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Genetics of steroid-resistant nephrotic syndrome: a review of mutation spectrum and suggested approach for genetic testing

Acta Paediatr. 2013 Sep;102(9):844-56. doi: 10.1111/apa.12317. Epub 2013 Jul 10.

Abstract

Identification of genes, associated mutations and genotype-phenotype correlations in steroid-resistant nephrotic syndrome (SRNS) is being translated to clinical practice through genetic testing. This review provides an update on the genes and mutations associated with SRNS along with a suggested approach for genetic testing in patients with SRNS.

Conclusion: The number of indentified genes associated with SRNS is increasing along with our understanding of their impact on treatment response and risk of recurrence. A systematic approach to genetic testing in patients with SRNS might aid the physician in selecting appropriate treatment.

Keywords: Gene mutations; Genetic testing; Nephrotic syndrome; Podocyte; Steroid resistance.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Drug Resistance / genetics*
  • Female
  • Genetic Testing*
  • Humans
  • Intracellular Signaling Peptides and Proteins / genetics
  • Male
  • Membrane Proteins / genetics
  • Mutation
  • Nephrotic Syndrome / drug therapy*
  • Nephrotic Syndrome / genetics*
  • Polymorphism, Genetic
  • Sensitivity and Specificity
  • Steroids / adverse effects
  • Steroids / therapeutic use*

Substances

  • Intracellular Signaling Peptides and Proteins
  • Membrane Proteins
  • Steroids