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Inherited primary causes of renal tubular acidosis (RTA)

Inherited primary causes of renal tubular acidosis (RTA)
  Gene Gene location Protein Features
Type 1 (distal) RTA
Autosomal recessive with deafness ATP6V1B1 2p13 B1 subunit of H-ATPase Presents in infancy with severe metabolic acidosis, poor growth, rickets, and nephrocalcinosis.
FOXI1 5q35 FOXI1 Presents with metabolic acidosis, nephrocalcinosis, and development of medullary cysts.
Autosomal recessive without deafness ATP6V0A4 7q33-q34 A4 subunit of H-ATPase Presents in infancy with severe metabolic acidosis, poor growth, rickets, and nephrocalcinosis.
WDR72 15q21 WDR72 Poor growth, some individuals with abnormal tooth enamel formation (amelogenesis imperfecta).
Autosomal dominant SLC4A1 17q21-q22 Chloride-bicarbonate exchanger Presents later in life (eg, adolescence and adulthood) with mild/moderate metabolic acidosis, hypercalciuria, nephrolithiasis or nephrocalcinosis, osteomalacia, and erythrocytosis; may be associated with hereditary spherocytosis and ovalocytosis.
Type 2 (proximal) RTA
Autosomal recessive SLC4A4 4q21 Sodium bicarbonate cotransporter Severe hypokalemic, hyperchloremic, metabolic acidosis, growth retardation, and ocular abnormalities (glaucoma, cataracts, and band keratopathy).
Autosomal dominant Unknown Unknown Unknown Short stature and metabolic acidosis.
Type 3 (mixed) RTA
Autosomal recessive Carbonic anhydrase II 8q22 Carbonic anhydrase II Mixed RTA, osteopetrosis, cerebral calcification, and mental retardation.
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