Multicentric Carpotarsal Osteolysis Syndrome Associated Nephropathy: Novel Variants of MAFB Gene and Literature Review

被引:9
作者
Drovandi, Stefania [1 ]
Lugani, Francesca [2 ]
Boyer, Olivia [3 ]
La Porta, Edoardo [1 ]
Giordano, Paolo [1 ]
Hummel, Aurelie [3 ]
Knebelmann, Bertrand [4 ]
Cornet, Josephine [4 ]
Baujat, Genevieve [5 ]
Lipska-Zietkiewicz, Beata S. [6 ,7 ]
Ghiggeri, Gian Marco [1 ,2 ]
Caridi, Gianluca [2 ]
Angeletti, Andrea [1 ,2 ]
机构
[1] IRCCS Ist Giannina Gaslini, Div Nephrol Dialysis & Transplantat, I-16147 Genoa, Italy
[2] IRCCS Ist Giannina Gaslini, Lab Mol Nephrol, I-16147 Genoa, Italy
[3] Univ Paris Cite, Hop Univ Necker Enfants Malad, Ctr Reference MARHEA, Inst Imagine,PHP,Serv Nephrol Pediat, F-75015 Paris, France
[4] Paris Univ, Necker Hosp, AP HP, Nephrol Dept,Reference Ctr Inherited Kidney Dis M, F-75015 Paris, France
[5] Univ Paris, Reference Ctr Constitut Bone Dis, Imagine Inst, Lab Osteochondrodysplasia,INSERM UMR 1163, F-75015 Paris, France
[6] Med Univ Gdansk, Rare Dis Ctr, PL-80210 Gdansk, Poland
[7] Med Univ Gdansk, Dept Biol & Med Genet, Clin Genet Unit, PL-80210 Gdansk, Poland
关键词
multicentric carpotarsal syndrome; monogenic kidney disease; hereditary podocytopathy; glomerulonephritis; nephrotic syndrome; renal failure; CYCLOSPORINE-A; TARSAL OSTEOLYSIS; MUTATIONS; PODOCYTES; EXPRESSION; DOMAIN;
D O I
10.3390/jcm11154423
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Multicentric carpo-tarsal osteolysis (MCTO) is a rare osteolysis syndrome mainly involving carpal and tarsal bones usually presenting in early childhood. MCTO has autosomal dominant inheritance with heterozygous mutation in the MAFB gene. The skeletal disorder is often associated with chronic kidney disease. Data on clinical characterization and best treatment option of MCTO-associated nephropathy are scarce and mostly limited to case reports. With the aim to better define the phenotype and long-term outcomes of MCTO-associated nephropathy, we launched an online survey through the Workgroup for hereditary glomerulopathies of the European Rare Kidney Disease Network (ERKNet). Overall, we collected clinical and genetic data of 54 MCTO patients, of which 42 previously described and 12 new patients. We observed a high rate of kidney involvement (70%), early age of kidney disease onset, nephrotic-range proteinuria, and a kidney survival around of 40% at long-term follow-up. Our finding confirmed the heterogeneity of clinical manifestations and widen the spectrum of phenotypes resulting from MCTO-associated nephropathy. Furthermore, we report the first case of complete remission after treatment with cyclosporine A. We demonstrated that multidisciplinary care is essential for MCTO patients and early referral to nephrologists is therefore warranted to facilitate prompt treatment.
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页数:9
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