PKD1-Associated Arachnoid Cysts in Autosomal Dominant Polycystic Kidney Disease

Kaori Shigemori1, Eiji Higashihara2, Masayuki Itoh3

  • 1Department of Urology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, Japan.

Insights

Autosomal dominant polycystic kidney disease (ADPKD) patients with PKD1 mutations have a higher risk of developing arachnoid cysts. This study investigated the link between PKD genotypes and brain abnormalities in ADPKD.

Area of Science:

  • Neurology
  • Genetics
  • Nephrology

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) is associated with a higher prevalence of intracranial aneurysms and arachnoid cysts.
  • While a genotype correlation exists for intracranial aneurysms in ADPKD, its association with arachnoid cysts remains unclear.

Purpose of the Study:

  • To investigate the genotype correlation of intracranial aneurysms and arachnoid cysts in patients with autosomal dominant polycystic kidney disease (ADPKD).

Main Methods:

  • 169 ADPKD patients underwent magnetic resonance imaging (MRI) for screening of intracranial aneurysms and arachnoid cysts.
  • Next-generation sequencing was used to determine PKD genotypes (PKD1, PKD2, or no mutation).

Main Results:

  • Arachnoid cysts were diagnosed significantly earlier in patients with PKD1 mutations compared to PKD2 mutations (54.8 vs 67.7 years).
  • The proportional hazard risk for arachnoid cysts was 5.0 times higher in the PKD1 group than in the PKD2 group.
  • No significant difference in the frequency or diagnosis age of intracranial aneurysms was observed between PKD1 and PKD2 groups.

Conclusions:

  • A significant correlation exists between arachnoid cysts and PKD1 mutations in ADPKD patients.
  • The association of arachnoid cysts with advanced renal disease in ADPKD may be linked to the common correlation with PKD1 mutations.
Abstract

Related Concept Videos

Nephrons01:10

Nephrons

The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
4.2K
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
297
Lysosomal Hydrolases01:22

Lysosomal Hydrolases

Lysosomes are the site for the degradation of macromolecules and biological polymers released during membrane trafficking events such as secretory, endocytic, autophagic, and phagocytic pathways. The membrane-enclosed area of the lysosome, called the lumen, contains hydrolytic enzymes active in an acidic environment. These acid hydrolases are functional at a pH between 4.5 and 5 and are involved in cellular processes such as cell signaling, energy metabolism, restoration of the plasma membrane,...
4.1K
Pedigree Analysis01:35

Pedigree Analysis

Overview
86.6K
Renal Tubule and Collecting Duct01:24

Renal Tubule and Collecting Duct

The renal tubule is divided into three parts: the proximal convoluted tubule (PCT), the Loop of Henle (LOH), and the distal convoluted tubule (DCT).
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
2.1K
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
174