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. 2017 Oct 16;29(1):13–23. doi: 10.1681/ASN.2017050483

Table 1.

Classification of ADPKD and ADPLD including gene descriptor

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.

a

Examples are shown to illustrate the disease plus gene terminology but other combinations are possible.

b

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.

c

Frameshifting deletion, duplication or insertion, nonsense, typical splicing mutation (disrupting the canonic intronic dinucleotides), or inframe deletion, duplication or insertion of ≥5 amino acids.

d

Missense, atypic splicing mutation (not disrupting the canonic intronic dinucleotides), or inframe deletion, duplication, or insertion of ≤4 amino acids.

e

ADPLD is defined as dominantly inherited disease with significant PLD without significant PKD.

f

PKD due to two mutations to the same ADPKD gene found on opposite alleles (in trans).