Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Department of Pediatric Nephrology, Severance Children's Hospital, Seoul, Korea.
Investig Clin Urol. 2017 Jun;58(Suppl 1):S4-S13. doi: 10.4111/icu.2017.58.S1.S4. Epub 2017 Jun 7.
The definition of congenital anomalies of the kidney and urinary tract (CAKUT) is the disease of structural malformations in the kidney and/or urinary tract containing vesicoureteral reflux (VUR). These anomalies can cause pediatric chronic kidney disease. However, the pathogenesis of CAKUT is not well understood, because identifying the genetic architecture of CAKUT is difficult due to the phenotypic heterogeneity and multifactorial genetic penetrance. We describe the current genetic basis and mechanisms of CAKUT including VUR via approaching the steps and signaling pathways of kidney developmental processes. We also focus on the newly developed strategies and challenges to fully address the role of the associated genes in the pathogenesis of the disease.
先天性肾和尿路畸形(CAKUT)的定义是肾脏和/或尿路结构畸形的疾病,其中包含了输尿管反流(VUR)。这些异常可导致小儿慢性肾脏病。然而,CAKUT 的发病机制尚不清楚,因为由于表型异质性和多因素遗传外显率,确定 CAKUT 的遗传结构具有一定难度。我们通过探讨肾脏发育过程的步骤和信号通路来描述 CAKUT(包括 VUR)的当前遗传基础和机制。我们还重点关注新开发的策略和挑战,以充分阐明相关基因在疾病发病机制中的作用。