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Nephronophthisis and Renal–Hepatic–Pancreatic Dysplasia of Ivemark

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Fibrocystic Diseases of the Liver

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Summary

Nephronophthisis is a disease of renal tubular dysfunction that progresses to end-stage renal disease; it can occur in combination with abnormalities of other organs including the liver. Growing knowledge of the genes associated with nephronophthisis indicates that the disease is associated with dysfunction of primary cilia and related structures.

Renal–hepatic–pancreatic dysplasia of Ivemark is a rare, typically fatal congenital anomaly sequence, characterized by renal dysplasia, hepatic dysgenesis, and pancreatic fibrosis. Newer data suggest that it, too, is related to abnormalities of cilia and may share gene abnormalities with syndromes associated with nephronophthisis.

Knowledge of the various genes involved in these and other cystic/dysplastic syndromes continues to grow. Diverse mutations in genes associated with the primary cilium can lead to a variety of phenotypes; epistasis and oligogenic inheritance may explain some of the variety in clinical findings.

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References

  1. Smith CH, Graham JB. Congenital medullary cysts of kidneys with severe refractory anemia. Am J Dis Child 1945;69, 369–377.

    Google Scholar 

  2. Fanconi G, Hanhart E, von Albertini A et al. Familial, juvenile nephronophthisis (idiopathic parenchymal contracted kidney). Helv Paediatr Acta 1951;6, 1–49.

    CAS  PubMed  Google Scholar 

  3. Hildebrandt F, Otto E. Cilia and centrosomes: A unifying pathogenic concept for cystic kidney disease? Nat Rev Genet 2005;6, 928–940.

    Article  CAS  PubMed  Google Scholar 

  4. Saunier S, Salomon R, Antignac C. Nephronophthisis. Curr Opin Genet Dev 2005;15, 324–331.

    Article  CAS  PubMed  Google Scholar 

  5. Omran H, Fernandez C, Jung M et al. Identification of a new gene locus for adolescent nephronophthisis, on chromosome 3q22 in a large Venezuelan pedigree. Am J Hum Genet 2000;66, 118–127.

    Article  CAS  PubMed  Google Scholar 

  6. Olbrich H, Fliegauf M, Hoefele J et al. Mutations in a novel gene, NPHP3, cause adolescent nephronophthisis, tapeto-retinal degeneration and hepatic fibrosis. Nat Genet 2003;34, 455–459.

    Article  CAS  PubMed  Google Scholar 

  7. Potter DE, Holliday MA, Piel CF et al. Treatment of end-stage renal disease in children: A 15-year experience. Kidney Int 1980;18, 103–109.

    Article  CAS  PubMed  Google Scholar 

  8. Hildebrandt F, Strahm B, Nothwang HG et al. Molecular genetic identification of families with juvenile nephronophthisis type 1: Rate of progression to renal failure. APN Study Group. Arbeitsgemeinschaft fur Padiatrische Nephrologie. Kidney Int 1997;51, 261–269.

    Article  CAS  PubMed  Google Scholar 

  9. Loken AC, Hanssen O, Halvorsen S, Jolster NJ. Hereditary renal dysplasia and blindness. Acta Paediatr 1961;50, 177–184.

    Article  CAS  PubMed  Google Scholar 

  10. Senior B, Friedmann AI, Braudo JL. Juvenile familial nephropathy with tapetoretinal degeneration. A new oculorenal dystrophy. Am J Ophthalmol 1961;52, 625–633.

    CAS  PubMed  Google Scholar 

  11. Gagnadoux MF, Bacri JL, Broyer M, Habib R. Infantile chronic tubulo-interstitial nephritis with cortical microcysts: Variant of nephronophthisis or new disease entity? Pediatr Nephrol 1989;3, 50–55.

    Article  CAS  PubMed  Google Scholar 

  12. Aguilera A, Rivera M, Gallego N et al. Sonographic appearance of the juvenile nephronophthisis-cystic renal medulla complex. Nephrol Dial Transplant 1997;12, 625–626.

    Article  CAS  PubMed  Google Scholar 

  13. Blowey DL, Querfeld U, Geary D et al. Ultrasound findings in juvenile nephronophthisis. Pediatr Nephrol 1996;10, 22–24.

    Article  CAS  PubMed  Google Scholar 

  14. Caridi G, Dagnino M, Gusmano R et al. Clinical and molecular heterogeneity of juvenile nephronophthisis in Italy: Insights from molecular screening. Am J Kidney Dis 2000;35, 44–51.

    Article  CAS  PubMed  Google Scholar 

  15. Hildebrandt F, Waldherr R, Kutt R, Brandis M. The nephronophthisis complex: Clinical and genetic aspects. Clin Investig 1992;70, 802–808.

    Article  CAS  PubMed  Google Scholar 

  16. Waldherr R, Lennert T, Weber HP et al. The nephronophthisis complex. A clinicopathologic study in children. Virchows Arch A Pathol Anat Histol 1982;394, 235–254.

    Article  CAS  PubMed  Google Scholar 

  17. Ala-Mello S, Kivivuori SM, Ronnholm KA et al. Mechanism underlying early anaemia in children with familial juvenile nephronophthisis. Pediatr Nephrol 1996;10, 578–581.

    Article  CAS  PubMed  Google Scholar 

  18. Singh AK, Szczech L, Tang KL et al. Correction of anemia with epoetin alfa in chronic kidney disease. N Engl J Med 2006;355, 2085–2098.

    Article  CAS  PubMed  Google Scholar 

  19. Drueke TB, Locatelli F, Clyne N et al. Normalization of hemoglobin level in patients with chronic kidney disease and anemia. N Engl J Med 2006;355, 2071–2084.

    Article  CAS  PubMed  Google Scholar 

  20. Ivemark BI, Ljungqvist A, Barry A. Juvenile nephronophthisis. Part 2. A histologic and microangiographic study. Acta Paediatr 1960;49, 480–487.

    Article  CAS  PubMed  Google Scholar 

  21. Hildebrandt F, Otto E, Rensing C et al. A novel gene encoding an SH3 domain protein is mutated in nephronophthisis type 1. Nat Genet 1997;17, 149–153.

    Article  CAS  PubMed  Google Scholar 

  22. Saunier S, Calado J, Heilig R et al. A novel gene that encodes a protein with a putative src homology 3 domain is a candidate gene for familial juvenile nephronophthisis. Hum Mol Genet 1997;6, 2317–2323.

    Article  CAS  PubMed  Google Scholar 

  23. Antignac C, Arduy CH, Beckmann JS et al. A gene for familial juvenile nephronophthisis (recessive medullary cystic kidney disease) maps to chromosome 2p. Nat Genet 1993;3, 342–345.

    Article  CAS  PubMed  Google Scholar 

  24. Saunier S, Calado J, Benessy F et al. Characterization of the NPHP1 locus: Mutational mechanism involved in deletions in familial juvenile nephronophthisis. Am J Hum Genet 2000;66, 778–789.

    Article  CAS  PubMed  Google Scholar 

  25. Benzing T, Gerke P, Hopker K et al. Nephrocystin interacts with Pyk2, p130(Cas), and tensin and triggers phosphorylation of Pyk2. Proc Natl Acad Sci USA 2001;98, 9784–9789.

    Article  CAS  PubMed  Google Scholar 

  26. Haider NB, Carmi R, Shalev H et al. Bedouin kindred with infantile nephronophthisis demonstrates linkage to chromosome 9 by homozygosity mapping. Am J Hum Genet 1998;63, 1404–1410.

    Article  CAS  PubMed  Google Scholar 

  27. Otto EA, Schermer B, Obara T et al. Mutations in INVS encoding inversin cause nephronophthisis type 2, linking renal cystic disease to the function of primary cilia and left–right axis determination. Nat Genet 2003;34, 413–420.

    Article  CAS  PubMed  Google Scholar 

  28. Otto EA, Helou J, Allen SJ et al. Mutation analysis in nephronophthisis using a combined approach of homozygosity mapping, CEL I endonuclease cleavage, and direct sequencing. Hum Mutat 2008;29, 418–426.

    Article  CAS  PubMed  Google Scholar 

  29. Bergmann C, Fliegauf M, Bruchle NO et al. Loss of nephrocystin-3 function can cause embryonic lethality, Meckel–Gruber-like syndrome, situs inversus, and renal–hepatic–pancreatic dysplasia. Am J Hum Genet 2008;82, 959–970.

    Article  CAS  PubMed  Google Scholar 

  30. Mollet G, Salomon R, Gribouval O et al. The gene mutated in juvenile nephronophthisis type 4 encodes a novel protein that interacts with nephrocystin. Nat Genet 2002;32, 300–305.

    Article  CAS  PubMed  Google Scholar 

  31. Otto E, Hoefele J, Ruf R et al. A gene mutated in nephronophthisis and retinitis pigmentosa encodes a novel protein, nephroretinin, conserved in evolution. Am J Hum Genet 2002;71, 1161–1167.

    Article  CAS  PubMed  Google Scholar 

  32. Roepman R, Letteboer SJ, Arts HH et al. Interaction of nephrocystin-4 and RPGRIP1 is disrupted by nephronophthisis or Leber congenital amaurosis-associated mutations. Proc Natl Acad Sci USA 2005;102, 18520–18525.

    Article  CAS  PubMed  Google Scholar 

  33. Nomura N, Miyajima N, Sazuka T et al. Prediction of the coding sequences of unidentified human genes. I. The coding sequences of 40 new genes (KIAA0001-KIAA0040) deduced by analysis of randomly sampled cDNA clones from human immature myeloid cell line KG-1. DNA Res 1994;1, 27–35.

    Article  CAS  PubMed  Google Scholar 

  34. Otto EA, Loeys B, Khanna H et al. Nephrocystin-5, a ciliary IQ domain protein, is mutated in Senior–Loken syndrome and interacts with RPGR and calmodulin. Nat Genet 2005;37, 282–288.

    Article  CAS  PubMed  Google Scholar 

  35. Salomon R, Saunier S, Niaudet P. Nephronophthisis. Pediatr Nephrol 2008; doi:10.1007/s00467–008-0840–z.

    Google Scholar 

  36. Sayer JA, Otto EA, O’Toole JF et al. The centrosomal protein nephrocystin-6 is mutated in Joubert syndrome and activates transcription factor ATF4. Nat Genet 2006;38, 674–681.

    Article  CAS  PubMed  Google Scholar 

  37. Attanasio M, Uhlenhaut NH, Sousa VH et al. Loss of GLIS2 causes nephronophthisis in humans and mice by increased apoptosis and fibrosis. Nat Genet 2007;39, 1018–1024.

    Article  CAS  PubMed  Google Scholar 

  38. Zhang F, Jetten AM. Genomic structure of the gene encoding the human GLI-related, Kruppel-like zinc finger protein. GLIS2 Gene 2001;280, 49–57.

    CAS  Google Scholar 

  39. Delous M, Baala L, Salomon R et al. The ciliary gene RPGRIP1L is mutated in cerebello-oculo-renal syndrome (Joubert syndrome type B) and Meckel syndrome. Nat Genet 2007;39, 875–881.

    Article  CAS  PubMed  Google Scholar 

  40. Wolf MT, Saunier S, O’Toole JF et al. Mutational analysis of the RPGRIP1L gene in patients with Joubert syndrome and nephronophthisis. Kidney Int 2007;72, 1520–1526.

    Article  CAS  PubMed  Google Scholar 

  41. Arts HH, Doherty D, van Beersum SE et al. Mutations in the gene encoding the basal body protein RPGRIP1L, a nephrocystin-4 interactor, cause Joubert syndrome. Nat Genet 2007;39, 882–888.

    Article  CAS  PubMed  Google Scholar 

  42. Otto EA, Trapp ML, Schultheiss UT et al. NEK8 mutations affect ciliary and centrosomal localization and may cause nephronophthisis. J Am Soc Nephrol 2008;19, 587–592.

    Article  CAS  PubMed  Google Scholar 

  43. Tory K, Lacoste T, Burglen L et al. High NPHP1 and NPHP6 mutation rate in patients with Joubert syndrome and nephronophthisis: Potential epistatic effect of NPHP6 and AHI1 mutations in patients with NPHP1 mutations. J Am Soc Nephrol 2007;18, 1566–1575.

    Article  CAS  PubMed  Google Scholar 

  44. Hoefele J, Wolf MT, O’Toole JF et al. Evidence of oligogenic inheritance in nephronophthisis. J Am Soc Nephrol 2007;18, 2789–2795.

    Article  CAS  PubMed  Google Scholar 

  45. Boichis H, Passwell J, David R, Miller H. Congenital hepatic fibrosis and nephronophthisis. A family study. Q J Med 1973;42, 221–233.

    CAS  PubMed  Google Scholar 

  46. Ivemark BI, Oldfelt V, Zetterstrom R. Familial dysplasia of kidneys, liver and pancreas: A probably genetically determined syndrome. Acta Paediatr 1959;48, 1–11.

    Article  CAS  PubMed  Google Scholar 

  47. Torra R, Alos L, Ramos J, Estivill X. Renal–hepatic–pancreatic dysplasia: An autosomal recessive malformation. J Med Genet 1996;33, 409–412.

    Article  CAS  PubMed  Google Scholar 

  48. Crawfurd MD. Renal dysplasia and asplenia in two sibs. Clin Genet 1978;14, 338–344.

    Article  CAS  PubMed  Google Scholar 

  49. Strayer DS, Kissane JM. Dysplasia of the kidneys, liver, and pancreas: Report of a variant of Ivemark’s syndrome. Hum Pathol 1979;10, 228–234.

    Google Scholar 

  50. Bernstein J, Chandra M, Creswell J et al. Renal–hepatic–pancreatic dysplasia: A syndrome reconsidered. Am J Med Genet 1987;26, 391–403.

    Article  CAS  PubMed  Google Scholar 

  51. Boopathy Vijayaraghavan S, Kamalam M, Raman ML. Prenatal sonographic appearance of congenital bile duct dilatation associated with renal–hepatic–pancreatic dysplasia. Ultrasound Obstet Gynecol 2004;23, 609–611.

    Article  CAS  PubMed  Google Scholar 

  52. Hunter AG, Jimenez C, Tawagi FG. Familial renal–hepatic–pancreatic dysplasia and Dandy–Walker cyst: A distinct syndrome? Am J Med Genet 1991;41, 201–207.

    Article  CAS  PubMed  Google Scholar 

  53. Blowey DL, Warady BA, Zwick DL, Ong C. Renal–pancreatic–hepatic dysplasia in siblings. Pediatr Nephrol 1995;9, 36–38.

    Article  CAS  PubMed  Google Scholar 

  54. Abbi R, Daum F, Kahn E. Ontogeny of renal dysplasia in Ivemark syndrome: Light and immunohistochemical characterization. Ann Clin Lab Sci 1999;29, 9–17.

    CAS  PubMed  Google Scholar 

  55. Bendon RW. Ivemark’s renal–hepatic–pancreatic dysplasia: Analytic approach to a perinatal autopsy. Pediatr Dev Pathol 1999;2, 94–100.

    Article  CAS  PubMed  Google Scholar 

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Myers, D.A., Symons, J.M. (2010). Nephronophthisis and Renal–Hepatic–Pancreatic Dysplasia of Ivemark. In: Murray, K., Larson, A. (eds) Fibrocystic Diseases of the Liver. Clinical Gastroenterology. Humana Press. https://doi.org/10.1007/978-1-60327-524-8_9

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  • DOI: https://doi.org/10.1007/978-1-60327-524-8_9

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