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接受放化疗加速进展的终末期常染色体显性多囊肾病伴低频PKD1嵌合变异体

End-stage ADPKD with a low-frequency PKD1 mosaic variant accelerated by chemoradiotherapy.

作者信息

Hanafusa Hiroaki, Yamaguchi Hiroshi, Morisada Naoya, Ye Ming Juan, Matsumoto Riki, Nagase Hiroaki, Nozu Kandai

机构信息

Department of Pediatrics, Kobe University Graduate School of Medicine, Hyogo, Japan.

Department of Genetics, Hyogo Prefectural Kobe Children's Hospital, Hyogo, Japan.

出版信息

Hum Genome Var. 2024 Mar 28;11(1):17. doi: 10.1038/s41439-024-00273-0.

DOI:10.1038/s41439-024-00273-0
PMID:38548773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10978896/
Abstract

Autosomal dominant polycystic kidney disease (ADPKD) is commonly caused by PKD1, and mosaic PKD1 variants result in milder phenotypes. We present the case of a 32 year-old male with chronic active Epstein-Barr virus who underwent bone marrow transplantation with chemoradiotherapy at age 9. Despite a low-frequency mosaic splicing PKD1 variant, he developed severe renal cysts and end-stage renal disease in his 30 s. This case highlights how environmental factors may contribute to the genetic predisposition to ADPKD.

摘要

常染色体显性多囊肾病(ADPKD)通常由PKD1引起,而镶嵌性PKD1变异会导致较轻的表型。我们报告了一例32岁男性病例,该患者患有慢性活动性EB病毒感染,9岁时接受了放化疗的骨髓移植。尽管存在低频镶嵌性剪接PKD1变异,但他在30多岁时仍出现了严重肾囊肿和终末期肾病。该病例凸显了环境因素可能如何促成ADPKD的遗传易感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5c5/10978896/2d22987e752b/41439_2024_273_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5c5/10978896/20eab4d4ce75/41439_2024_273_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5c5/10978896/2d22987e752b/41439_2024_273_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5c5/10978896/20eab4d4ce75/41439_2024_273_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5c5/10978896/2d22987e752b/41439_2024_273_Fig2_HTML.jpg

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