Review of childhood genetic nephrolithiasis and nephrocalcinosis

Nephrolithiasis (NL) is a common condition worldwide. The incidence of NL and nephrocalcinosis (NC) has been increasing, along with their associated morbidity and economic burden. The etiology of NL and NC is multifactorial and includes both environmental components and genetic components, with mult...

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Main Authors: Ashley M. Gefen, Joshua J. Zaritsky
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2024.1381174/full
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author Ashley M. Gefen
Joshua J. Zaritsky
author_facet Ashley M. Gefen
Joshua J. Zaritsky
author_sort Ashley M. Gefen
collection DOAJ
description Nephrolithiasis (NL) is a common condition worldwide. The incidence of NL and nephrocalcinosis (NC) has been increasing, along with their associated morbidity and economic burden. The etiology of NL and NC is multifactorial and includes both environmental components and genetic components, with multiple studies showing high heritability. Causative gene variants have been detected in up to 32% of children with NL and NC. Children with NL and NC are genotypically heterogenous, but often phenotypically relatively homogenous, and there are subsequently little data on the predictors of genetic childhood NL and NC. Most genetic diseases associated with NL and NC are secondary to hypercalciuria, including those secondary to hypercalcemia, renal phosphate wasting, renal magnesium wasting, distal renal tubular acidosis (RTA), proximal tubulopathies, mixed or variable tubulopathies, Bartter syndrome, hyperaldosteronism and pseudohyperaldosteronism, and hyperparathyroidism and hypoparathyroidism. The remaining minority of genetic diseases associated with NL and NC are secondary to hyperoxaluria, cystinuria, hyperuricosuria, xanthinuria, other metabolic disorders, and multifactorial etiologies. Genome-wide association studies (GWAS) in adults have identified multiple polygenic traits associated with NL and NC, often involving genes that are involved in calcium, phosphorus, magnesium, and vitamin D homeostasis. Compared to adults, there is a relative paucity of studies in children with NL and NC. This review aims to focus on the genetic component of NL and NC in children.
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spelling doaj.art-710869d808204085ad1e19db5744ec462024-03-28T04:53:07ZengFrontiers Media S.A.Frontiers in Genetics1664-80212024-03-011510.3389/fgene.2024.13811741381174Review of childhood genetic nephrolithiasis and nephrocalcinosisAshley M. GefenJoshua J. ZaritskyNephrolithiasis (NL) is a common condition worldwide. The incidence of NL and nephrocalcinosis (NC) has been increasing, along with their associated morbidity and economic burden. The etiology of NL and NC is multifactorial and includes both environmental components and genetic components, with multiple studies showing high heritability. Causative gene variants have been detected in up to 32% of children with NL and NC. Children with NL and NC are genotypically heterogenous, but often phenotypically relatively homogenous, and there are subsequently little data on the predictors of genetic childhood NL and NC. Most genetic diseases associated with NL and NC are secondary to hypercalciuria, including those secondary to hypercalcemia, renal phosphate wasting, renal magnesium wasting, distal renal tubular acidosis (RTA), proximal tubulopathies, mixed or variable tubulopathies, Bartter syndrome, hyperaldosteronism and pseudohyperaldosteronism, and hyperparathyroidism and hypoparathyroidism. The remaining minority of genetic diseases associated with NL and NC are secondary to hyperoxaluria, cystinuria, hyperuricosuria, xanthinuria, other metabolic disorders, and multifactorial etiologies. Genome-wide association studies (GWAS) in adults have identified multiple polygenic traits associated with NL and NC, often involving genes that are involved in calcium, phosphorus, magnesium, and vitamin D homeostasis. Compared to adults, there is a relative paucity of studies in children with NL and NC. This review aims to focus on the genetic component of NL and NC in children.https://www.frontiersin.org/articles/10.3389/fgene.2024.1381174/fullchildrengenetic kidney diseasekidney stonesnephrolithiasisnephrocalcinosis
spellingShingle Ashley M. Gefen
Joshua J. Zaritsky
Review of childhood genetic nephrolithiasis and nephrocalcinosis
Frontiers in Genetics
children
genetic kidney disease
kidney stones
nephrolithiasis
nephrocalcinosis
title Review of childhood genetic nephrolithiasis and nephrocalcinosis
title_full Review of childhood genetic nephrolithiasis and nephrocalcinosis
title_fullStr Review of childhood genetic nephrolithiasis and nephrocalcinosis
title_full_unstemmed Review of childhood genetic nephrolithiasis and nephrocalcinosis
title_short Review of childhood genetic nephrolithiasis and nephrocalcinosis
title_sort review of childhood genetic nephrolithiasis and nephrocalcinosis
topic children
genetic kidney disease
kidney stones
nephrolithiasis
nephrocalcinosis
url https://www.frontiersin.org/articles/10.3389/fgene.2024.1381174/full
work_keys_str_mv AT ashleymgefen reviewofchildhoodgeneticnephrolithiasisandnephrocalcinosis
AT joshuajzaritsky reviewofchildhoodgeneticnephrolithiasisandnephrocalcinosis