The gene mutated in autosomal recessive polycystic kidney disease encodes a large, receptor-like protein

Christopher J Ward1, Marie C Hogan, Sandro Rossetti

  • 1Division of Nephrology, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.

Nature Genetics
|March 29, 2002
PubMed

Insights

Researchers identified the PKHD1 gene as a cause of autosomal recessive polycystic kidney disease (ARPKD). This discovery sheds light on the genetic basis of ARPKD, a serious kidney and liver disorder.

Area of Science:

  • Genetics
  • Molecular Biology
  • Pediatric Nephrology

Background:

  • Autosomal recessive polycystic kidney disease (ARPKD) is a significant genetic disorder causing kidney and liver dysfunction.
  • It is characterized by collecting duct dilation and biliary dysgenesis, leading to substantial morbidity and mortality.

Purpose of the Study:

  • To identify the genetic cause of ARPKD.
  • To characterize the PKHD1 gene and its encoded protein, fibrocystin, in relation to ARPKD pathogenesis.

Main Methods:

  • Genetic analysis of a rat model with recessive polycystic kidney disease.
  • Screening of the human ortholog gene, PKHD1, in ARPKD patients.
  • Characterization of PKHD1 transcript and protein expression.

Main Results:

  • An orthologous relationship was established between the rat locus and the human ARPKD region.
  • Mutations in PKHD1 were identified in ARPKD probands, including truncating and missense variants.
  • PKHD1 encodes a large protein, fibrocystin, expressed in kidney, liver, and pancreas.

Conclusions:

  • PKHD1 is the causative gene for ARPKD.
  • Fibrocystin, the protein product of PKHD1, is likely involved in collecting duct and biliary differentiation.
  • This finding provides a molecular basis for understanding ARPKD and potential therapeutic targets.

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