Table 2.
Mutation analysis of NPHS2 and WT1 in 18 African American patients with steroid-resistant nephrotic syndrome from 18 different families
Family | Gender | Mutation in NPHS2 | Mutation in WT1 | Age of onset (years) | Initial presentation | Response to 2nd line immunosuppression | ESRD (years after onset) | Renal biopsy | Transplantation |
---|---|---|---|---|---|---|---|---|---|
A215 | M | no | no | 13.0 | edema | – | 4.2 | FSGS | no |
A589a | M | no | no | 4.0 | edema | – | 8.1 | FSGS | no |
A660 | F | no | no | 2.8 | edema, HTN | – | no | FSGS | no |
A968 | M | no | no | 9.8 | incidental | CSA–nd | no | FSGS | no |
A1118 | F | no | no | 4.9 | edema | CP–nr | no | MCD (×2) | no |
A1194 | M | no | no | 5.7 | incidental | CSA–nr | 5.5 | FSGS (×2) | no |
A1458 | M | no | no | 4.1 | edema | Chl–nr | no | MCD | no |
A1478 | F | no | no | 14.5 | edema, RF | CSA–pr | no | FSGS | no |
A1483 | F | no | no | 14.1 | edema | CSA–nr | no | FSGS | no |
A1500 | F | no | no | 1.9 | edema, HTN | CP, CSA–nr | no | MCD (×2) | no |
A1537b | M | no | no | 0.0 | edema | – | 5.8 | MCD | yes–no recurrence |
A1606 | F | no | no | 12.8 | edema, HTN | – | 13.4 | FSGS (×2) | yes–with recurrence |
A1619 | M | no | no | 11.8 | incidental | – | no | FSGS | no |
A1647 | M | no | no | 10.4 | edema | Tac–pr (2.5 years) | 14.9 | MCD–1st FSGS–2nd | yes–with recurrence |
A1649 | M | no | no | 3.9 | edema | Tac–cr (for 4 years) then nr | 10.2 | MCD–1st FSGS–2nd | no |
A1657 | F | no | no | 8.1 | edema | – | no | FSGS | no |
A1949 | F | no | no | 6.4 | incidental | CSA–nr | no | FSGS | no |
A1964 | M | no | no | 8.2 | edema | CSA–pr | no | MCD (×2) | no |
M male, F female, Chl chlorambucil, CP cyclophosphamide, cr complete remission, CSA cyclosporine A, ESRD end-stage renal disease, FSGS focal segmental glomerulosclerosis, HTN hypertension, MCD minimal-change disease, nd no data, nr no response, pr partial response, RF renal failure, Tac tacrolimus, x2 same diagnosis in two biopsies
Consanguineous family,
found to have a single heterozygous mutation in NPHS1