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Prevalence of Mutations in Renal Developmental Genes in Children with Renal Hypodysplasia: Results of the ESCAPE Study

Weber, Stefanie, Moriniere, Vincent, Knüppel, Tanja, Charbit, Marina, Dusek, Jirí, Ghiggeri, Gian Marco, Jankauskiené, Augustina, Mir, Sevgi, Montini, Giovanni, Peco-Antic, Amira, Wühl, Elke, Zurowska, Aleksandra M., Mehls, Otto, Antignac, Corinne, Schaefer, Franz, Salomon, Remi·2006·Journal of the American Society of Nephrology

Abstract

Renal hypodysplasia (RHD) is characterized by a reduced nephron number, small kidney size, and disorganized renal tissue. A hereditary basis has been established for a subset of affected patients, suggesting a major role of developmental genes that are involved in early kidney organogenesis. Gene mutations that have dominant inheritance and cause RHD, urinary tract anomalies, and defined extrarenal symptoms have been identified in TCF2 (renal cysts and diabetes syndrome), PAX2 (renal-coloboma syndrome), EYA1 and SIX1 (branchio-oto-renal syndrome), and SALL1 (Townes-Brocks syndrome). For estimation of the prevalence of these events, an unselected cohort of 99 unrelated patients with RHD that was associated with chronic renal insufficiency were screened for mutations in TCF2, PAX2, EYA1, SIX1, and SALL1. Mutations or variants in the genes of interest were detected in 17 (17%) unrelated families: One mutation, two variants, and four deletions of TCF2 in eight unrelated patients; four different PAX2 mutations in six families; one EYA1 mutation and one deletion in two patients with branchio-oto-renal syndrome; and one SALL1 mutation in a patient with isolated RHD. Of a total of 27 patients with renal cysts, six (22%) carried a mutation in TCF2. It is interesting that a SIX1 sequence variant was identified in two siblings with renal-coloboma syndrome as a result of a PAX2 mutation, suggesting an oligogenic inheritance. Careful clinical reevaluation that focused on discrete extrarenal symptoms and thorough family analysis revealed syndrome-specific features in nine of the 17 patients. In conclusion, 15% of patients with RHD show mutations in TCF2 or PAX2, whereas abnormalities in EYA1, SALL1, and SIX1 are less frequent.

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Metadata

Authors
Weber, S., Moriniere, V., Knüppel, T., Charbit, M., Dusek, J., Ghiggeri, G. M., Jankauskiené, A., Mir, S., Montini, G., Peco-Antic, A., Wühl, E., Zurowska, A. M., Mehls, O., Antignac, C., Schaefer, F., & Salomon, R.
Venue
Journal of the American Society of Nephrology
Published
2006-10
Volume
17
Issue
10
Pages
2864-2870
ISSN
1046-6673 (ISSN-L)
OpenAlex
W2138920517
Cited by
356
References
28
FWCI
5.03
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Prevalence of Mutations in Renal Developmental Genes in Children with Renal Hypodysplasia: Results of the ESCAPE Study. https://app.cochat.ai/papers/10.1681/asn.2006030277
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Weber, S., Moriniere, V., Knüppel, T., Charbit, M., Dusek, J., Ghiggeri, G. M., Jankauskiené, A., Mir, S., Montini, G., Peco-Antic, A., Wühl, E., Zurowska, A. M., Mehls, O., Antignac, C., Schaefer, F., & Salomon, R. (2006). Prevalence of Mutations in Renal Developmental Genes in Children with Renal Hypodysplasia: Results of the ESCAPE Study. Journal of the American Society of Nephrology. https://doi.org/10.1681/asn.2006030277

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