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Genetic Diseases of the Kidney

Genetic Diseases of the Kidney

of: Richard P. Lifton, Stefan Somlo, Gerhard H. Giebisch (Eds.)

Elsevier Trade Monographs, 2008

ISBN: 9780080924274 , 848 Pages

Format: PDF

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Price: 137,00 EUR



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Genetic Diseases of the Kidney


 

Front Cover

1

Genetic Diseases of the Kidney

4

Copyright Page

5

Contents

6

Contributors

10

Preface

14

PART I: General Background

16

CHAPTER 1 Genetic Approaches to Human Disease

18

INTRODUCTION

18

BRIEF HISTORY OF GENETICS

18

TRANSMISSION OF SINGLE-GENE DISEASES IN HUMANS

21

NON-MENDELIAN OR COMPLEX TRAITS

24

THE HUMAN GENOME

25

NATURE OF MUTATIONS

25

CONSEQUENCES OF MUTATIONS

26

IDENTIFYING DISEASE-CAUSING MUTATIONS

27

MAPPING MENDELIAN TRAITS IN HUMAN PEDIGREES

28

IDENTIFICATION OF COMMON ALLELES THAT CONTRIBUTE TO COMPLEX TRAITS

33

PERSPECTIVES ON THE FUTURE OF HUMAN DISEASE GENETICS

36

SUMMARY AND PERSPECTIVE

37

REFERENCES

37

CHAPTER 2 Clinical Applications of Genetics

40

BASIC PRINCIPLES OF GENETIC TESTING

40

SERVICES OFFERED BY GENETIC LABORATORIES

41

COUNSELING AND INFORMED CONSENT

41

ETHICAL CONSIDERATIONS IN GENETIC TESTING

42

CURRENT APPLICATIONS OF GENETIC TESTING

42

MOLECULAR ANALYSES: CURRENT APPROACHES, NEW INNOVATIONS, FUTURE DIRECTIONS

47

PHARMOCOGENOMICS

48

SUMMARY

49

REFERENCES

49

PART II

52

A. Primary Genetic Diseases of Nephron Function

52

CHAPTER 3 Logic of the Kidney

54

KIDNEY FUNCTION: A SYSTEMS APPROACH

54

WALK THROUGH THE NEPHRON

56

INTEGRATION OF ANATOMY AND PHYSIOLOGY: REGULATION

75

CONCLUSION

85

REFERENCES

86

B. Primary Genetic Diseases of the Glomerulus

90

CHAPTER 4 Alport’s Disease and Thin Basement Membrane Nephropathy

92

INTRODUCTION

92

RENAL GLOMERULUS

92

GLOMERULAR BASEMENT MEMBRANE

93

ALPORT’S DISEASE

96

THIN BASEMENT MEMBRANE NEPHROPATHY

101

CONCLUSIONS

106

REFERENCES

106

CHAPTER 5 Idiopathic Nephrotic Syndrome

112

INTRODUCTION

112

GENETIC DEFECTS OF STRUCTURAL PROTEINS

113

GENETIC DEFECTS OF TRANSCRIPTION FACTORS

119

SMARCAL1 AND SCHIMKE IMMUNO-OSSEOUS DYSPLASIA

120

GENETIC DEFECTS OF METABOLIC GENES

121

GALLOWAY-MOWAT SYNDROME

121

CONCLUSIONS

122

REFERENCES

122

CHAPTER 6 Focal Segmental Glomerulosclerosis

128

INTRODUCTION

128

THE PODOCYTE

128

FOCAL AND SEGMENTAL GLOMERULOSCLEROSIS

130

MENDELIAN DISEASE

130

RECESSIVE FSGS: NPHS2

130

DOMINANT FSGS

132

SYNDROMIC FSGS

134

MITOCHONDRIAL PATTERNS OF INHERITANCE

134

ANIMAL MODELS

135

SECONDARY FSGS

136

CLINICAL SPECTRUM OF DISEASE

137

SPORADIC FSGS

137

APPROACH TO THERAPY

137

IMPLICATIONS

138

REFERENCES

138

C. Primary Genetic Diseases of the Proximal Renal Tubules

144

CHAPTER 7 Diseases of Renal Glucose Handling

146

INTRODUCTION

146

PHYSIOLOGY OF RENAL GLUCOSE TRANSPORT

146

INHERITED DISORDERS OF RENAL GLUCOSE TRANSPORT

148

SUMMARY AND OUTLOOK

153

ACKNOWLEDGMENTS

153

REFERENCES

153

CHAPTER 8 Primary Inherited Aminoacidurias: Genetic Defects in the Renal Handling of Amino Acids

156

PRIMARY INHERITED AMINOACIDURIAS

156

DEFECTS ASSOCIATED WITH HETEROMERIC AMINO ACID TRANSPORTERS

157

HARTNUP DISORDER

165

THE MOLECULAR BASES OF INTESTINAL ABSORPTION AND RENAL REABSORPTION OF AMINO ACIDS

167

REFERENCES

170

CHAPTER 9 Primary Renal Uricosuria

176

INTRODUCTION

176

BASICS OF URATE HANDLING IN HUMAN KIDNEY

176

HEREDITARY RENAL HYPOURICEMIA

180

REFERENCES

183

CHAPTER 10 The Fanconi Syndrome

186

INTRODUCTION

186

HISTORY OF THE FANCONI SYNDROME

186

ETIOLOGY

187

GENETIC CAUSES

188

SYSTEMIC AND RENAL DISEASES

190

EXOGENOUS SUBSTANCES

190

BRIEF OVERVIEW OF PROXIMAL TUBULE TRANSPORT

190

CLINICAL PATHOPHYSIOLOGY

191

CELLULAR MECHANISMS OF PROXIMAL TUBULE TRANSPORT DEFECTS

196

ANIMAL MODELS OF FANCONI SYNDROME

201

TREATMENT

203

SUMMARY

204

REFERENCES

204

CHAPTER 11 Proximal Renal Tubular Acidosis

214

INTRODUCTION

214

CELLULAR AND MOLECULAR MECHANISMS OF ACID–BASE TRANSPORT IN THE PROXIMAL TUBULE

214

DEFINITION AND CLINICAL FEATURES OF PROXIMAL RTA

218

SPECIFIC DISORDERS CAUSING PROXIMAL RENAL TUBULAR ACIDOSIS

221

TREATMENT

224

REFERENCES

224

CHAPTER 12 Dent’s Disease

228

INTRODUCTION

228

PHYSIOLOGY OF CLC CHLORIDE CHANNELS

228

GENETICS

233

CLINICAL PHENOTYPE AND PATHOPHYSIOLOGY OF DENT’S DISEASE

234

TREATMENT

237

REFERENCES

238

D. Primary Genetic Diseases of the Thick Ascending Limb of Henle

242

CHAPTER 13 Molecular Genetics of Gitelman’s and Bartter’s Syndromes and their Implications for Blood Pressure Variation

244

INTRODUCTION

244

HISTORY OF BARTTER’S AND GITELMAN’S SYNDROMES

244

MUTATIONS IN NCC CAUSE GITELMAN’S SYNDROME

246

UNIFORMITY OF ELECTROLYTE PHENOTYPES OF PATIENTS WITH GITELMAN’S SYNDROME

247

PATHOPHYSIOLOGY OF GITELMAN’S SYNDROME

248

CLINICAL SIGNS AND SYMPTOMS IN GITELMAN’S SYNDROME

249

GITELMAN’S SYNDROME PATIENTS HAVE REDUCED BLOOD PRESSURE AND INCREASED DIETARY SALT INTAKE

249

GITELMAN’S SYNDROME PATIENTS DISPLAY INCREASED BONE DENSITY

250

MUTATIONS IN NKCC2

250

MUTATIONS IN ROMK

251

MUTATIONS IN CLCNKB

251

MUTATIONS IN BARTTIN CAUSE BARTTER’S SYNDROME WITH SENSORINEURAL DEAFNESS

252

COMBINED MUTATIONS IN CLCNKA AND CLCNKB CAUSE BARTTER’S SYNDROME WITH SENSORINEURAL DEAFNESS

252

MUTATIONS IN THE CALCIUM-SENSING RECEPTOR (CASR)

253

OTHER GENETIC DISEASES WITH FEATURES THAT OVERLAP WITH GITELMAN’S AND BARTTER’S SYNDROMES

253

PATHOPHYSIOLOGY OF BARTTER’S SYNDROME

253

GENOTYPE–PHENOTYPE CORRELATIONS (TABLE 13.1) AND DIAGNOSIS

254

TREATMENT OF PATIENTS WITH GITELMAN’S AND BARTTER’S SYNDROMES

256

EFFECTS OF THE HETEROZYGOUS STATE FOR GITELMAN’S AND BARTTER’S SYNDROMES ON BLOOD PRESSURE IN THE POPULATION

257

ACKNOWLEDGMENTS

258

REFERENCES

258

CHAPTER 14 Molecular Genetics of Magnesium Homeostasis

264

INTRODUCTION

264

PHYSIOLOGY OF MAGNESIUM HOMEOSTASIS

264

FAMILIAL HYPOMAGNESEMIA WITH HYPERCALCIURIA AND NEPHROCALCINOSIS (FHHNC)

266

GITELMAN AND BARTTER SYNDROMES

269

HYPOMAGNESEMIA WITH SECONDARY HYPOCALCEMIA (HSH)

269

AUTOSOMAL DOMINANT HYPOMAGNESEMIA DUE TO MUTATION IN FXYD2

271

ISOLATED RECESSIVE RENAL HYPOMAGNESEMIA

272

CONCLUSIONS AND FUTURE DIRECTIONS

272

ACKNOWLEDGMENTS

273

REFERENCES

273

CHAPTER 15 Inherited Diseases of the Calcium-Sensing Receptor: Impact on Parathyroid and Renal Function

278

INTRODUCTION

278

THE CALCIUM-SENSING RECEPTOR

279

ROLE OF THE CaR IN THE PARATHYROID

280

ROLE OF THE CaR IN THE KIDNEY

280

ROLE OF THE CAR IN OTHER TISSUES INVOLVED IN CALCIUM HOMEOSTASIS

281

FAMILIAL HYPOCALCIURIC HYPERCALCEMIA (FHH) [OMIM 14598]

281

NEONATAL SEVERE PRIMARY HYPERPARATHYROIDISM (NSHPT) [OMIM 239200]

285

AUTOSOMAL DOMINANT HYPOPARATHYROIDISM (ADH) (OMIM) [#601298]

287

BARTTER’S SYNDROME WITH ACTIVATING CAR MUTATIONS

288

CaR-BASED THERAPEUTICS

288

SUMMARY AND FUTURE ISSUES

289

DEDICATION

289

REFERENCES

289

E. Primary Genetic Diseases of the Distal Convoluted Tubule and Collecting Duct

294

CHAPTER 16 Liddle’s Syndrome (Pseudoaldosteronism)

296

INTRODUCTION

296

PSEUDOALDOSTERONISM

296

ENaC AND Na[sup(+)] ABSORPTION IN THE ASDN

297

GENOTYPE–PHENOTYPE RELATIONSHIP

298

DIFFERENTIAL DIAGNOSIS

299

PATHOPHYSIOLOGY

299

MUTATIONS OF THE PY MOTIF: A DUAL EFFECT ON ENaC FUNCTION

300

PY MOTIFS AND ALDOSTERONE RESPONSE

301

MOUSE MODELS OF LIDDLE’S SYNDROME

301

PATHOGENESIS

302

REFERENCES

303

CHAPTER 17 The Syndrome of Apparent Mineralocorticoid Excess

306

CLINICAL FEATURES OF THE SYNDROME OF APPARENT MINERALOCORTICOID EXCESS (AME)

306

MOLECULAR STUDIES OF 11β-HYDROXYSTEROID DEHYDROGENASE (11-HSD)

308

THE HSD11B2 GENE

309

MOLECULAR GENETIC ANALYSIS OF APPARENT MINERALOCORTICOID EXCESS

310

REFERENCES

313

CHAPTER 18 Pseudohypaldosteronism Type 1 and Hypertension Exacerbated in Pregnancy

316

MINERALOCORTICOID RECEPTOR MUTATIONS IN HUMAN DISEASE

316

ALDOSTERONE BIOLOGY

316

PSEUDOHYPOALDOSTERONISM TYPE 1

317

ANIMAL MODELS OF PHA1

320

HYPERTENSION EXACERBATED BY PREGNANCY

320

THE S810L MUTATION ALTERS RECEPTOR SPECIFICITY VIA A NEW INTRAMOLECULAR CONTACT

323

GENETICS

324

A SPLICING DEFECT IN MR[sub(L810)] CARRIERS

324

PERSPECTIVES

325

REFERENCES

325

CHAPTER 19 The Syndrome of Hypertension and Hyperkalemia (Pseudohypoaldosteronism Type II): WNK Kinases Regulate the Balance Between Renal Salt Reabsorption and Potassium Secretion

328

THE ROLE OF THE KIDNEY IN THE REGULATION OF BLOOD PRESSURE AND ELECTROLYTE HOMEOSTASIS

328

PSEUDOHYPOALDOSTERONISM TYPE II: A HUMAN MODEL TO EXPLORE COORDINATED REGULATION OF BLOOD PRESSURE AND ELECTROLYTE HOMEOSTASIS

329

HYPOTHESES OF PHAII PATHOPHYSIOLOGY

330

MOLECULAR GENETICS OF PSEUDOHYPOALDOSTERONISM TYPE II: EVIDENCE FOR GENETIC HETEROGENEITY AND DISCOVERY OF THE WNK PROTEIN KINASES

331

THE WNKs ARE A NOVEL FAMILY OF SALT-SENSITIVE SERINE-THREONINE KINASES WITH A UNIQUE CATALYTIC STRUCTURE

333

WNK1 AND WNK4 LOCALIZE TO THE ALDOSTERONE-SENSITIVE DISTAL NEPHRON AND EXTRARENAL CHLORIDE-TRANSPORTING EXTRARENAL EPITHELIA

333

WNK1 AND WNK4 REGULATE DIVERSE ALDOSTERONE-SENSITIVE MEDIATORS OF ION TRANSPORT VIA DISTINCT MECHANISMS

334

IN VIVO MOUSE MODELS OF WNK1 AND WNK4 FUNCTION

337

PATHOPHYSIOLOGICAL MECHANISMS OF PHAII

337

POSSIBLE ROLE OF WNK1 AND WNK4 IN ESSENTIAL HYPERTENSION AND WNKs AS POTENTIAL TARGETS OF NOVEL THERAPEUTICS

338

THE ROLE OF THE WNK KINASES IN THE REGULATION OF CELL VOLUME AND INTRACELLULAR CHLORIDE HOMEOSTASIS

339

VOLUME SENSITIVITY OF CATION/CHLORIDE COTRANSPORTERS IS REGULATED BY AN INTERACTION BETWEEN THE WNK AND STE20-TYPE KINASES SPAK/OSR1

340

THE WNK KINASE/STE20-TYPE KINASE/NKCC PHOSPHORYLATION CASCADE

340

WNK3: A BRAIN-ENRICHED KINASE WITH RECIPROCAL ACTIONS ON THE NKCCs AND KCCs

340

CONCLUSIONS AND FUTURE DIRECTIONS

341

ACKNOWLEDGMENTS

342

DEDICATION

342

REFERENCES

342

CHAPTER 20 Distal Renal Tubular Acidosis

346

INTRODUCTION

346

DEFINITION AND CLINICAL FEATURES

346

α-INTERCALATED CELL FUNCTION

347

AUTOSOMAL DOMINANT DISTAL RENAL TUBULAR ACIDOSIS

348

AUTOSOMAL RECESSIVE TYPE 1 RTA

350

GENOTYPE–PHENOTYPE CORRELATIONS IN PRIMARY DISTAL RTA

351

OTHER FORMS OF dRTA

352

ACKNOWLEDGMENT

352

REFERENCES

352

CHAPTER 21 Nephrogenic Diabetes Insipidus: Vasopressin Receptor Defect

356

CELLULAR ACTIONS OF VASOPRESSIN

356

RARENESS AND DIVERSITY OF AVPR2 MUTATIONS

357

BENEFITS OF GENETIC TESTING

359

MOST MUTANT V[sub(2)] RECEPTORS ARE NOT TRANSPORTED TO THE CELL MEMBRANE AND ARE RETAINED IN THE INTRACELLULAR COMPARTMENTS

359

NONPEPTIDE VASORESSIN RECEPTOR ANTAGONISTS ACT AS PHARMACOLOGICAL CHAPERONES TO FUNCTIONALLY RESCUE MISFOLDED MUTANT V[sub(2)] RECEPTORS RESPONSIBLE FOR X-LINKED NDI

360

TESTING PATIENTS WITH NDI; PLEASE AVOID DEHYDRATION

362

ACKNOWLEDGMENTS

362

REFERENCES

362

CHAPTER 22 Nephrogenic Diabetes Insipidus: Aquaporin-2 Defect

366

INTRODUCTION

366

MOLECULAR STRUCTURE OF AQUAPORINS

366

AQUAPORIN 2

366

HISTORY OF NDI

369

THE AQP2 GENE

370

TREATMENT FOR NDI

373

REFERENCES

374

PART III: Genetic Abnormalities of Renal Development and Morphogenesis

378

CHAPTER 23 An Overview of Renal Development

380

INTRODUCTION

380

ANATOMIC DESCRIPTION OF KIDNEY DEVELOPMENT

381

SPECIFICATION OF THE NEPHRIC (WOLFFIAN) DUCT AND NEPHROGENIC CORD

382

METANEPHRIC KIDNEY DEVELOPMENT

384

CONCLUSION

401

REFERENCES

401

CHAPTER 24 Polycystic Kidney Disease

408

INTRODUCTION

408

DIAGNOSIS AND CLINICAL FEATURES

408

GENETICS OF POLYCYSTIC KIDNEY DISEASE

413

POLYCYSTIN-1

417

POLYCYSTIN-2

418

POLYDUCTIN/FIBROCYSTIN

419

CILIA

420

POLYCYSTIC KIDNEY DISEASES AND CELLULAR PATHWAYS

422

THERAPY IN PKD

428

REFERENCES

429

CHAPTER 25 Nephronophthisis

440

OVERVIEW ON NEPHRONOPHTHISIS AND RELATED DISORDERS

440

MODE OF INHERITANCE

440

EPIDEMIOLOGY

440

CLINICAL FEATURES OF NPHP

441

PATHOLOGY

443

MOLECULAR GENETICS OF NPHP: AN ETIOLOGICAL CLASSIFICATION OF NPHP

448

FUNCTION OF NEPHROCYSTINS AND PATHOGENESIS OF NPHP

450

DIAGNOSTICS: MOLECULAR GENETICS, IMAGING, AND LABORATORY STUDIES

454

THERAPY, PROGNOSIS, AND GENETIC COUNSELING

455

REFERENCES

455

CHAPTER 26 Medullary Cystic Disease

462

INTRODUCTION

462

HISTORY

463

EPIDEMIOLOGY

465

GENETICS

466

PATHOPHYSIOLOGY

468

CLINICAL MANIFESTATIONS

469

PATHOLOGY

471

DIAGNOSIS

471

TREATMENT

472

FUTURE HORIZONS

474

REFERENCES

474

CHAPTER 27 Renal Dysgenesis

478

INTRODUCTION

478

RENAL DEVELOPMENTAL DEFECTS

478

KIDNEY DEVELOPMENT

480

HUMAN SYNDROMES ASSOCIATED WITH RENAL DYSGENESIS

483

ACKNOWLEDGMENTS

501

REFERENCES

501

PART IV: Inherited Neoplastic Diseases Affecting the Kidney

510

CHAPTER 28 The Genetic Basis of Cancer of the Kidney

512

INTRODUCTION

512

VON HIPPEL-LINDAU DISEASE

512

OTHER MANIFESTATIONS

514

MANAGEMENT OF PATIENTS WITH VHL

515

HEREDITARY PAPILLARY RENAL CELL CANCER

516

BIRT-HOGG-DUBÉ SYNDROME

518

HEREDITARY LEIOMYOMATOSIS AND RENAL CELL CARCINOMA

519

CONCLUSIONS

521

REFERENCES

521

CHAPTER 29 Wilms’ Tumor

524

INTRODUCTION

524

WILMS’ TUMOR: HISTOLOGY, GENETICS, AND ASSOCIATED SYNDROMES

524

THE WT1 GENE, mRNAS, AND PROTEINS

527

THE ROLE OF WT1(–KTS) VS. WT1(+KTS) ISOFORMS

529

WT1 FUNCTION DURING KIDNEY DEVELOPMENT

531

WT1 IN HUMAN UROGENITAL SYNDROMES

534

(–KTS) AND (+KTS) EXPRESSING MOUSE MODELS OF KIDNEY DISEASE

534

CONCLUSIONS

534

ACKNOWLEDGMENTS

535

REFERENCES

535

CHAPTER 30 Tuberous Sclerosis

542

INTRODUCTION

542

CLINICAL FEATURES OF TSC

542

CLINICAL AND MOLECULAR GENETICS OF TSC

545

GENOTYPE–PHENOTYPE CORRELATIONS

548

GENETIC COUNSELING IN TSC

550

MOLECULAR PATHOGENESIS OF TUBEROUS SCLEROSIS

550

THERAPIES FOR TSC

554

ACKNOWLEDGMENTS

555

REFERENCES

555

PART V: Systemic Diseases with Renal Involvement: Monogenic Disorders

558

CHAPTER 31 Nail-Patella Syndrome

560

CLINICAL FEATURES AND NATURAL HISTORY

560

ESTABLISHING THE DIAGNOSIS

562

MANAGEMENT, TREATMENT, AND COUNSELING

563

LMX1B: GENE STRUCTURE, MUTATIONS IN NPS AND THEIR PREDICTED EFFECT

563

HISTORY OF THE LMX1B GENE AND ANIMAL MODELS OF NPS AND LMX1B FUNCTION

566

ROLE OF LMX1B DURING KIDNEY DEVELOPMENT

567

PATHOGENESIS OF NPS AND IMPORTANT QUESTIONS

568

ACKNOWLEDGMENTS

569

REFERENCES

569

CHAPTER 32 Mitochondrial Diseases of the Kidney

574

INTRODUCTION

574

MITOCHONDRIAL GENOME AND GENETICS

574

FOCAL SEGMENTAL GLOMERULOSCLEROSIS (FSGS)

575

INTERSTITIAL NEPHRITIS

576

FANCONI’S SYNDROME

577

RHABDOMYOLYSIS

578

ONCOCYTOMA

578

ELECTROLYTE ABNORMALITIES

578

HYPERTENSION

579

TREATMENT

580

GENETIC COUNSELING

581

ACKNOWLEDGMENTS

581

REFERENCES

581

CHAPTER 33 Primary Hyperoxaluria

586

INTRODUCTION

586

BIOCHEMISTRY

588

GENETICS

590

DIAGNOSIS/SCREENING

593

TREATMENT/MANAGEMENT

596

UNCLASSIFIED HYPEROXALURIA

597

CONCLUSION

598

ACKNOWLEDGMENTS

598

REFERENCES

598

CHAPTER 34 The Oculocerebrorenal Syndrome of Lowe

602

INTRODUCTION

602

GENETICS

602

FUNCTION OF OCRL1 GENE PRODUCT (ocrl1)

603

PHYSICAL FEATURES

604

OPHTHALMOLOGIC ABNORMALITIES

604

NEUROLOGIC MANIFESTATIONS

604

MUSCULOSKELETAL MANIFESTATIONS

605

RENAL MANIFESTATIONS

605

RENAL PATHOLOGY

606

DIAGNOSIS

606

CARRIER DETECTION

606

PRENATAL DIAGNOSIS

608

TREATMENT

608

REFERENCES

609

CHAPTER 35 Fabry’s Disease (α-Galactosidase A Deficiency): An X-linked Nephropathy

612

INTRODUCTION

612

THE CLASSIC PHENOTYPE

612

HETEROZYGOTES FOR THE CLASSIC PHENOTYPE

616

THE LATER-ONSET VARIANTS

617

PATHOLOGY

618

THE METABOLIC AND MOLECULAR DEFECTS IN FABRY DISEASE

619

DIAGNOSIS

620

TREATMENT

621

ENZYME REPLACEMENT THERAPY

622

FUTURE THERAPIES

625

FUTURE PROSPECTS

627

ACKNOWLEDGMENTS

627

REFERENCES

627

CHAPTER 36 Hereditary Fructose Intolerance

632

INTRODUCTION

632

HISTORY

632

CLINICAL FEATURES AND PRESENTATION (TABLE 36.1)

634

PERILS OF FRUCTOSE POISONING IN THE CLINICAL ENVIRONMENT

636

THE SYNDROME OF CHRONIC FRUCTOSE INTOXICATION

637

EFFECTS OF HEREDITARY FRUCTOSE INTOLERANCE ON THE KIDNEY

637

INHERITANCE OF HEREDITARY FRUCTOSE INTOLERANCE

640

PATHOLOGICAL INJURY IN HEREDITARY FRUCTOSE INTOLERANCE

640

METABOLISM OF FRUCTOSE

641

PRIMARY BIOCHEMICAL DEFECT IN FRUCTOSE INTOLERANCE

642

THE ENZYMATIC DEFECT

643

THE ENVIRONMENTAL FACTOR: FRUCTOSE, A UBIQUITOUS NUTRIENT

644

MOLECULAR PATHOLOGY OF ALDOLASE B DEFICIENCY

645

DIAGNOSIS OF HEREDITARY FRUCTOSE INTOLERANCE

647

TREATMENT AND PROGNOSIS

650

PREVENTION OF FRUCTOSE INTOLERANCE BY GENETIC SCREENING

651

ACKNOWLEDGMENTS

652

REFERENCES

652

CHAPTER 37 The Branchio-oto-renal Syndrome

658

INTRODUCTION

658

THE BOR PHENOTYPE

658

DIAGNOSIS

660

DIFFERENTIAL DIAGNOSIS

660

THE GENETICS OF BOR SYNDROME

660

REFERENCES

662

CHAPTER 38 Primary Metabolic and Renal Hyperuricemia

666

INTRODUCTION

666

CLASSIFICATION OF HYPERURICEMIA

668

PURINE METABOLISM

668

SINGLE GENE DISORDER FOR OVERPRODUCTION TYPE HYPERURICEMIA

669

SINGLE GENE DISORDER FOR DECREASED EXCRETION TYPE HYPERURICEMIA

671

REFERENCES

673

CHAPTER 39 Hereditary Cystinosis

676

INTRODUCTION

676

CLINICAL COURSE

676

METABOLIC DEFECT

677

DIAGNOSIS AND TREATMENT

677

CAUSATIVE GENE AND ENCODED PROTEIN

678

FUNCTION OF CYSTINOSIN

680

CTNS MUTATIONS

681

CYSTINOSIN-DEFICIENT MOUSE MODEL

690

CONCLUSIONS

692

REFERENCES

692

CHAPTER 40 Hepatorenal Tyrosinemia

696

INTRODUCTION

696

HTI: A SEVERE LIVER AND KIDNEY DISEASE

697

DIAGNOSTIC AND DETECTION OF HEREDITARY TYROSINEMIA

698

TREATMENT FOR HTI

698

MOLECULAR GENETICS OF HTI

698

SITE-SPECIFIC REVERSION OF MUTATIONS IN HTI AND RESTORATION OF ENZYME ACTIVITY

699

ANIMAL MODELS OF HTI

700

GENE AND CELLULAR THERAPY AS POTENTIAL TREATMENTS IN HTI

701

PERSPECTIVES

703

REFERENCES

703

CHAPTER 41 Renal Disease in Type I Glycogen Storage Disease

708

HISTORICAL BACKGROUND

708

CLINICAL PRESENTATION

708

THE G6Pase COMPLEX AND PATHOPHYSIOLOGY OF GSD-I

710

THE MOLECULAR BASIS OF GSD-Ia

711

THE MOLECULAR BASIS OF GSD-Ib

711

ANIMAL MODELS OF GSD-I

713

KIDNEY DISEASE ASSOCIATED WITH GSD-I

713

RENAL DISEASE IN GSD-I AND DIABETES MELLITUS

717

TREATMENT OF GSD-I

718

CONCLUSIONS

720

REFERENCES

720

CHAPTER 42 Wilson Disease and the Kidney

724

INTRODUCTION

724

MOLECULAR PATHOPHYSIOLOGY OF WILSON DISEASE

724

RENAL COPPER EXCRETION AND TRANSPORT

725

RENAL TUBULAR INJURY AND OTHER FINDINGS

726

HEPATORENAL SYNDROME

727

INTERVENTIONS FOR WILSON DISEASE

727

DRUG-INDUCED RENAL INJURY

727

CONCLUSION

728

REFERENCES

728

CHAPTER 43 Genetic Defects in Renal Phosphate Handling

730

INTRODUCTION

730

GENERAL ASPECTS OF RENAL PHOSPHATE HANDLING

730

A MOLECULAR VIEW OF RENAL PHOSPHATE TRANSPORT

732

PRIMARY INHERITED DEFECTS IN RENAL PHOSPHATE HANDING

737

DEFECTS IN RENAL PHOSPHATE HANDLING SECONDARY TO EXTRARENAL INHERITED DEFECTS

738

CONCLUSION AND OUTLOOK

742

ACKNOWLEDGMENTS

743

REFERENCES

744

PART VI: Systemic Hereditary Diseases with Renal Involvement: Multifactorial Diseases

750

CHAPTER 44 Genetic Susceptibility to Kidney Disease a Consequence of Systemic Autoimmunity

752

INTRODUCTION

752

CLINICAL OVERVIEW OF LUPUS NEPHRITIS

752

GENETIC PREDISPOSITION TO SLE

754

PATHOGENESIS OF LUPUS NEPHRITIS

756

NEPHRITIC SUSCEPTIBILITY LOCI MAPPED IN MURINE LUPUS MODELS

757

LUPUS NEPHRITIS LOCI IDENTIFIED IN HUMAN LUPUS

760

CONCLUSION

760

REFERENCES

760

CHAPTER 45 IgA Nephropathy

764

DEFINITION AND CLINICAL FEATURES

764

PATHOGENESIS

765

GENETIC EPIDEMIOLOGY

769

MOLECULAR GENETICS

774

CONCLUSIONS

778

REFERENCES

778

CHAPTER 46 Susceptibility to Diabetic Nephropathy

786

OVERVIEW

786

ANIMAL MODELS OF DIABETIC NEPHROPATHY

787

FAMILIAL FACTORS IN DIABETIC NEPHROPATHY

788

CANDIDATE PATHWAYS OF DIABETIC NEPHROPATHY

789

THE SEARCH FOR GENETIC FACTORS IN TYPE 1 DIABETIC NEPHROPATHY

794

THE SEARCH FOR TYPE 2 DIABETIC NEPHROPATHY GENES

795

REFERENCES

799

CHAPTER 47 HIV-associated Nephropathy

808

INTRODUCTION

808

HISTOLOGY

808

CLINICAL PRESENTATION AND EPIDEMIOLOGY

808

PATHOGENESIS

811

TREATMENT

821

CONCLUSION

825

REFERENCES

826

Index

830

A

830

B

831

C

831

D

832

E

833

F

834

G

834

H

835

I

836

J

837

K

837

L

837

M

838

N

839

O

839

P

840

R

841

S

842

T

842

U

843

V

843

W

843

X

844

Z

844

Color Plates

846