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Published on: October 26, 2020
Sequence variants in the renin-angiotensin system genes are associated with isolated multicystic dysplastic kidney in
Renfang Song1, Ihor V Yosypiv2
1Section of Pediatric Nephrology, Department of Pediatrics, Tulane University Health Sciences Center, New Orleans, LA, 70112, USA.
Insights
Genetic variants in renin-angiotensin system genes are associated with congenital cystic kidney disease in children. This study identified novel gene variants, suggesting multiple gene involvement in multicystic dysplastic kidney development.
Area of Science:
- Pediatric Nephrology
- Genetics
- Molecular Biology
Background:
- Multicystic dysplastic kidney (MCDK) is a common congenital kidney condition in children with an unknown cause.
- The renin-angiotensin system plays a crucial role in kidney development.
- Investigating genetic factors is essential for understanding MCDK etiology.
Purpose of the Study:
- To explore the association between variants in renin-angiotensin system genes and isolated MCDK in children.
- To identify novel genetic contributors to MCDK development.
- To elucidate the role of the renin-angiotensin system in congenital cystic kidney disease.
Main Methods:
- Sanger sequencing was used to analyze the coding regions of renin (REN), angiotensinogen (AGT), ACE, and angiotensin 1 receptor (AGTR1) genes.
- PolyPhen-2 software was employed to predict the functional impact of identified DNA sequence variants.
- Analysis focused on children with isolated MCDK in the United States.
Main Results:
- Several novel and known variants were identified in the AGT, REN, ACE, and AGTR1 genes.
- A significant number of these variants were predicted to be damaging or possibly damaging to protein function.
- Specific counts of damaging and benign variants were determined for each gene analyzed.
Conclusions:
- Novel associations between sequence variants in REN, AGT, ACE, or AGTR1 genes and isolated MCDK in children were discovered.
- Findings suggest a recessive disease model for MCDK.
- The study supports the hypothesis that multiple components of the renin-angiotensin system are involved in the pathogenesis of MCDK.
Background:
Multicystic dysplastic kidney (MCDK) is a common form of congenital cystic kidney disease in children. The etiology of MCDK remains unclear. Given an important role of the renin-angiotensin system in normal kidney development, we explored whether MCDK in children is associated with variants in the genes encoding renin-angiotensin system components by Sanger sequencing.
Methods:
The coding regions of renin (REN), angiotensinogen (AGT), ACE, and angiotensin 1 receptor (AGTR1) genes were amplified by PCR. The effect of DNA sequence variants on protein function was predicted with PolyPhen-2 software.
Results:
3 novel and known AGT variants were found. 1 variant was probably damaging, 1 was possibly damaging and one was benign. Out of 7 REN variants, 4 were probably damaging and 3 were benign. Of 6 ACE variants, 3 were probably damaging and 3-benign. 3 AGTR1 variants were found. 2 variants were possibly damaging, and one was benign.
Conclusion:
We report novel associations of sequence variants in REN, AGT, ACE, or AGTR1 genes in children with isolated MCDK in the United States. Our findings suggest a recessive disease model and support the hypothesis of multiple renin-angiotensin system gene involvement in MCDK.
Impact:
Discovery of novel gene variants in renin-angiotensin genes in children with MCDK. Novel possibly damaging gene variants discovered. Multiple renin-angiotensin system gene variants are involved in MCDK.
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