Table 1.
Gene | Mutations | Renal Phenotype | Extra-Renal Manifestations | Cilia Phenotype | Ref. |
---|---|---|---|---|---|
CEP83 |
Hs In 9 individuals diagnosed with NPHP-RC homozygous or compound heterozygous CEP83 mutations has been identified. 1 individual has been reported with a homozygous missense, 1 with a homozygous protein-truncating mutation. 7 individuals carry at least one loss of function allele. |
Nephronophthisis, Tubulointerstitial nephritis, Corticomedullary cysts, Tubular atrophy, and End-stage renal disease. |
Eye (in some patients): Retinitis Strabismus Liver (in some patients): Cholestasis, Hepatic cytolysis, Portal fibrosis Central Nervous System (in some patients): Intellectual disability, Hydrocephalus. |
(a) primary fibroblasts:impaired ciliation (b) renal biopsy sample: increased ciliary length (c) overexpression of disease construct in RPE-1/ IMCD3: abolished centrosomal localization of CEP83 abrogated protein interaction with CEP164 and IFT20 nuclear accumulation of CEP83 (d) depletion in RPE-1: abolished cilia formation. |
[36] |
Cep83 |
Mm Selective deletion of Cep83 in cortical radial glial progenitors (RGPs). |
Enlarged brain with abnormal folding. | RGPs lacking Cep83 display a lack of primary cilia. | [96] | |
cep83 |
Dr Morpholino-mediated knockdown of ccdc41 (CEP83 ortholog in Zebrafish). |
No defect in left/right body asymmetry was observed. | Olfactory placodes showed reduction in cilium formation. | [100] | |
CEP164 |
Hs Homozygous and compound heterozygous has been identified in 4 individuals with NPHP-RC. 2 individuals carried loss of function mutations. Compound heterozygous missense mutations lead to Bardet–Biedl syndrome in 1 individual and a homozygous loss mutation to primary ciliary dyskinesia (PCD) in 1 individual. |
Nephronophthisis | Eyes: Retinal degeneration, Leber congenital amaurosis, Nystagmus (in 2 patients) Liver (in some patients): Liver failure Central Nervous System: Developmental delay (in 1 patient), Seizures (in 1 patient), Cerebellar vermis hypoplasia (in 1 patient) Skeletal: Polydactyly (in 2 patients) Obesity (in 2 patients) Short stature (in 1 patient) Bilateral bronchiectasis (in 1 patient). |
(a) Overexpression of disease construct in IMCD3 cells: abolished centrosomal localization (b) Overexpression of disease construct in hTERT RPE: compromise interaction with TTBK2 (c) Depletion in RPE-1: abolish cilia formation. |
[101,102,103,104,105] |
cep164 | Dr | Pronephric tubule cysts. | Abnormal heart looping, hydrocephalus, and retinal dysplasia. | n/a | [102] |
Cep164 | Mm | Only in the collecting duct-specific deletion of CEP164 mice: Cystic kidneys [40]. |
(a) Global CEP164 deficiency mice: early embryonic lethality, holoprosencephaly, cardiac looping defects, and a truncated posterior trunk [106]. (b) collecting duct-specific deletion of CEP164 mice: only renal cyst growth. (c) CEP164 loss in FOXJ1-positive tissues in mice: results in hydrocephalus. |
(a) Global deficiency: abolish cilia formation in neuronal tube (b) Collecting duct-specific deletion: abolishes primary cilia formation in epithelial cells (c) FOXJ1-specific deletion:reduction number of l multiciliated cells. |
[40,106] |
SCLT1 |
Hs Compound heterozygous missense mutations has been reported in 1 individual with oro-facio-digital syndrome. Biallelic loss of function mutations have been identified in 1 individual withSenior-Løken syndrom, and in 1 individual with Bardet–Biedl syndrome. |
Nephronophthisis (1 patient) bilateral hyperechogenicity, cortico-medullary renal cysts (1 Patient) ESRD at 11 years of age (1 Patient). |
(a) Orofaciodigital syndrome type IX (OFD type IX) (2 patients): midline cleft, microcephaly, colobomatous microphthalmia/ anophthalmia, polydactyly, absent pituitary, and congenital heart disease. (b) Senior–Løken syndrome (1 patient): Nystagmus, hepatic dysfunction, megacystis, mild learning disability, autism, obesity (c) Bardet–Biedl syndrome (2 patients): intellectual disability, autism, and motor developmental delay, hepatic fibrosis, short stature, truncal obesity, retinitis pigmentosa. |
(a) Depletion in RPE-1: abolish cilia formation. |
[107,108] |
Sclt1 | Mm | Cystic kidneys | Cleft palate and polydactyly. | Global deficiency: disrupted cilia assembly. |
[37,38,108] |
Note: Hs, Homo sapiens; Mm, Mus musculus; Dr, Danio rerio.