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. 2021 Sep 14;38(2):271–282. doi: 10.1093/ndt/gfab268

Table 1.

Genes associated with typical and atypical ADTKD

Genes causing typical and atypical ADTKD (OMIM number) Encoded protein Protein functions/KO phenotypes
UMOD (*191845) Uromodulin
  • Role in TAL/DCT electrolyte transport, regulation of electrolyte channels and transporters

  • Role in urine concentration, blood pressure control

  • Protection from UTI

  • Protection from nephrolithiasis

  • Role in immunomodulation and tubular recovery from injury

  • Systemic role in granulopoiesis and as antioxidant

  • No overt tubulointerstitial kidney disease in Umod KO mice

MUC1 (*158340) Mucin 1
  • Protective epithelial mucous barrier

  • Role in cell–cell interactions and sensing of the extracellular environment

  • Role in immunomodulation

  • Role in distal tubular Ca2+ transport (via TRPV5)

  • Protective role in kidney ischaemia–reperfusion injury

  • No overt tubulointerstitial kidney disease in Muc1 KO mice

REN (*179820) Preprorenin
  • Catalyses angiotensinogen to angiotensin I conversion, role in systemic and local RAAS

  • Role in nephrogenesis

  • Renin-deficient mice die within 1 week after birth, low blood pressure, polyuria and hydronephrosis reported

HNF1B (*189907) Hepatocyte nuclear factor 1β
  • Essential role during mouse early embryogenesis

  • Epithelial transcription factor in several adult organs (kidney, pancreas and liver)

  • Direct transcriptional regulation of cystic disease genes (Pkhd1, Pkd2) and Umod

  • Hnf1β KO embryos show disorganized visceral endoderm and die at Day 7.5 of development

  • Kidney-specific inactivation in mice leads to post-natal lethality, polycystic kidneys and renal failure

SEC61A1 (*609213) α1 subunit of SEC61 translocon
  • Subunit of SEC61 mammalian translocon mediating transport of nascent polypeptides into the ER

  • Involved in retrograde transport of membrane proteins from the ER to the cytosol for proteasomal degradation

  • Allow Ca2+ leakage from the ER into the cytosol

  • Knockdown of sec61a1 orthologue in zebrafish embryos results in pronephric TA

DNAJB11 (*611341) DNAJ/HSP40 homolog, subfamily B, member 11 (cofactor of BiP)
  • Interacts with and regulates ER chaperone BiP (GRP78) activity by stimulating its ATPase activity

  • Pre-weaning lethality, incomplete penetrance reported in KO mouse model (IMPC)

IMPC, International Mouse Phenotyping Consortium.