Isolated Proteinuria Caused by CUBN Gene Mutations: A Case Report and Review of the Literature

Mutations in the cubilin (CUBN) gene commonly cause Imerslund-Gräsbeck syndrome, while isolated proteinuria as a result of CUBN variations is rarely reported. The clinical manifestation is mainly chronic isolated proteinuria in the non-nephrotic range. However, findings to date suggest that isolated...

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Main Authors: Jingyang Ran, Qingsong Chen, Yudong Hu, Pengfei Yang, Guiquan Yu, Xiaohui Liao, Jianrong Lei
Format: Article
Language:English
Published: Karger Publishers 2023-05-01
Series:Case Reports in Nephrology and Dialysis
Subjects:
Online Access:https://beta.karger.com/Article/FullText/530466
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author Jingyang Ran
Qingsong Chen
Yudong Hu
Pengfei Yang
Guiquan Yu
Xiaohui Liao
Jianrong Lei
author_facet Jingyang Ran
Qingsong Chen
Yudong Hu
Pengfei Yang
Guiquan Yu
Xiaohui Liao
Jianrong Lei
author_sort Jingyang Ran
collection DOAJ
description Mutations in the cubilin (CUBN) gene commonly cause Imerslund-Gräsbeck syndrome, while isolated proteinuria as a result of CUBN variations is rarely reported. The clinical manifestation is mainly chronic isolated proteinuria in the non-nephrotic range. However, findings to date suggest that isolated proteinuria associated with abnormalities in the CUBN gene is benign and does not affect long-term prognosis of kidney function. We identified 2 patients with isolated proteinuria triggered by compound heterozygous CUBN mutations. Renal functions of both patients remained normal over a 10-year follow-up period, supporting the benign nature of proteinuria caused by CUBN gene variations. Two novel mutation sites were detected, expanding the genotypic spectrum of CUBN variations. In addition, etiology, pathogenesis, clinical manifestations, auxiliary examination, and treatment of the condition were reviewed, with the aim of providing further guidance for clinical management.
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spelling doaj.art-9e5389ed90104d1d93abbbee40d273a82023-06-22T13:45:57ZengKarger PublishersCase Reports in Nephrology and Dialysis2296-97052023-05-01131273510.1159/000530466530466Isolated Proteinuria Caused by CUBN Gene Mutations: A Case Report and Review of the LiteratureJingyang Ran0Qingsong Chen1Yudong Hu2Pengfei Yang3Guiquan Yu4Xiaohui Liao5https://orcid.org/0000-0002-2329-0456Jianrong Lei6Nephrology Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaNephrology Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaNephrology Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaNephrology Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaNephrology Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaNephrology Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaNephrology Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaMutations in the cubilin (CUBN) gene commonly cause Imerslund-Gräsbeck syndrome, while isolated proteinuria as a result of CUBN variations is rarely reported. The clinical manifestation is mainly chronic isolated proteinuria in the non-nephrotic range. However, findings to date suggest that isolated proteinuria associated with abnormalities in the CUBN gene is benign and does not affect long-term prognosis of kidney function. We identified 2 patients with isolated proteinuria triggered by compound heterozygous CUBN mutations. Renal functions of both patients remained normal over a 10-year follow-up period, supporting the benign nature of proteinuria caused by CUBN gene variations. Two novel mutation sites were detected, expanding the genotypic spectrum of CUBN variations. In addition, etiology, pathogenesis, clinical manifestations, auxiliary examination, and treatment of the condition were reviewed, with the aim of providing further guidance for clinical management.https://beta.karger.com/Article/FullText/530466cubn genegene mutationisolated proteinuria
spellingShingle Jingyang Ran
Qingsong Chen
Yudong Hu
Pengfei Yang
Guiquan Yu
Xiaohui Liao
Jianrong Lei
Isolated Proteinuria Caused by CUBN Gene Mutations: A Case Report and Review of the Literature
Case Reports in Nephrology and Dialysis
cubn gene
gene mutation
isolated proteinuria
title Isolated Proteinuria Caused by CUBN Gene Mutations: A Case Report and Review of the Literature
title_full Isolated Proteinuria Caused by CUBN Gene Mutations: A Case Report and Review of the Literature
title_fullStr Isolated Proteinuria Caused by CUBN Gene Mutations: A Case Report and Review of the Literature
title_full_unstemmed Isolated Proteinuria Caused by CUBN Gene Mutations: A Case Report and Review of the Literature
title_short Isolated Proteinuria Caused by CUBN Gene Mutations: A Case Report and Review of the Literature
title_sort isolated proteinuria caused by cubn gene mutations a case report and review of the literature
topic cubn gene
gene mutation
isolated proteinuria
url https://beta.karger.com/Article/FullText/530466
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