Table 1.
Designationa | Description | Phenotype | Example | ||
---|---|---|---|---|---|
PKD | ESRD Risk (Age) | PLD | |||
ADPKDb | |||||
ADPKD-PKD1T | ADPKD due to PKD1 truncating mutationc | Severe | Very high (55 yr) | Absent to severe | Figure 1A, Table 2 |
ADPKD-PKD1NT | ADPKD due to PKD1 nontruncating mutationd | Mild to severe | High (67 yr) | Absent to severe | Figure 1, B and G, Table 2 |
ADPKD-PKD1 ULP | ADPKD due to PKD1 ultra low penetrance allele | Extremely mild | None | Absent to severe | Figure 1D, Table 4 |
ADPKD-PKD2 | ADPKD due to PKD2 mutation | Mild | Low (79 yr) | Absent to severe | Figure 1C, Table 2 |
ADPKD-GANAB | ADPKD due to GANAB mutation | Very mild | None | Absent to severe | Figure 1E, Table 2 |
ADPLDe | |||||
ADPLD-PRKCSH | ADPKD due to PRKCSH mutation | Absent to very mild | None | Mild to severe | Figure 1H |
ADPLD-SEC63 | ADPKD due to SEC63 mutation | Absent to very mild | None | Mild to severe | 18 |
ADPLD-LRP5 | ADPKD due to LRP5 mutation | Absent to very mild | None | Mild to severe | 19 |
ADPLD-GANAB | ADPLD due to GANAB mutation | Very mild | None | Mild to severe | Table 2 |
ADPLD-ALG8 | ADPLD due to ALG8 mutation | Absent to very mild | None | Absent to severe | 20 |
ADPLD-SEC61B | ADPLD due to SEC61B mutation | Absent to very mild | None | Mild to severe | 20 |
Biallelicf | |||||
ADPKD-PKD1a,b | Typical ADPKD due to two PKD1 alleles | Severe | High to very high | Absent to severe | Table 4 |
ADPKDVEO-PKD1a,b | Symptomatic infantile ADPKD due two PKD1 alleles | Severe infantile | Extremely high | Absent to mild | Table 4 |
ADPKDVEO-PKD2a,b | Symptomatic infantile ADPKD due two PKD2 alleles | Severe infantile | Extremely high | Absent to mild | Table 4 |
T, truncating; NT, nontruncating.
Examples are shown to illustrate the disease plus gene terminology but other combinations are possible.
ADPKD is defined as dominantly inherited disease with significant PKD,31,32 with or without significant PLD, and without phenotypes suggesting an alternative disease. Subjects with a proven pathogenic ADPKD allele, even if the renal disease does reach the imaging criteria, would be considered ADPKD.
Frameshifting deletion, duplication or insertion, nonsense, typical splicing mutation (disrupting the canonic intronic dinucleotides), or inframe deletion, duplication or insertion of ≥5 amino acids.
Missense, atypic splicing mutation (not disrupting the canonic intronic dinucleotides), or inframe deletion, duplication, or insertion of ≤4 amino acids.
ADPLD is defined as dominantly inherited disease with significant PLD without significant PKD.
PKD due to two mutations to the same ADPKD gene found on opposite alleles (in trans).