SALL4 deletion and kidney and cardiac defects associated with VACTERL association

Congenital anomalies of the kidney and urinary tract (CAKUT) can be a part of the VACTERL association, which represents the non-random combination of the following congenital anomalies: vertebral anomalies, anal anomalies, cardiac anomalies, tracheal-esophageal anomalies, kidney anomalies, and limb...

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Veröffentlicht in:Pediatric nephrology (Berlin, West) West), 2024-08, Vol.39 (8), p.2347-2349
Hauptverfasser: Watanabe, Daisuke, Nakato, Daisuke, Yamada, Mamiko, Suzuki, Hisato, Takenouchi, Toshiki, Miya, Fuyuki, Kosaki, Kenjiro
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container_issue 8
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container_title Pediatric nephrology (Berlin, West)
container_volume 39
creator Watanabe, Daisuke
Nakato, Daisuke
Yamada, Mamiko
Suzuki, Hisato
Takenouchi, Toshiki
Miya, Fuyuki
Kosaki, Kenjiro
description Congenital anomalies of the kidney and urinary tract (CAKUT) can be a part of the VACTERL association, which represents the non-random combination of the following congenital anomalies: vertebral anomalies, anal anomalies, cardiac anomalies, tracheal-esophageal anomalies, kidney anomalies, and limb anomalies. VACTERL association is generally considered to be a non-genetic condition. Exceptions include a patient with a heterozygous nonsense SALL4 variant and anal stenosis, tetralogy of Fallot, sacro-vertebral fusion, and radial and thumb anomalies. SALL4 encodes a transcription factor that plays a critical role in kidney morphogenesis. Here, we report a patient with VACTERL association and a heterozygous 128-kb deletion spanning SALL4 who presented with renal hypoplasia, radial and atrio-septal defects, and patent ductus arteriosus. The present report of SALL4 deletion, in addition to a previously reported patient with VACTERL association phenotype and SALL4 nonsense mutation, further supports the notion that SALL4 haploinsufficiency can lead to VACTERL association.
doi_str_mv 10.1007/s00467-024-06306-8
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subjects Abnormalities, Multiple - genetics
Anal Canal - abnormalities
Clinical Insights
Congenital defects
Congenital diseases
Defects
Esophagus
Esophagus - abnormalities
Female
Gene deletion
Genomes
Genotype & phenotype
Haploinsufficiency
Haploinsufficiency - genetics
Hearing loss
Heart
Heart Defects, Congenital - diagnosis
Heart Defects, Congenital - genetics
Humans
Hypoplasia
Infant, Newborn
Kidney - abnormalities
Kidneys
Limb Deformities, Congenital - diagnosis
Limb Deformities, Congenital - genetics
Male
Medicine
Medicine & Public Health
Morphogenesis
Mutation
Nephrology
Nonsense mutation
Patients
Pediatrics
Phenotypes
R&D
Research & development
Spine - abnormalities
Stenosis
Tetralogy of Fallot
Trachea - abnormalities
Transcription factors
Transcription Factors - genetics
Urinary tract
Urogenital system
Urology
Vertebrae
title SALL4 deletion and kidney and cardiac defects associated with VACTERL association
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