Braun Daniela A, Hildebrandt Friedhelm
Division of Nephrology, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts 02115.
Cold Spring Harb Perspect Biol. 2017 Mar 1;9(3):a028191. doi: 10.1101/cshperspect.a028191.
Nephronophthisis-related ciliopathies (NPHP-RC) are a group of inherited diseases that affect genes encoding proteins that localize to primary cilia or centrosomes. With few exceptions, ciliopathies are inherited in an autosomal recessive manner, and affected individuals manifest early during childhood or adolescence. NPHP-RC are genetically very heterogeneous, and, currently, mutations in more than 90 genes have been described as single-gene causes. The phenotypes of NPHP-RC are very diverse, and include cystic-fibrotic kidney disease, brain developmental defects, retinal degeneration, skeletal deformities, facial dimorphism, and, in some cases, laterality defects, and congenital heart disease. Mutations in the same gene can give rise to diverse phenotypes depending on the mutated allele. At the same time, there is broad phenotypic overlap between different monogenic genes. The identification of monogenic causes of ciliopathies has furthered the understanding of molecular mechanism and cellular pathways involved in the pathogenesis.
肾单位肾痨相关纤毛病(NPHP-RC)是一组遗传性疾病,这些疾病会影响编码定位于初级纤毛或中心体的蛋白质的基因。除少数例外,纤毛病以常染色体隐性方式遗传,受影响个体在儿童期或青春期早期出现症状。NPHP-RC在遗传上具有很大的异质性,目前,已将90多个基因中的突变描述为单基因病因。NPHP-RC的表型非常多样,包括囊性纤维化肾病、脑发育缺陷、视网膜变性、骨骼畸形、面部二态性,在某些情况下还包括偏侧性缺陷和先天性心脏病。同一基因中的突变可能会根据突变等位基因产生不同的表型。同时,不同单基因之间存在广泛的表型重叠。纤毛病单基因病因的鉴定进一步加深了对发病机制中涉及的分子机制和细胞途径的理解。