Table 1.
Patient number |
Origin | Known Consan- guinity |
Age of onset |
Gender | Renal biopsy |
Treatment | Other clinical features | NPHS1 mutationa (Exon: nucleotide change; aminoacid change) |
Origin of mutation |
Initial phenotype | |
---|---|---|---|---|---|---|---|---|---|---|---|
Homozygous mutations | |||||||||||
A3205 II-1 | Caucasian | No | 53 d | M | DMS | No treatment | none | EX18:c.2491C>T;p.R831C | Lenkkeri et al. 1999 | North America | CNS, Finnish type |
A3235 II-3 | Arabic | Yes | 2 mo | F | Not done | No treatment | none | EX2: C.3478 C>T; p.R1160X | Lenkkeri et al. 1999 | Italy | CNS, Finnish type |
A3236 II-1 | Indian Subcontinent | Yes | 1 mo | F | Not done | Conservative treatment | none | IVS 7+1 G>T; splice errorb | This study | ||
A3325 II-1 | Pakistan | Yes | 2 mo | M | Not done | Albumin infusion, Lisinopril | Grand mal seizures; brother 4 y normal. | EX6:c.614-621delinsTT; p.T205,P206,R207>1205 | Lenkkeri et al. 1999 | Turkey | CNS, Finnish type |
A3337 II-3 | Arabic | Yes | 1 mo | F | Not done | No treatment | Edema at birth, low set ears, depressed nasal bridge, high arched palatet; two deceased brothers (sample not available). | EX2: C.3478 C>T; p.R1160X | Lenkkeri et al. 1999 | Italy | CNS, Finnish type |
A3416 II-1 | Indian Subcontinent | Yes | 13 d | M | Not done | No treatment | Premature (34 weeks). | EX2: c.3478 C>T; p.R1160X | Lenkkeri et al. 1999 | Italy | CNS, Finnish type |
A3442 II-2 | Indian Subcontinent | No | 1 mo | M | CNF | ND | Microcephaly, aminoaciduria, 3+ glycosuria and acidosis suggesting proximal tubular defect. Died at 6 mo of age, his older sister died at age 3.5 y. Mother had oligohydramnios during pregnancy. | Ex9:c.1099 C>T; p.R367C | Lenkkeri et al. 1999 | France | CNS, Finnish type |
Compound heterozygous mutations | |||||||||||
A3322 II-2 | Caucasian | No | no data | M | Not done | No treatment | Degrees of proteinuria, not frank NS, hypothyroidism, hypertension, acidosis. | Ex22: c.2930A>G; p.Y977Cc | This study | ||
EX27: c.3478 C>T; p.R1160X | Lenkkeri et al. 1999 | Italy | CNS, Finnish type | ||||||||
A3322 II-3 | Caucasian | No | no data | F | Not done | No treatment | Degrees of proteinuria, not frank NS. | Ex22: c.2930 A>G; p.Y977Cc | This study | ||
EX27: c.3478 C>T; p R1160X | Lenkkeri et al. 1999 | Italy | CNS, Finnish type | ||||||||
A3322 II-4 | Caucasian | No | no data | F | Not done | No treatment | Degrees of proteinuria, not frank NS. | Ex22: c.2930 A>G; p.Y977Cc | This study | ||
EX27: c.3478 C>T; p.R1160X | Lenkkeri et al. 1999 | Italy | CNS, Finnish type | ||||||||
A3322 II-5 | Caucasian | No | no data | M | Not done | No treatment | Degrees of proteinuria, not frank NS. | Ex22: c.2930 A>G; p.Y977Cc | This study | ||
EX27: c.3478 C>T; p.R1160X | Lenkkeri et al. 1999 | Italy | CNS, Finnish type | ||||||||
A3326 II-1 | Hispanic | No | 1 mo | F | CNF | No treatment | Unilateral nephrectomy (3/2009) with normal renal function afterwards, left inguinal hernia. | Ex2: c.139delG; p.E46fsX127 | Heeringa et al. 2008 | Hispanic | Nephrotic syndrome |
Ex13: c.1701 C>A; p.C567X | Beltcheva et al. 2001 | Non-Finnish | CNS, Finnish type | ||||||||
Sinqle Heterozygous mutations | |||||||||||
A3237 II-1 | Caucasian | No | 3 d | M | Not done | ND | CNS, born preterm (33+3), unexplained cardiorespiratory arrest day 5. | EX6; c. 644 T>G; p. L215R | This study | ||
A3319 II-1d | Turkish | No | 42 d | F | Glomerular mesangial proliferation | SRNS | none | Ex 15: c.2014 G>A; p.A672T | Machuca et al. 2010 | France | CNS, Finnish type |
CNS = congenital nephrotic syndrome; CSA = cyclosporin-A; d = days; DMS = diffuse mesangial sclerosis; Ex = exon; F = female; FSGS = focal segmental glomerulosclerosis; M = male; mo = months; MPGN = mesangial proliferative glomerulonephritis; ND = No data; NS = nephrotic syndrome; SRNS = steroid resistant nephrotic syndrome; SSNS = steroid sensitive nephrotic syndrome; y = years.
All novel mutations were absent from 96 Turkish control individuals and from the 1,000 genomes project (http://www.1000genomes.org). Novel mutations are printed in bold. Novel missense mutations were conserved through evolution at least down to Danio rerio. RefSeq NM_004646 was used as relevant wild type gene sequence for human NPHS1.
The novel mutation is shown to be segregating from mother and father.
The novel mutation is shown to be segregating from father and the known mutation from mother.
A3319 II-1 also has a single heterozygous mutation in NPHS2 Ex5: c.729G>C; p.E273Q.