Department of Pediatrics, Division of Nephrology, Rush University Medical Center, Chicago, Illinois, USA.
Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
Nephrology (Carlton). 2024 Dec;29(12):781-790. doi: 10.1111/nep.14373. Epub 2024 Nov 5.
The incidence and prevalence of genetic diseases associated with chronic kidney disease (CKD) have been increasing over the last decades. To identify the monogenic causes of kidney stone disorders linked to CKD, a comprehensive literature review was conducted to identify monogenic genes causing nephrolithiasis and CKD. Among 41 identifiable monogenic causes of nephrolithiasis the following diseases primary hyperoxaluria familial hypomagnesemia with hypercalciuria and nephrocalcinosis, cystinuria; Dent disease, adenine phosphoribosyltransferase deficiency, Lesch-Nyhan syndrome, and idiopathic Infantile hypercalciuria have been linked to CKD and may progress to end-stage kidney disease (ESKD). Autosomal dominant hypocalcemia and Bartter syndrome (BS) are also hereditary kidney diseases that can cause urolithiasis but are rarely associated with CKD. A few BS type III can be complicated with CKD. A substantial number of kidney stone patients with genetic disorders progress to CKD. Genetic diagnosis should be initiated in all children presenting with kidney stones.
过去几十年中,与慢性肾脏病(CKD)相关的遗传疾病的发病率和患病率一直在上升。为了确定与 CKD 相关的肾结石疾病的单基因病因,我们进行了全面的文献回顾,以确定导致肾结石和 CKD 的单基因。在可识别的 41 种导致肾结石的单基因病因中,以下疾病原发性高草酸尿症、家族性低镁血症伴高钙尿和肾钙质沉着症、胱氨酸尿症;Dent 病、腺嘌呤磷酸核糖基转移酶缺乏症、Lesch-Nyhan 综合征和特发性婴儿高钙尿症与 CKD 有关,可能进展为终末期肾病(ESKD)。常染色体显性低钙血症和 Bartter 综合征(BS)也是遗传性肾脏疾病,可引起尿路结石,但很少与 CKD 相关。少数 BS 型 III 可并发 CKD。相当数量的遗传性肾结石患者进展为 CKD。所有患有肾结石的儿童都应进行基因诊断。