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Renal-skin syndromes
1Department of Dermatology, University Medical Center Freiburg, Hauptstrasse 7, 79104, Freiburg, Germany. cristina.has@uniklinik-freiburg.de.
Abstract:
Renal-skin syndroms are a group of genetic disorders with renal and cutaneous manifestations that target molecular components present in both organs. Inherited renal-skin syndromes are mainly associated with defects of cell-matrix adhesion. We provide a non-exhaustive overview of the main molecular players at cell-matrix adhesions in mouse models and in human genetic disorders affecting kidney and skin. Renal and urinary tract involvement is described in all four major epidermolysis bullosa types and, in particular, in junctional subtypes and in recessive dystrophic epidermolysis bullosa. Here, we describe in detail those subtypes for which reno-urinary involvement is a constant and primary feature. Furthermore, complex multiorgan disorders with a predisposition to malignancies or attributable to metabolic defects that involve both kidney and skin are briefly summarized.
Insights
Renal-skin syndromes are genetic disorders affecting kidneys and skin due to cell-matrix adhesion defects. This review details key molecular players and specific epidermolysis bullosa subtypes with constant kidney involvement.
Area of Science:
- Genetics
- Dermatology
- Nephrology
Background:
- Renal-skin syndromes are genetic disorders impacting both kidney and skin.
- These conditions often stem from defects in cell-matrix adhesion, crucial for tissue integrity.
- Molecular players at cell-matrix adhesions are key targets in understanding these syndromes.
Purpose of the Study:
- To provide an overview of molecular players in cell-matrix adhesions relevant to renal-skin syndromes.
- To detail specific epidermolysis bullosa subtypes with significant renal and urinary tract involvement.
- To summarize complex multiorgan disorders affecting kidney and skin.
Main Methods:
- Review of existing literature on mouse models and human genetic disorders.
- Focus on molecular components at cell-matrix adhesions.
- Detailed examination of specific epidermolysis bullosa subtypes.
Main Results:
- Identified key molecular players at cell-matrix adhesions in renal-skin syndromes.
- Demonstrated constant renal and urinary tract involvement in specific epidermolysis bullosa subtypes (junctional and recessive dystrophic).
- Summarized complex disorders with malignancy predisposition or metabolic defects affecting kidney and skin.
Conclusions:
- Cell-matrix adhesion defects are central to many renal-skin syndromes.
- Epidermolysis bullosa subtypes, particularly junctional and recessive dystrophic, frequently present with severe kidney issues.
- Understanding these molecular pathways is vital for diagnosing and potentially treating these complex genetic disorders.
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