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10.1681/ASN.2014040388

http://scihub22266oqcxt.onion/10.1681/ASN.2014040388
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C4341487!4341487!25296721
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suck abstract from ncbi


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pmid25296721      J+Am+Soc+Nephrol 2015 ; 26 (3): 543-51
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  • Fourteen Monogenic Genes Account for 15% of Nephrolithiasis/Nephrocalcinosis #MMPMID25296721
  • Halbritter J; Baum M; Hynes AM; Rice SJ; Thwaites DT; Gucev ZS; Fisher B; Spaneas L; Porath JD; Braun DA; Wassner AJ; Nelson CP; Tasic V; Sayer JA; Hildebrandt F
  • J Am Soc Nephrol 2015[Mar]; 26 (3): 543-51 PMID25296721show ga
  • Nephrolithiasis is a prevalent condition with a high morbidity. Although dozens of monogenic causes have been identified, the fraction of single-gene disease has not been well studied. To determine the percentage of cases that can be molecularly explained by mutations in 1 of 30 known kidney stone genes, we conducted a high-throughput mutation analysis in a cohort of consecutively recruited patients from typical kidney stone clinics. The cohort comprised 272 genetically unresolved individuals (106 children and 166 adults) from 268 families with nephrolithiasis (n=256) or isolated nephrocalcinosis (n=16). We detected 50 likely causative mutations in 14 of 30 analyzed genes, leading to a molecular diagnosis in 14.9% (40 of 268) of all cases; 20 of 50 detected mutations were novel (40%). The cystinuria gene SLC7A9 (n=19) was most frequently mutated. The percentage of monogenic cases was notably high in both the adult (11.4%) and pediatric cohorts (20.8%). Recessive causes were more frequent among children, whereas dominant disease occurred more abundantly in adults. Our study provides an in-depth analysis of monogenic causes of kidney stone disease. We suggest that knowledge of the molecular cause of nephrolithiasis and nephrocalcinosis may have practical implications and might facilitate personalized treatment.
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