Aydin B, Dilli D, Beken S, Zenciroglu A, Uzunalic N, Yuksekkaya P, Akyuz S G, Aydog O, Okumus N
Department of Neonatology, Dr Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey.
Genet Couns. 2013;24(2):201-5.
Renal hypoplasia is a congenital anomaly, the etiology of which is not yet fully known. Genetic studies have shown that certain genes, in utero environmental factors and molecular mechanisms have a role in the identification ofnephron formation and kidney size. The coexistence of bilateral renal hypoplasia and optic disc coloboma is observed in papillorenal syndrome, which caused by the mutation of the PAX2 gene. In the case presented in this article, bilateral renal hypoplasia and optic disc coloboma have been detected to coexist. The analysis of the PAX2 gene, which was carried out with an eye to the papillorenal syndrome, did not reveal any mutations. However, de novo t(2;15) (q31; q26) (reciprocal translocation) was detected in chromosome analysis. As far as we know, there are not any publications focusing on the clinical importance of this type of translocation. In cases with renal hypoplasia and optic disc coloboma, the possibility of a de novo translocation between chromosomes 2 and 15 should be considered.
肾发育不全是一种先天性异常,其病因尚未完全明确。基因研究表明,某些基因、子宫内环境因素及分子机制在肾单位形成和肾脏大小的确定中发挥作用。在由PAX2基因突变引起的乳头肾综合征中,可观察到双侧肾发育不全与视盘缺损并存。在本文所呈现的病例中,已检测到双侧肾发育不全与视盘缺损并存。针对乳头肾综合征对PAX2基因进行分析,未发现任何突变。然而,在染色体分析中检测到了新发的t(2;15) (q31; q26)(相互易位)。据我们所知,尚无任何出版物关注此类易位的临床重要性。在患有肾发育不全和视盘缺损的病例中,应考虑2号和15号染色体之间新发易位的可能性。