Double homozygous missense mutations in DACH1 and BMP4 in a patient with bilateral cystic renal dysplasia

Renal hypodysplasia (RHD) is characterized by small and/or disorganized kidneys following abnormal organogenesis. Mutations in several genes have been identified recently to be associated with RHD in humans, including BMP4, a member of the transforming growth factor (TGF)-β family of growth factors....

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Veröffentlicht in:Nephrology, dialysis, transplantation dialysis, transplantation, 2013-01, Vol.28 (1), p.227-232
Hauptverfasser: Schild, Raphael, Knüppel, Tanja, Konrad, Martin, Bergmann, Carsten, Trautmann, Agnes, Kemper, Markus J, Wu, Kongming, Yaklichkin, Sergey, Wang, Jing, Pestell, Richard, Müller-Wiefel, Dirk E, Schaefer, Franz, Weber, Stefanie
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container_issue 1
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container_title Nephrology, dialysis, transplantation
container_volume 28
creator Schild, Raphael
Knüppel, Tanja
Konrad, Martin
Bergmann, Carsten
Trautmann, Agnes
Kemper, Markus J
Wu, Kongming
Yaklichkin, Sergey
Wang, Jing
Pestell, Richard
Müller-Wiefel, Dirk E
Schaefer, Franz
Weber, Stefanie
description Renal hypodysplasia (RHD) is characterized by small and/or disorganized kidneys following abnormal organogenesis. Mutations in several genes have been identified recently to be associated with RHD in humans, including BMP4, a member of the transforming growth factor (TGF)-β family of growth factors. DACH1 has been proposed as a candidate gene for RHD because of its involvement in the EYA-SIX-DACH network of renal developmental genes. Here, we present a patient with renal dysplasia carrying homozygous missense mutations in both BMP4 (p.N150K) and DACH1 (p.R684C). The genotype-phenotype correlation in the family hints at an oligogenic mode of inheritance of the disease in this kindred. Functional analyses of the identified DACH1 mutation in HEK293T cells demonstrated enhanced suppression of the TGF-β pathway suggesting that both mutations could act synergistically in the development of the phenotype in this patient. This finding provides a model for RHD as an oligo-/polygenic disorder and supports a role for DACH1 in the development of RHD in humans.
doi_str_mv 10.1093/ndt/gfs539
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Adult
Bone Morphogenetic Protein 4 - genetics
Exceptional Cases
Eye Proteins - genetics
Genetic Association Studies
Homozygote
Humans
Kidney - abnormalities
Male
Mutation, Missense
Polycystic Kidney, Autosomal Recessive - genetics
Transcription Factors - genetics
Urogenital Abnormalities - genetics
Young Adult
title Double homozygous missense mutations in DACH1 and BMP4 in a patient with bilateral cystic renal dysplasia
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