Related Experiment Video
Updated: Jul 13, 2026

Using 2-Photon Microscopy to Quantify the Effects of Chronic Unilateral Ureteral Obstruction on Glomerular Processes
Published on: March 4, 2022
A genome-wide scan for genes involved in primary vesicoureteric reflux
H Kelly1, C M Molony, J M Darlow
1The National Centre for Medical Genetics, University College Dublin Department of Medical Genetics, Our Lady's Children's Hospital Crumlin, Dublin 12, Ireland.
Insights
Genetic analysis identified chromosome 2q37 as a significant region linked to childhood vesicoureteric reflux (VUR). This common urological anomaly, VUR, affects kidney health and can lead to hypertension.
Area of Science:
- Genetics
- Urology
- Pediatrics
Background:
- Vesicoureteric reflux (VUR) is the most common pediatric urological anomaly.
- VUR is a significant cause of end-stage renal failure and hypertension.
- It affects 1-2% of Caucasian newborns and has a familial tendency.
Purpose of the Study:
- To identify genetic loci associated with VUR.
- To investigate the genetic basis of this common childhood condition.
Main Methods:
- Genome-wide linkage scan performed on 129 Irish families with 609 individuals.
- Utilized 4710 single-nucleotide polymorphisms (SNPs).
- Nonparametric linkage (NPL) analysis was conducted.
Main Results:
- Suggestive linkage identified at chromosome 2q37 (NPL(max) = 2.67, p<0.001).
- Genome-wide statistically significant linkage found at 2q37 (NPL=4.1, p=0.001) in a subset excluding additional anomalies.
- Suggestive linkage also observed at 10q26 and 6q27.
Conclusions:
- Vesicoureteric reflux (VUR) is genetically heterogeneous.
- Results support previously indicated disease-associated regions and highlight new regions for VUR research.
- Genetic investigation is crucial for understanding VUR etiology.
Background:
Vesicoureteric reflux (VUR) is the retrograde flow of urine from the bladder into the ureters. It is the most common urological anomaly in children, and a major cause of end-stage renal failure and hypertension in both children and adults. VUR is seen in approximately 1-2% of Caucasian newborns and is frequently familial.
Objective And Methods:
In order to search for genetic loci involved in VUR, we performed a genome-wide linkage scan using 4710 single-nucleotide polymorphisms (SNPs) in 609 individuals from 129 Irish families with >1 affected member.
Results:
Nonparametric linkage (NPL) analysis of the dataset yielded moderately suggestive linkage at chromosome 2q37 (NPL(max) = 2.67, p<0.001). Analysis of a subset without any additional features, such as duplex kidneys, yielded a maximum NPL score of 4.1 (p = 0.001), reaching levels of genome-wide statistical significance. Suggestive linkage was also seen at 10q26 and 6q27, and there were several smaller peaks.
Conclusion:
Our results confirm the previous conclusion that VUR is genetically heterogeneous, and support the identification of several disease-associated regions indicated by smaller studies, as well as indicating new regions of interest for investigation.
Related Concept Videos
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
Imaging Studies I: Kidney, Ureter, and Bladder Studies
Imaging Studies VI: Voiding Cystourethrography and Cystography
Microbiota of the Urogenital Tract
Ureters
Acute Pyelonephritis II: Diagnostic Studies and Management

