Abstract | BACKGROUND: METHODS: We analyzed WT1 exons 8 and 9 and the surrounding exon/intron boundary DNA sequences in 37 children with nonfamilial primary steroid-resistant nephrotic syndrome. Semiquantitative reverse transcription-polymerase chain reaction (RT-PCR) was used to determine the relative ratio of +KTS/-KTS transcripts from immortalized lymphocyte RNA. RESULTS: One boy with FSGS and associated pathologies ( diaphragmatic hernia, proximal hypospadias, and unilateral testicular ectopia) was found to carry the heterozygous 1228 +4 C-->T splice-site mutation. RT-PCR quantitation of the +KTS/-KTS transcripts from immortalized lymphocyte RNA of this patient showed a diminution of the +KTS/-KTS isoform ratio (0.43), which is identical to that reported in patients with Frasier syndrome. Using the same approach, healthy control subjects have +KTS/-KTS ratios ranging from 1.50 to 2.00. CONCLUSIONS: This study expands the range of the phenotypic presentation of the intron 9 splice-site WT1 mutations and adds to the already reported heterogeneity of primary steroid-resistant nephrotic syndromes. We suggest that these mutations are not likely to be a common cause of isolated steroid-resistant nephrotic syndrome, and recommend a WT1 exon 9/intron 9 splice-site study in children with primary steroid-resistant nephrotic syndrome if genital or diaphragmatic anomalies are associated. The identification of such WT1 mutations has practical implications for the management of these patients.
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Authors | E Denamur, N Bocquet, V Baudouin, F Da Silva, R Veitia, M Peuchmaur, J Elion, M C Gubler, M Fellous, P Niaudet, C Loirat |
Journal | Kidney international
(Kidney Int)
Vol. 57
Issue 5
Pg. 1868-72
(May 2000)
ISSN: 0085-2538 [Print] United States |
PMID | 10792605
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Adrenal Cortex Hormones
- DNA-Binding Proteins
- Transcription Factors
- WT1 Proteins
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Topics |
- Adolescent
- Adrenal Cortex Hormones
(therapeutic use)
- Child
- Child, Preschool
- DNA-Binding Proteins
(genetics)
- Exons
- Female
- Glomerulosclerosis, Focal Segmental
(drug therapy, genetics)
- Humans
- Infant
- Male
- Mutation
- RNA Splicing
- Transcription Factors
(genetics)
- WT1 Proteins
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