npj Genomic Medicine,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: July 7, 2023
Autosomal
dominant
polycystic
kidney
disease
(ADPKD)
is
the
most
common
monogenic
cause
of
failure
and
primarily
associated
with
PKD1
or
PKD2.
Approximately
10%
patients
remain
undiagnosed
after
standard
genetic
testing.
We
aimed
to
utilise
short
long-read
genome
sequencing
RNA
studies
investigate
families.
Patients
typical
ADPKD
phenotype
diagnostics
were
recruited.
Probands
underwent
short-read
sequencing,
PKD2
coding
non-coding
analyses
then
genome-wide
analysis.
Targeted
investigated
variants
suspected
impact
splicing.
Those
Oxford
Nanopore
Technologies
sequencing.
From
over
172
probands,
9
met
inclusion
criteria
consented.
A
diagnosis
was
made
in
8
(89%)
families
on
prior
Six
had
impacting
splicing,
five
regions
PKD1.
Short-read
identified
novel
branchpoint,
AG-exclusion
zone
missense
generating
cryptic
splice
sites
a
deletion
causing
critical
intron
shortening.
Long-read
confirmed
one
family.
Most
have
splice-impacting
describe
pragmatic
method
for
diagnostic
laboratories
assess
validate
splicing
through
targeted
studies.
Kidney International Reports,
Journal Year:
2024,
Volume and Issue:
9(9), P. 2685 - 2694
Published: July 16, 2024
Recently,
the
monoallelic
loss-of-function
IFT140
variant
was
identified
as
a
causative
gene
for
autosomal
dominant
polycystic
kidney
disease
(ADPKD).
In
patients
with
kidneys
who
have
positive
family
history,
>90%
pathogenic
variants
in
Journal of Clinical Investigation,
Journal Year:
2024,
Volume and Issue:
134(19)
Published: Aug. 27, 2024
BACKGROUNDCystic
kidney
disease
(CyKD)
is
a
predominantly
familial
in
which
gene
discovery
has
been
led
by
family-based
and
candidate
studies,
an
approach
that
susceptible
to
ascertainment
other
biases.METHODSUsing
whole-genome
sequencing
data
from
1,209
cases
26,096
ancestry-matched
controls
participating
the
100,000
Genomes
Project,
we
adopted
hypothesis-free
approaches
generate
quantitative
estimates
of
risk
for
each
genetic
contributor
CyKD,
across
genes,
variant
types
allelic
frequencies.RESULTSIn
82.3%
cases,
qualifying
potentially
disease-causing
rare
established
was
found.
There
enrichment
coding,
splicing,
structural
variants
known
CyKD
with
statistically
significant
gene-based
signals
COL4A3
(monoallelic)
PKHD1.
Quantification
(with
replication
separate
UK
Biobank
study)
revealed
substantially
lower
associated
genes
more
recently
autosomal
dominant
polycystic
disease,
odds
ratios
some
below
what
might
usually
be
regarded
as
necessary
classical
Mendelian
inheritance.
Meta-analysis
common
did
not
reveal
associations,
but
suggested
this
category
variation
contributes
3%-9%
heritability
European
ancestries.CONCLUSIONBy
providing
unbiased
quantification
effects
per
gene,
research
suggests
all
contributors
are
equally
likely
manifest
trait
families.
This
information
may
inform
testing
counseling
clinic.
American Journal of Medical Genetics Part C Seminars in Medical Genetics,
Journal Year:
2022,
Volume and Issue:
190(3), P. 309 - 324
Published: Sept. 1, 2022
The
clinical
characteristics
of
autosomal
dominant
tubulointerstitial
kidney
disease
(ADTKD)
include
bland
urinary
sediment,
slowly
progressive
chronic
(CKD)
with
many
patients
reaching
end
stage
renal
(ESRD)
between
age
20
and
70
years,
inheritance.
Due
to
advances
in
genetic
diagnosis,
ADTKD
is
becoming
increasingly
recognized
as
a
cause
CKD.
Pathogenic
variants
UMOD,
MUC1,
REN
are
the
most
common
causes
ADTKD.
ADTKD-UMOD
also
associated
hyperuricemia
gout.
ADTKD-REN
often
presents
childhood
mild
hypotension,
CKD,
hyperkalemia,
acidosis,
anemia.
ADTKD-MUC1
present
only
This
review
describes
pathophysiology,
genetics,
manifestation,
diagnosis
for
ADTKD,
an
emphasis
on
testing
counseling
suggestions
patients.
npj Genomic Medicine,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: July 7, 2023
Autosomal
dominant
polycystic
kidney
disease
(ADPKD)
is
the
most
common
monogenic
cause
of
failure
and
primarily
associated
with
PKD1
or
PKD2.
Approximately
10%
patients
remain
undiagnosed
after
standard
genetic
testing.
We
aimed
to
utilise
short
long-read
genome
sequencing
RNA
studies
investigate
families.
Patients
typical
ADPKD
phenotype
diagnostics
were
recruited.
Probands
underwent
short-read
sequencing,
PKD2
coding
non-coding
analyses
then
genome-wide
analysis.
Targeted
investigated
variants
suspected
impact
splicing.
Those
Oxford
Nanopore
Technologies
sequencing.
From
over
172
probands,
9
met
inclusion
criteria
consented.
A
diagnosis
was
made
in
8
(89%)
families
on
prior
Six
had
impacting
splicing,
five
regions
PKD1.
Short-read
identified
novel
branchpoint,
AG-exclusion
zone
missense
generating
cryptic
splice
sites
a
deletion
causing
critical
intron
shortening.
Long-read
confirmed
one
family.
Most
have
splice-impacting
describe
pragmatic
method
for
diagnostic
laboratories
assess
validate
splicing
through
targeted
studies.