Table 1.
Identification of Heterozygous Variants in GREB1L (GenBank: NM_001142966.2) in 16 CAKUT-Affected Case Subjects and Families
Fam | NGS | Case Subjects with Kidney Phenotype | Other Defects | Mutation (Chrom Position)a | Mutation (Nucleotide) | Substitution (Amino Acid) | GnomAD | Nucleotide Conservation (phred) | Amino Acid Conservation | PP2 | Sift | Grantham | CADD (phred) | Inheritance |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | WES | 2 fetuses: BKA (M/F) 1 child: UKA (M) |
male fetus: clinodactyly (5th fingers) female fetus: clinodactyly (5th fingers), absence of uterus; mother: unicornuated uterus |
18:19029659 | c.1582delC | p.Gln528Argfs∗12 | absent | – | – | – | – | – | 34 | maternalb |
2 | WES | 2 fetuses: BKA (M/F) | male fetus: thickened left ventricular wall, 10 pairs of ribs female fetus: absence of uterus |
18:19088078 | c.4369−1G>C | – | absent | – | – | – | – | – | 25.2 | maternalb |
3 | TES | 2 fetuses: BKA (M/F) 1 child: UKA+VUR (F) mother: UKA |
female fetus: absence of uterus and fallopian trumps affected child: ovarian hernia mother: absence of uterine left artery |
18:19031043 | c.1780G>T | p.Glu594∗ | absent | – | – | – | – | – | 40 | maternal |
4 | TES | 2 fetuses: BKA (M/M) 1 child: UKA (M) mother: UKA |
none | 18:19070208 | c.2926C>T | p.Gln976∗ | absent | – | – | – | – | – | 40 | maternal |
5 | TES | 2 fetuses: BKA (F), UKA+MCD (M) mother: horseshoe kidney |
female fetus: 11 pairs of ribs, absence of uterus | 18:19088424 | c.4607A>G | p.His1536Arg | absent | 4.81 | zebrafish | 0.955 | 0.07 | 29 | 23.3 | maternal |
6 | TES | fetus: BKA (M) | retro-esophageal subclavian artery, adrenal gland hypoplasia, enlarged thymus, one pair of cervical ribs | 18:19088215 | c.4505T>C | p.Met1502Thr | absent | 3.11 | zebrafish | 0.892 | 0 | 81 | 24.8 | maternalc |
7 | TES | fetus: BKA (F) | none | 18:19088489 | c.4672C>A | p.Arg1558Ser | absent | 3.51 | zebrafish | 0.908 | 0.01 | 110 | 34 | maternalb |
8 | TES | 2 fetuses: BKA mother: unilateral hypoplasia |
mother: unicornuated uterus | 18:19053060 | c.2251C>T | p.Arg751Cys | absent | 3.51 | zebrafish | 0.998 | 0 | 180 | 34 | maternal |
9 | TES | fetus: BKA (M) mother: UKA |
mother: ID diabetes, unique fallopian trump and ovary | 18:18981153 | c.575G>T | p.Arg192Leu | absent | 6.26 | zebrafish | 0.999 | 0.34 | 102 | 26.1 | maternal |
10 | TES | fetus: BKA (M) | auricular tag, hypertrophic left ventricle, aortic stenosis | 18:19088544 | c.4727C>T | p.Ala1576Val | absent | 5.86 | tetraodon | 0.947 | 0 | 64 | 33 | UNK |
11 | TES | fetus: BKA (M) | adrenal cytomegaly | 18:19088236 | c.4526A>T | p.Asp1509Val | 6.584 × 10−6 | 2.06 | zebrafish | 0.835 | 0 | 152 | 26.3 | UNK |
12 | TES | fetus: BKA (M) | preauricular tag, lop ear | 18:19098046 | c.5323 G>A | p.Asp1775Asn | absent | 5.69 | zebrafish | 0.999 | 0 | 23 | 34 | UNK |
13 | TES | fetus: UKA+MCD, megaurethra (M) | hepatic portal fibrosis | 18:19053061 | c.2252 G>A | p.Arg751His | 2.697 × 10−5 | 6.34 | zebrafish | 0.996 | 0 | 29 | 34 | maternalc |
14 | TES | fetus: pelvic kidney+MCD (M) mother: VUR |
none | 18:19020263 | c.983G>A | p.Arg328Gln | absent | 4.64 | zebrafish | 0.999 | 0.01 | 43 | 34 | maternal |
15 | TES | adult: UKA+multilocular cyst (F) | blind ending hemi-vagina and bicornuated uterus | 18:19031076 | c.1813A>C | p.Ser605Arg | absent | 4.81 | zebrafish | 0.992 | 0.07 | 110 | 24.8 | paternalb |
16 | TES | child: VUR (M) | iris anomaly | 18:19034490 | c.2148 G>T | p.Leu716Phe | absent | 3.84 | zebrafish | 0.525 | 0.04 | 22 | 24.5 | UNK |
Abbreviations are as follows: Fam, family; NGS, next generation sequencing; WES, whole-exome sequencing; TES, targeted exome sequencing; BKA, bilateral kidney agenesis; UKA, unilateral kidney agenesis; MCD, multicystic dysplasia; VUR, vesicoureteral reflux; M, male; F, female; ID, insulin-dependent; UNK, unknown; PP2, PolyPhen2; CADD, Combined Annotation Dependent Depletion.
Position on GRCh37/hg19 human genome assembly.
Parent with normal renal ultrasound.
Mother with renal status non ascertained by renal ultrasound.