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Published on: August 9, 2014
Evidence for inheritance of medullary sponge kidney
1Nephrology Division, New York University Langone Medical Center, Nephrology Section, Veterans Affairs New York Harbor Healthcare System, New York, New York 10010, USA. david.goldfarb@va.gov
Abstract:
Medullary sponge kidney (MSK) is associated with recurrent calcium stones. Gambaro's group evaluated the relatives of probands with MSK. When prior imaging was not available, they performed renal ultrasounds. They demonstrated familial clustering, providing the best evidence yet that MSK is a heritable disorder. Although a small proportion of MSK cases are associated with variants of glial cell-derived neurotrophic factor (GDNF), the genetic basis for most instances of MSK is not known.
Insights
Medullary sponge kidney (MSK) is a heritable disorder, evidenced by familial clustering in affected individuals. Further research is needed to identify the genetic causes of most MSK cases.
Area of Science:
- Nephrology
- Medical Genetics
Background:
- Medullary sponge kidney (MSK) is a congenital renal abnormality.
- MSK is frequently associated with recurrent calcium nephrolithiasis.
Purpose of the Study:
- To investigate the heritability of Medullary sponge kidney.
- To explore the familial aggregation of MSK.
Main Methods:
- Evaluation of relatives of patients with confirmed MSK.
- Renal ultrasound imaging for individuals lacking prior imaging data.
Main Results:
- Demonstrated significant familial clustering of MSK.
- Provided strong evidence supporting MSK as an inherited condition.
- Acknowledged a small subset of MSK cases linked to GDNF variants.
Conclusions:
- Medullary sponge kidney exhibits strong heritability.
- The genetic underpinnings for the majority of MSK cases remain unidentified.
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