Zeni Angela, Pecoraro Luca, Benetti Elisa, Brugnara Milena
UOC Pediatria C, Ospedale della Donna e del Bambino, Azienda Ospedaliera Universitaria Integrata Verona.
UOC Nefrologia Pediatrica, Dipartimento di Salute della Donna e del Bambino, Azienda Ospedale Università Padova.
G Ital Nefrol. 2023 Dec 22;40(6):2023-vol6.
In the last decades, our understanding of the genetic disorders of inherited podocytopathies has advanced immensely; this has been possible thanks to the development of next-generation sequencing technologies that offer the possibility to evaluate targeted genes at a lower cost than in the past. Identifying new genetic mutations has helped to recognize the key role of the podocyte in the health of the glomerular filter and to understand the mechanisms that regulate the cell biology and pathology of the podocyte. Here we describe a patient with congenital nephrotic syndrome due to a mutation in PODXL. This gene encodes podocalyxin, a podocyte-specific surface sialomucin known to maintain the characteristic architecture of the foot processes and the patency of the filtration slits.
在过去几十年里,我们对遗传性足细胞病的基因紊乱的理解有了极大进展;这得益于新一代测序技术的发展,该技术使得以比过去更低的成本评估靶向基因成为可能。识别新的基因突变有助于认识足细胞在肾小球滤过器健康中的关键作用,并理解调节足细胞细胞生物学和病理学的机制。在此,我们描述一名因PODXL基因突变导致先天性肾病综合征的患者。该基因编码足突细胞粘附分子,这是一种足细胞特异性表面涎粘蛋白,已知其可维持足突的特征性结构以及滤过裂隙的通畅。