P, Roussel B, Rubinger D, Schrander-Stumpel C, Serdaroglu E, Nesbit MA, Ashcroft F, Thakker RV. Mutational analysis of CLC-5, cofilin and CLC-4 in patients with Dent’s disease. Nephron Physiol. 2009;112:53–62.

    Article  Google Scholar 

  10. De Mutiis C, Pasini A, La Scola C, Pugliese F, Montini G. Nephrotic-range albuminuria as the presenting symptom of Dent-2 disease. Ital J Pediatr. 2015;41:46.

    Article  Google Scholar 

  11. van Berkel Y, Ludwig M, van Wijk JAE, Bökenkamp A. Proteinuria in Dent disease: a review of the literature. Pediatr Nephrol. 2017;32(10):1851–9. https://doi.org/10.1007/s00467-016-3499-x. Epub 2016 Oct 18. PMID: 27757584; PMCID: PMC5579149

    Article  PubMed  Google Scholar 

  12. Fervenza FC. A patient with nephrotic-range proteinuria and focal global glomerulosclerosis. Clin J Am Soc Nephrol. 2013;8:1979–87.

    Article  Google Scholar 

  13. Ludwig M, Utsch B, Balluch B, Fründ S, Kuwertz-Bröking E, Bökenkamp A. Hypercalciuria in patients with CLCN5 mutations. Pediatr Nephrol. 2006;21:1241–50.

    Article  Google Scholar 

  14. Scheinman SJ, Cox JPD, Lloyd SE, Pearce SHS, Salenger PV, Hoopers RR, Bushinsky DA, Wrong O, Asplin JR, Langman CB, Norden AGW, Thakker RV. Isolated hypercalciuria with mutation in CLCN5: relevance to idiopathic hypercalciuria. Kidney Int. 2000;57:232–9.

    Article  CAS  Google Scholar 

  15. Frymoyer PA, Scheinman SJ, Dunham PB, Jones DB, Hueber P, Schroeder ET. X-linked recessive nephrolithiasis with renal failure. N Engl J Med. 1991;325:681–6.

    Article  CAS  Google Scholar 

  16. Cebotaru V, Kaul S, Devuyst O, Cai H, Racusen L, Guggino WB, Guggino SE. High citrate diet delays progression of renal insufficiency in the ClC-5 knockout mouse model of Dent’s disease. Kidney Int. 2005;68:642–52.

    Article  CAS  Google Scholar 

  17. Chillaron J, Font-Llitjos M, Fort J, et al. Pathophysiology and treatment of cystinuria. Nat Rev Nephrol. 2010;6:424–34.

    Article  CAS  Google Scholar 

  18. Daudon M. Component analysis of urinary calculi in the etiologic diagnosis of urolithiasis in the child. Arch Pediatr. 2000;7:855–65.

    Article  CAS  Google Scholar 

  19. Worcester EM, Parks JH, Evan AP, Coe FL. Renal function in patients with nephrolithiasis. J Urol. 2006;176:600.

    Article  Google Scholar 

  20. Prot-Bertoye C, Lebbah S, Daudon M, et al. CKD and its risk factors among patients with cystinuria. Clin J Am Soc Nephrol. 2015;10:842.

    Article  Google Scholar 

  21. Calonge AUMJ, Gasparini P, Chillarón J, Chillón M, Gallucci M, Rousaud F, Zelante L, Testar X, Dallapiccola B, Di Silverio FSO. Cystinuria caused by mutations in rBAT, a gene involved in the transport of cystine. Nat Genet. 1994;6(4):420.

    Article  CAS  Google Scholar 

  22. Feliubadaló AUL, Font M, Purroy J, Rousaud F, Estivill X, Nunes V, Golomb E, Centola M, Aksentijevich I, Kreiss Y, Goldman B, Pras M, Kastner DL, Pras E, Gasparini P, Bisceglia L, Beccia E, Gallucci M, de Sanctis L, Ponzone A, Rizzoni GF, Zelante L, Bassi MT, George AL Jr, Manzoni M, De Grandi A, Riboni M, Endsley JK, Ballabio A, Borsani G, Reig N, Fernández E, Estévez R, Pineda M, Torrents D, Camps M, Lloberas J, Zorzano A, Palacín M. International Cystinuria Consortium SO. Non-type I cystinuria caused by mutations in SLC7A9, encoding a subunit (bo,+AT) of rBAT. Nat Genet. 1999;23(1):5.

    Article  Google Scholar 

  23. Servais A, Thomas K, Dello Strologo L, Sayer JA, Bekri S, Bertholet-Thomas A, Bultitude M, Capolongo G, Cerkauskiene R, Daudon M, Doizi S, Gillion V, Gràcia-Garcia S, Halbritter J, Heidet L, van den Heijkant M, Lemoine S, Knebelmann B, Emma F, Levtchenko E; Metabolic Nephropathy Workgroup of the European Reference Network for Rare Kidney Diseases (ERKNet) and eUROGEN. Cystinuria: clinical practice recommendation. Kidney Int. 2021;99(1):48–58. https://doi.org/10.1016/j.kint.2020.06.035. Epub 2020 Sep 9. PMID: 32918941.

  24. Pearle MS, Goldfarb DS, Assimos DG, et al. Medical management of kidney stones: AUA guideline. J Urol. 2014;192:316.

    Article  Google Scholar 

  25. Bouzidi H, Daudon M. Cystinuria: from diagnosis to follow-up. Ann Biol Clin (Paris). 2007;65:473–81. [in French]

    CAS  Google Scholar 

  26. Effect of cystine-binding thiol drugs on urinary cystine capacity in patients with cystinuria. J Endourol. 2005;19:429–32.

    Google Scholar 

  27. Prot-Bertoye C, Lebbah S, Daudon M, et al. Adverse events associated with currently used medical treatments for cystinuria and treatment goals: results from a series of 442 patients in France. BJU Int. 2019;124:849–61.

    Article  CAS  Google Scholar 

  28. Zee T, Bose N, Zee J, et al. α-Lipoic acid treatment prevents cystine urolithiasis in a mouse model of cystinuria. Nat Med. 2017;23:288–90.

    Article  CAS  Google Scholar 

  29. Cil O, Perwad F. α-Lipoic acid (ALA) improves cystine solubility in cystinuria: report of 2 cases. Pediatrics. 2020), Article;145:e20192951.

    Article  Google Scholar 

  30. Torres RJ, Puig JG. Hypoxanthine-guanine phosophoribosyltransferase (HPRT) deficiency: Lesch-Nyhan syndrome. Orphanet J Rare Dis. 2007;2:48. https://doi.org/10.1186/1750-1172-2-48. PMID: 18067674; PMCID: PMC2234399

    Article  PubMed  PubMed Central  Google Scholar 

  31. Kaufman JM, Greene ML, Seegmiller JE. Urine uric acid to creatinine ratio—a screening test for inherited disorders of purine metabolism. Phosphoribosyltransferase (PRT) deficiency in X-linked cerebral palsy and in a variant of gout. J Pediatr. 1968;73:583–92.

    Article  CAS  Google Scholar 

  32. Page T, Bakay B, Nissinen E, Nyhan WL. Hypoxanthine-guanine phosphoribosyltransferase variants: correlation of clinical phenotype with enzyme activity. J Inherit Metab Dis. 1981;4:203–6.

    Article  CAS  Google Scholar 

  33. Official website of the Lesch-Nyhan disease Study Group [http://www.lesch-nyhan.org].

  34. Brock WA, Golden J, Kaplan GW. Xanthine calculi in the Lesch-Nyhan syndrome. J Urol. 1983;130(157):159.

    Google Scholar 

  35. van Woerden CS, Groothoff JW, Wanders RJ, Davin JC, Wijburg FA. Primary hyperoxaluria type 1 in the Netherlands: prevalence and outcome. Nephrol Dial Transplant. 2003;18:273–9. [PubMed: 12543880]

    Article  Google Scholar 

  36. Cochat P, Liutkus A, Fargue S, Basmaison O, Ranchin B, Rolland MO. Primary hyperoxaluria type 1: still challenging. Pediatr Nephrol. 2006;21:1075–81. [PubMed: 16810517]

    Article  Google Scholar 

  37. Coulter-Mackie MB. Preliminary evidence for ethnic differences in primary hyperoxaluria type 1 genotype. Am J Nephrol. 2005;25:264–8. [PubMed: 15961945]

    Article  Google Scholar 

  38. Harambat J, van Stralen KJ, Espinosa L, et al. Characteristics and outcomes of children with primary oxalosis requiring renal replacement therapy. Clin J Am Soc Nephrol. 2012;7:458–65.

    Article  Google Scholar 

  39. Mulay SR, Kulkarni OP, Rupanagudi KV, et al. Calcium oxalate crystals induce renal inflammation by NLRP3-mediated IL-1β secretion. J Clin Invest. 2013;123:236–46.

    Article  CAS  Google Scholar 

  40. Muda AO, Barsotti P, Rinaldi S, Rizzoni G, Faraggiana T. Renal pathology in hyperoxaluria. In: Sessa A, Conte F, Meroni M, Battini G, editors. Hereditary kidney diseases. Basel: Karger; 1997. p. 160–6.

    Chapter  Google Scholar 

  41. Hoppe B, Kemper MJ, Bökenkamp A, Portale AA, Cohn RA, Langman CB. Plasma calcium oxalate supersaturation in children with primary hyperoxaluria and end-stage renal failure. Kidney Int. 1999;56:268–74.

    Article  CAS  Google Scholar 

  42. Edvardsson VO, Goldfarb DS, Lieske JC, Beara-Lasic L, Anglani F, Milliner DS, Palsson R. Hereditary causes of kidney stones and chronic kidney disease. Pediatr Nephrol. 2013;28(10):1923–42. https://doi.org/10.1007/s00467-012-2329-z. Epub 2013 Jan 20. PMID: 23334384; PMCID: PMC4138059

    Article  PubMed  PubMed Central  Google Scholar 

  43. Cochat P, Rumsby G. Primary hyperoxaluria. N Engl J Med. 2013;369(7):649–58. https://doi.org/10.1056/NEJMra1301564. Erratum in: N Engl J Med. 2013 Nov 28;369(22):2168.

    Article  CAS  PubMed  Google Scholar 

  44. Lieske JC, Monico CG, Holmes WS, et al. International registry for primary hyperoxaluria. Am J Nephrol. 2005;25:290–6.

    Article  Google Scholar 

  45. Milliner DS. The primary hyperoxalurias: an algorithm for diagnosis. Am J Nephrol. 2005;25:154–60.

    Article  Google Scholar 

  46. Cochat P, Hulton SA, Acquaviva C, Danpure CJ, Daudon M, De Marchi M, et al. Primary hyperoxaluria type 1: indications for screening and guidance for diagnosis and treatment. Nephrol Dial Transplant. 2012;27(5):1729–36.

    Article  CAS  Google Scholar 

  47. Cochat P, Hulton SA, Acquaviva C, et al. Primary hyperoxaluria type 1: indications for screening and guidance for diagnosis and treatment. Nephrol Dial Transplant. 2012;27:1729–36.

    Article  CAS  Google Scholar 

  48. Garrelfs SF, Frishberg Y, Hulton SA, Koren MJ, O'Riordan WD, Cochat P, Deschênes G, Shasha-Lavsky H, Saland JM, Van't Hoff WG, Fuster DG, Magen D, Moochhala SH, Schalk G, Simkova E, Groothoff JW, Sas DJ, Meliambro KA, Lu J, Sweetser MT, Garg PP, Vaishnaw AK, Gansner JM, McGregor TL, Lieske JC, ILLUMINATE-A Collaborators. Lumasiran, an RNAi therapeutic for primary hyperoxaluria type 1. N Engl J Med. 2021;384(13):1216–26. https://doi.org/10.1056/NEJMoa2021712.

    Article  CAS  PubMed  Google Scholar 

  49. Hoppe B, Kemper MJ, Bökenkamp A, Langman CB. Plasma calcium-oxalate saturation in children with renal insufficiency and in children with primary hyperoxaluria. Kidney Int. 1998;54:921–5.

    Article  CAS  Google Scholar 

  50. Bergstralh EJ, Monico CG, Lieske JC, et al. Transplantation outcomes in primary hyperoxaluria. Am J Transplant. 2010;10:2493–501.

    Article  CAS  Google Scholar 

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Correspondence to German Lozano Guzman .

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Guzman, G.L., Zaritsky, J.J. (2022). Genetic Contributors to Kidney Stones in Children. In: Paloian, N.J., Penniston, K.L. (eds) Diagnosis and Management of Pediatric Nephrolithiasis. Springer, Cham. https://doi.org/10.1007/978-3-031-07594-0_3

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  • DOI: https://doi.org/10.1007/978-3-031-07594-0_3

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