Table 2.
Genetic risk factors for CAKUT
Type of Mutation | Genetic Factor | Gene Function/Consequence of Mutation | Associated Defects in Humans |
---|---|---|---|
Single gene polymorphism | HNF1β | Transcription factor, autosomal dominant | Multicystic renal dysplasia, renal hypoplasia, renal cysts, and diabetic syndrome (17) |
PAX2 | Transcription factor, autosomal dominant | Renal hypoplasia, VUR, renal coloboma, FSGS (15) | |
SIX1 | Transcription factor, autosomal dominant | Renal hypodysplasia, VUR, branchio-oto-renal syndrome (19) | |
SIX5 | Transcription factor, autosomal dominant | Renal hypodysplasia, VUR, branchio-oto-renal syndrome (20) | |
EYA1 | Trascriptional coactivator, autosomal dominant | Renal hypoplasia, branchio-oto-renal syndrome (22) | |
SALL1 | Transcription factor, autosomal dominant | Townes–Brocks syndrome, renal hypodysplasia (21) | |
GATA3 | Transcription factor, autosomal dominant | Renal dysplasia, hypoparathyroidism-deafness-renal dysplasia syndrome (23) | |
FREM2 | Integral membrane protein, autosomal recessive | Renal agenesis, Fraser syndrome (24) | |
FRAS1 | Extracellular matrix protein, autosomal recessive | Renal agenesis, Fraser syndrome (24) | |
Copy number variants (29) | 1q21 | Deletion or duplication of region | Renal hypoplasia/dysplasia/cysts, PUV, UPJO, VUR |
4p16.1-16.3 | Deletion or duplication of region | Renal hypoplasia/dysplasia/cysts | |
16p11.2 | Deletion or duplication of region | Renal hypoplasia/dysplasia/cysts, PUV, UPJO, duplex collecting system, VUR | |
16p13.11 | Deletion or duplication of region | Renal hypoplasia/dysplasia/cysts, UPJO, duplex collecting system | |
17q12 | Deletion or duplication of region, contains HNF1β | Renal hypoplasia/dysplasia/cysts, PUV, UPJO, duplex collecting system | |
22q11.2 | Deletion or duplication of region | DiGeorge syndrome, renal hypoplasia/dysplasia/cysts, UPJO, PUV, dual collecting system, VUR |
CAKUT, congenital anomalies of the kidneys and urinary tracts; VUR, vesicoureteric reflux; PUV, posterior urethral valve; UPJO, ureteropelvic junction obstruction.