Renal complications in 6p duplication syndrome: Microarray-based investigation of the candidate gene(s) for the development of congenital anomalies of the kidney and urinary tract (CAKUT) and focal segmental glomerular sclerosis (FSGS)

6p duplication syndrome is a rare chromosomal disorder that frequently manifests renal complications, including proteinuria, hypoplastic kidney, and hydronephrosis. We report a girl with the syndrome, manifesting left hydronephrosis, proteinuria/hematuria, and focal segmental glomerular sclerosis (F...

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Veröffentlicht in:American journal of medical genetics. Part A 2015-03, Vol.167A (3), p.592-601
Hauptverfasser: Yoshimura-Furuhata, Megumi, Nishimura-Tadaki, Akira, Amano, Yoshiro, Ehara, Takashi, Hamasaki, Yuko, Muramatsu, Masaki, Shishido, Seiichiro, Aikawa, Atsushi, Hamada, Riku, Ishikura, Kenji, Hataya, Hiroshi, Hidaka, Yoshihiko, Noda, Shunsuke, Koike, Kenichi, Wakui, Keiko, Fukushima, Yoshimitsu, Matsumoto, Naomichi, Awazu, Midori, Miyake, Noriko, Kosho, Tomoki
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container_title American journal of medical genetics. Part A
container_volume 167A
creator Yoshimura-Furuhata, Megumi
Nishimura-Tadaki, Akira
Amano, Yoshiro
Ehara, Takashi
Hamasaki, Yuko
Muramatsu, Masaki
Shishido, Seiichiro
Aikawa, Atsushi
Hamada, Riku
Ishikura, Kenji
Hataya, Hiroshi
Hidaka, Yoshihiko
Noda, Shunsuke
Koike, Kenichi
Wakui, Keiko
Fukushima, Yoshimitsu
Matsumoto, Naomichi
Awazu, Midori
Miyake, Noriko
Kosho, Tomoki
description 6p duplication syndrome is a rare chromosomal disorder that frequently manifests renal complications, including proteinuria, hypoplastic kidney, and hydronephrosis. We report a girl with the syndrome, manifesting left hydronephrosis, proteinuria/hematuria, and focal segmental glomerular sclerosis (FSGS) resulting in chronic end‐stage renal failure, successfully treated with renal transplantation. Microarray comparative genomic hybridization showed the derivative chromosome 6 to have a 6.4‐Mb duplication at 6p25.3–p25.1 with 32 protein‐coding genes and a 220‐Kb deletion at 6p25.3 with two genes of no possible relation to the renal pathology. Review of the literature shows that variation of renal complications in the syndrome is compatible with congenital anomalies of the kidney and urinary tract (CAKUT). FSGS, observed in another patient with 6p duplication syndrome, could be a non‐coincidental complication. FOXC1, located within the 6.4‐Mb duplicated region at 6p25.3–p25.2, could be a candidate gene for CAKUT, but its single gene duplication effect would not be sufficient. FSGS would be a primary defect associated with duplicated gene(s) albeit no candidate could be proposed, or might occur in association with CAKUT. © 2015 Wiley Periodicals, Inc.
doi_str_mv 10.1002/ajmg.a.36942
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We report a girl with the syndrome, manifesting left hydronephrosis, proteinuria/hematuria, and focal segmental glomerular sclerosis (FSGS) resulting in chronic end‐stage renal failure, successfully treated with renal transplantation. Microarray comparative genomic hybridization showed the derivative chromosome 6 to have a 6.4‐Mb duplication at 6p25.3–p25.1 with 32 protein‐coding genes and a 220‐Kb deletion at 6p25.3 with two genes of no possible relation to the renal pathology. Review of the literature shows that variation of renal complications in the syndrome is compatible with congenital anomalies of the kidney and urinary tract (CAKUT). FSGS, observed in another patient with 6p duplication syndrome, could be a non‐coincidental complication. FOXC1, located within the 6.4‐Mb duplicated region at 6p25.3–p25.2, could be a candidate gene for CAKUT, but its single gene duplication effect would not be sufficient. 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subjects 6p duplication syndrome
Abnormalities, Multiple - diagnosis
Abnormalities, Multiple - genetics
Biopsy
Child
Chromosome Banding
Chromosomes, Human, Pair 6
Comparative Genomic Hybridization
congenital anomalies of kidney and urinary tract (CAKUT)
Facies
Female
focal segmental glomerular sclerosis (FSGS)
forkhead transcription factor 1 (FOXC1)
Genome-Wide Association Study
Glomerulosclerosis, Focal Segmental - diagnosis
Glomerulosclerosis, Focal Segmental - genetics
Humans
Hydronephrosis - diagnosis
Hydronephrosis - genetics
Kidney - abnormalities
Kidney - pathology
microarray comparative genomic hybridization
Proteinuria - diagnosis
Proteinuria - genetics
Syndrome
Trisomy
Ultrasonography
Urinary Tract - abnormalities
title Renal complications in 6p duplication syndrome: Microarray-based investigation of the candidate gene(s) for the development of congenital anomalies of the kidney and urinary tract (CAKUT) and focal segmental glomerular sclerosis (FSGS)
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