Aya Kunihiko, Shimizu Junya, Ohtomo Yoshiyuki, Satomura Kenichi, Suzuki Hoshiro, Yan Kunimasa, Sado Yoshikazu, Morishima Tsuneo, Tanaka Hiroyuki
Department of Pediatrics, Okayama University Medical School, National Okayama Medical Center,Okayama, Okayama, Japan.
Nephrol Dial Transplant. 2009 Aug;24(8):2411-4. doi: 10.1093/ndt/gfp122. Epub 2009 Mar 25.
The NPHS1gene was analysed in different five Japanese patients with congenital nephrotic syndrome (CNS) from the patients in a previous report (Sako M, Nakanishi K, Obana M et al. Analysis of NPHS1, NPHS2, ACTN4, and WT1 in Japanese patients with congenital nephrotic syndrome. Kidney Int 2005; 67: 1248-1255) that suggested that the mutation of NPHS1 was not a major cause of CNS in Japanese patients. Genomic DNA was extracted from leukocytes, and all exons and exon-intron boundaries were analysed for NPHS1 using polymerase chain reaction and direct sequencing.
Compound heterozygous mutations of NPHS1 were found in four patients and homozygous mutations in one patient. Interestingly, three patients out of five had the same mutation in NPHS1: nt2515(delC). Parents who had this mutation heterozygously were from neighbouring prefectures. Two among five patients in this research and one in the previous report (Kidney Int 2005; 67:1248-1255) had the same mutation: 736G > T in exon 7. All mutations including these two mutations except for one have never been reported outside of Japan yet.
对另外5名日本先天性肾病综合征(CNS)患者的NPHS1基因进行了分析,这些患者来自之前一篇报告(Sako M、Nakanishi K、Obana M等。日本先天性肾病综合征患者中NPHS1、NPHS2、ACTN4和WT1的分析。《肾脏病国际》2005年;67:1248 - 1255)中的患者,该报告表明NPHS1突变并非日本患者CNS的主要病因。从白细胞中提取基因组DNA,使用聚合酶链反应和直接测序对NPHS1的所有外显子和外显子 - 内含子边界进行分析。
在4名患者中发现了NPHS1的复合杂合突变,1名患者中发现了纯合突变。有趣的是,5名患者中有3名在NPHS1中具有相同的突变:nt2515(delC)。携带该突变杂合子的父母来自相邻的县。本研究中的5名患者中有2名以及之前报告(《肾脏病国际》2005年;67:1248 - 1255)中的1名患者具有相同的突变:外显子7中的736G > T。除了一个突变外,包括这两个突变在内的所有突变在日本境外尚未有报道。