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Hereditary renal cystic diseases and their underlying gene defect

Hereditary renal cystic diseases and their underlying gene defect
Disease Main features Genes involved Corresponding protein Protein localization Postulated functions
Autosomal recessive PKD (ARPKD) Renal cyst, enlarged kidneys, hepatic fibrosis PKHD1 Fibrocystin/polyductin (FPC) Cilia and secreted Calcium response; proliferation/differentiation
Autosomal dominant PKD (ADPKD) Renal, hepatic, pancreatic and brain cysts PKD1, PKD2 Polycystin 1 (PC1), Polycystin 2 (PC2) Cilia, Golgi apparatus, focal adhesions Calcium response; proliferation/differentiation
Nephronophthisis (NPHP) and Senior Løken Syndrome (SNLS) Renal fibrosis, renal cysts, tubular atrophy, retinal dystrophy (in SNLS) NPHP1-NPHP11 Nephrocystin-1, 2/inversin, 3, 4, 5, 6/CEP290, 7/GLIS2, 8/RPGRIP1L, 9/NEK8, 11/Meckelin Cilia, basal bodies, centrosomes, focal adhesions Cell-cell and cell-matrix adhesion; actin cytoskeleton; cell division; Wnt and Shh signaling
Joubert syndrome (JS) NPHP and cerebellar ataxia AHI1, NPHP1, CEP290, JBTS6/TMEM67, RPGRIP1L, ARL13B, CC2D2A, INPP5E, JBTS2/TMEM216 Jouberin, Nephrocystin, CEP290, Meckelin, RPGRIP1L, ARL13B, CC2D2A, INPP5E, TMEM216 Cilia, basal bodies, centrosomes, cell junctions Ciliogenesis, Sonic Hedgehog signaling
Bardet-Biedl syndrome (BBS) Renal cysts, obesity, polydactyly, retinal dystrophy, mental retardation BBS1-12, MKS1, CEP290, FRITZ, SDCCAG8 BBS1-12, MKS1, CEP290, FRITZ, SDCCAG8 Centrosomes, basal bodies Pericentriolar organization, ciliogenesis, Wnt signaling
Meckel-Gruber syndrome (MKS) Occipital meningoencephalocele, cystic kidneys, liver fibrosis, polydactyly MKS1, MKS3/TMEM67, NPHP3, CEP290, RPGRIP1L, CC2D2A, MKS2/TMEM216 MKS1, Meckelin, Nephrocystin 3, CEP290, RPGRIP1L, CC2D2A, TMEM216 Centrosomes, cilia, plasma membrane Basal body localization, ciliogenesis, Hedgehog signaling
Oral-facial-digital syndrome 1 (OFD1) Malformations of face, oral cavity and digits, renal cysts, polydactyly OFD1 OFD1 Cilia, basal bodies, centrosomes, nucleus Ciliogenesis, L-R asymmetry, possibly gene regulation
Short-Rib Polydactily (including Jeune Asphyxiating Thoracic Dystrophy) Renal cysts, shortened bones, polydactyly, situs inversus DYN2CH1, IFT80 Cytoplasmic dynein 2 heavy chain, IFT80 Chondrocyte cilia, basal bodies Intraflagelar transport, Hedgehog signaling
Tuberous sclerosis complex Renal cysts, beningn tumors in multiple organs, dermatologic abnormalities inlcuding hypopigmented macules (ash-leaf spots), angiofibromas, shagreen patches, and brown fibrous plaque of the forehead TSC1, TSC2 Hamartin (TSC1), Tuberin (TSC2) Centrosome, cytoplasm, Cellular signaling by regulating the mammalian target of rapamycin (mTOR) signaling pathway
Uromodulin associated kidney diseases (MCKD2, FJHN, GCKD) Renal cysts, fibrosis, hypertension, hypoeruricemia UMOD, MCKD1, MCKD2 Uromodulin Cilia, basal bodies, centrosomes, secreted Unknown ciliary role
Hereditary cystic diseases of the kidney, their causal genes, encoded proteins, localization, and proposed function.
PKD: polycystic kidney disease; MCKD2: medullary cystic kidney disease type 2; FJHN: familial juvenile hyperuricemic nephropathy; GCKD: glomerulocystic kidney disease.
Reproduced from: Gascue C, Katsanis N, Badano JL. Cystic disease of the kidney: ciliary dysfucntion and cytogenetic mechanisms. Pediatr Nephrol 2011; 26:1181, with kind permission from Springer Science + Business Media B.V. Copyright © 2011.
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