Skip to main content
Log in

“Treasure your exceptions”: recent advances in molecular genetics of glomerular disease

  • Review Article
  • Published:
Journal of Applied Genetics Aims and scope Submit manuscript

Abstract

The glomerular filtration barrier consists of endothelial cells, the glomerular basement membrane, and podocytes. The membrane is a highly crosslinked macromolecular meshwork composed of specific extracellular matrix proteins. The adjacent foot processes of podocytes are bridged along their basolateral surfaces by a slit diaphragm (a porous filter structure of nephrin molecules). Recent discoveries of mutations in the range of genes encoding proteins involved in the structure or function of the glomerular filtration barrier have provided new insights into mechanisms of glomerular diseases. In this review, we summarize recent progress in the elucidation of the genetic basis of some glomerulopathies in humans.

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.

Similar content being viewed by others

References

  • Bateson W, 1908. The methods and scope of genetics. Cambridge University Press: 22–23.

  • Beltcheva O, Martin P, Lenkkeri U, Tryggvason K, 2001. Mutation spectrum in the nephrin gene (NPHS1) in congenital nephrotic syndrome. Hum Mutat 17: 368–373.

    Article  CAS  PubMed  Google Scholar 

  • Bolk S, Puffenberger EG, Hudson J, Morton DH, Chakravarti A, 1999. Elevated frequency and allelic heterogeneity of congenital nephrotic syndrome, Finnish type, in the Old Order Mennonites. Am J Hum Genet 65: 1785–1790.

    Article  CAS  PubMed  Google Scholar 

  • Bongers EM, Gubler MC, Knoers NV, 2002. Nail-patella syndrome. Overview on clinical and molecular findings. Pediatr Nephrol 17: 703–712.

    Article  PubMed  Google Scholar 

  • Boute N, Gribouval O, Roselli S, Benessy F, Lee H, Fuchshuber A, et al. 2000.NPHS2, encoding the glomerular protein podocin, is mutated in autosomal recessive steroid-resistant nephrotic syndrome. Nat Genet 24: 349–354.

    Article  CAS  PubMed  Google Scholar 

  • Brenner BM, Garcia DL, Anderson S, 1988. Glomeruli and blood pressure: Less of one, more of the other? Am J Hypertens 1: 335–347.

    CAS  PubMed  Google Scholar 

  • Brodkiewicz A, Bińczak-Kuleta A, Adler G, Szychot E, Peregud-Pogorzelski J, Jarmużek W, et al. 2006. Finmajor (121delCT), G1339A and C3418T NPHS1 mutations in Polish children with idiopathic nephrotic syndrome (INS) — a preliminary report. Nephrol Dial Transplant 21, suppl. 4: 311 (abstract).

    Google Scholar 

  • Czekalski S, Oko A, Pawlaczyk K, 2006. Inherited reduced number of nephrons versus primary arterial hypertension. Pol Merkur Lekarski 21: 120–122.

    PubMed  Google Scholar 

  • Hasselbacher K, Wiggins RC, Matejas V, Hinkes BG, Mucha B, Hoskins BE, et al. 2006. Recessive missense mutations in LAMB2 expand the clinical spectrum of LAMB2-associated disorders. Kidney Int 70: 1008–1012.

    Article  CAS  PubMed  Google Scholar 

  • Hinkes B, Wiggins RC, Gbadegesin R, Vlangos CN, Seelow D, Nuernberg G, 2006. Positional cloning uncovers mutations in PLCE1 responsible for a nephrotic variant that may be reversible. Nat Genet 38: 1397–1405.

    Article  CAS  PubMed  Google Scholar 

  • Hinkes BG, Mucha B, Vlangos CN, Gbadegesin R, Lui J, Hasselbacher K, et al. 2007. 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.

    Article  PubMed  Google Scholar 

  • Kaplan JM, Kim SH, North KN, Rennke H, Correia LA, Tong HQ, et al. 2000. Mutations in ACTN4, encoding alpha-actinin-4, cause familial focal segmental glomerulosclerosis. Nat Genet 24: 251–256.

    Article  CAS  PubMed  Google Scholar 

  • Kashtan CE, 2005. Familial hematurias: What we know and what we don’t. Pediatr Nephrol 20: 1027–1035.

    Article  PubMed  Google Scholar 

  • Keller G, Zimmer G, Mall G, Ritz E, Amann K, 2003. Nephron number in patients with primary hypertension. N Eng J Med 348: 101–108.

    Article  Google Scholar 

  • Kestila M, Lenkkeri U, Mannikko M, Lamerdin J, McCready P, Putaala H, et al. 1998. Positionally cloned gene for a novel glomerular protein-nephrin — is mutated in congenital nephrotic syndrome. Mol Cell 1: 575–582.

    Article  CAS  PubMed  Google Scholar 

  • Khoshnoodi J, Tryggvason K, 2001. Congenital nephrotic syndrome. Curr Opin Genet Dev 11: 322–327.

    Article  CAS  PubMed  Google Scholar 

  • Lenkkeri U, Mannikko M, McCready P, Lamerdin J, Gribouval O, Niaudet P, et al. 1999. Structure of the gene for congenital nephrotic syndrome of the Finnish type (NPHS1) and characterization of mutations. Am J Hum Genet 64: 51–61.

    Article  CAS  PubMed  Google Scholar 

  • Loewik MM, Groenen PJ, Pronk I, Lilien MR, Goldschmeding R, Dijkman HB, et al. 2007. Focal segmental glomerulosclerosis in a patient homozygous for aCD2AP mutation. Kidney Int; Aug 22 [Epub ahead of print].

  • Loewik MM, Hol FA, Steenbergen EJ, Wetzels JF, van den Heuvel LP, 2005. Mitochondrial tRNALeu(UUR) mutation in a patient with steroid-resistant nephritic syndrome and focal segmental glomerulosclerosis. Nephrol Dial Transplant 20: 336–341.

    Article  Google Scholar 

  • Moeller CC, Pollak MR, Reiser J, 2006. The genetic basis of human glomerular disease. Adv Chronic Kidney Dis 13: 166–173.

    Article  Google Scholar 

  • Schuster H, 1998. Autosomal dominant hypertension with brachydactyly: an enigmatic form of monogenic hypertension. Nephrol Dial Transplant: 13: 1337–1340.

    Article  CAS  PubMed  Google Scholar 

  • Tryggvason K, 1999. Unraveling the mechanisms of glomerular ultrafiltration: Nephrin, a key component of the slit diaphragm. J Am Soc Nephrol 10: 2440–2445.

    CAS  PubMed  Google Scholar 

  • Tryggvason K, Wartiovaara J, 2001. Molecular basis of glomerular permselectivity. Curr Opin Nephrol Hypertens 10: 543–549.

    Article  CAS  PubMed  Google Scholar 

  • Vats AN, 2005. Genetics of idiopathic nephrotic syndrome. Indian J Pediatr 72: 777–783.

    Article  PubMed  Google Scholar 

  • Warnock DG, West ML, 2006. Diagnosis and management of kidney involvement in the Fabry disease. Adv Chronic Kidney Dis 13: 138–147.

    Article  PubMed  Google Scholar 

  • Weber S, Moriniere V, Knueppel T, Charbit M, Dusek J, Ghiggeri GM, 2006. Prevalence of mutations in renal developmental genes in children with renal hypodysplasia: Results of the ESCAPE study. J Am Soc Nephrol 17: 2864–2870.

    Article  CAS  PubMed  Google Scholar 

  • Winn MP, Conlon PJ, Lynn KL, Farrington MK, Creazzo T, Hawkins AF, et al. 2005. A mutation in the TRPC6 cation channel causes familial focal segmental glomerulosclerosis. Science 308: 1801–1804.

    Article  CAS  PubMed  Google Scholar 

  • Wolf G, Stahl RA, 2003. CD2-associated protein and glomerular disease. Lancet 362: 1746–1748.

    Article  CAS  PubMed  Google Scholar 

  • Yao J, Le TC, Kos CH, Henderson JM, Allen PG, Denker BM, Pollak MR, 2004. Alpha-actinin-4-mediated FSGS: an inherited kidney disease caused by an aggregated and rapidly degraded cytoskeletal protein. PLoS Biol 2: e167.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrzej Ciechanowicz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ciechanowicz, A., Brodkiewicz, A., Bińczak-Kuleta, A. et al. “Treasure your exceptions”: recent advances in molecular genetics of glomerular disease. J Appl Genet 49, 93–99 (2008). https://doi.org/10.1007/BF03195253

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03195253

Keywords

Navigation