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Loss of podocalyxin causes a novel syndromic type of congenital nephrotic syndrome.


ABSTRACT: Many cellular structures directly imply specific biological functions. For example, normal slit diaphragm structures that extend from podocyte foot processes ensure the filtering function of renal glomeruli. These slits are covered by a number of surface proteins, such as nephrin, podocin, podocalyxin and CD2AP. Here we report a human patient presenting with congenital nephrotic syndrome, omphalocele and microcoria due to two loss-of-function mutations in PODXL, which encodes podocalyxin, inherited from each parent. This set of symptoms strikingly mimics previously reported mouse Podxl-/- embryos, emphasizing the essential function of PODXL in mammalian kidney development and highlighting this patient as a human PODXL-null model. The results underscore the utility of current genomics approaches to provide insights into the genetic mechanisms of human disease traits through molecular diagnosis.

SUBMITTER: Kang HG 

PROVIDER: S-EPMC5750479 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature

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Loss of podocalyxin causes a novel syndromic type of congenital nephrotic syndrome.

Kang Hee Gyung HG   Lee Moses M   Lee Kyoung Boon KB   Hughes Michael M   Kwon Bo Sang BS   Lee Sangmoon S   McNagny Kelly M KM   Ahn Yo Han YH   Ko Jung Min JM   Ha Il-Soo IS   Choi Murim M   Cheong Hae Il HI  

Experimental & molecular medicine 20171215 12


Many cellular structures directly imply specific biological functions. For example, normal slit diaphragm structures that extend from podocyte foot processes ensure the filtering function of renal glomeruli. These slits are covered by a number of surface proteins, such as nephrin, podocin, podocalyxin and CD2AP. Here we report a human patient presenting with congenital nephrotic syndrome, omphalocele and microcoria due to two loss-of-function mutations in PODXL, which encodes podocalyxin, inheri  ...[more]

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