Abstract
The oculocerebrorenal syndrome of Lowe (OCRL) is an X-linked disorder. The mutation of the gene OCRL1 localized at Xq26.1, coding for the enzyme phosphatidylinositol (4,5) bisphosphate (PIP2P) 5-phosphatase, is responsible for the phenotypic characteristics of the disease. We report a 22-year-old male with a severe form of OCRL syndrome, diagnosed on the basis of congenital cataracts, severe psychomotor and cognitive deficits, and renal tubular dysfunction without Fanconi syndrome. The patient presented low molecular weight proteinuria, nephrocalcinosis, nephrolithiasis, rickets, and growth retardation and developed progressive renal failure. Genetic analysis showed a novel and de novo deletion of exons 10–13 in the OCRL1 gene.
References
Lowe CU, Terrey M, MacLachlan EA (1952) Organic-aciduria, decreased renal ammonia production, hydrophthalmos, and mental retardation. Am J Dis Child 83:164–184
Loi M (2006) Lowe syndrome. Orphanet J Rare Dis 1:16. doi:10.1186/1750-1172-1-16
Lowe M (2005) Structure and function of the Lowe syndrome protein OCRL1. Traffic 6:711–719
Peverall J, Edkins E, Goldblatt J, Murch A (2000) Identification of a novel deletion of the entire OCRL1 gene detected by FISH analysis in a family with Lowe syndrome. Clin Genet 58:479–482
Addis M, Meloni C, Congiu R et al (2007) A novel interstitial deletion in Xq25, identified by array-CGH in a patient with Lowe syndrome. Eur J Med Genet 50:79–84
Coutton C, Monnier N, Rendu J, Lunardi J (2010) Development of a multiplex ligation dependent probe amplification (MLPA) assay for quantification of the OCRL1 gene. Clin Biochem 43:609–614
Hou X, Hagemann N, Schoebel S et al (2011) A structural basis for Lowe syndrome caused by mutations in the Rab-binding domain of OCRL1. EMBO J 30:1659–1670
Simşek E, Simşek T, Dallar Y, Can O, Willems PJ (2011) A novel pathogenic DNA variation in the OCRL1 gene in Lowe syndrome. J Clin Res Pediatr Endocrinol 3:29–31
Hichri H, Rendu J, Monnier N et al (2011) From Lowe syndrome to Dent disease: correlations between mutations of the OCRL1 gene and clinical and biochemical phenotypes. Hum Mutat 32:379–388
Böckenhauer D, Bokenkamp A, Van’t Hoff W et al (2008) Renal phenotype in Lowe syndrome: a selective proximal tubular dysfunction. Clin J Am Soc Nephrol 3:1430–1436
Tasic V, Lozanovski VJ, Korneti P et al (2011) Clinical and laboratory features of Macedonian children with OCRL mutations. Pediatr Nephrol 26:557–562
Lin T, Orrison BM, Leahey AM et al (1997) Spectrum of mutations in the OCRL1 gene in the Lowe oculocerebrorenal syndrome. Am J Hum Genet 60:1384–1388
Acknowledgments
We thank all family members for their invaluable contribution to this study. We also thank Drs AM van den Ouweland and D Dooijes (Erasmus Medical Centre, Rotterdam, the Netherlands). This work was supported in part by grants Programa Intensificación Actividad Investigadora (IdiPAZ and Agencia Laín-Entralgo/CM) to R.P.
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Peces, R., Peces, C., de Sousa, E. et al. A novel and de novo deletion in the OCRL1 gene associated with a severe form of Lowe syndrome. Int Urol Nephrol 45, 1767–1771 (2013). https://doi.org/10.1007/s11255-012-0246-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11255-012-0246-5