Uromodulin and Vesico-Ureteral Reflux: A Genetic Study

Vesicoureteral reflux (VUR) is associated with urinary tract infections (UTI) and renal scars. The kidney damage is correlated with the grade of reflux and the number of UTI, but other factors may also play a role. Uromodulin (UMOD) is a protein produced by kidney tubular cells, forming a matrix in...

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Main Authors: Silvio Maringhini, Rosa Cusumano, Ciro Corrado, Giuseppe Puccio, Giovanni Pavone, Maria Michela D’Alessandro, Maria Chiara Sapia, Olivier Devuyst, Serena Abbate
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/2/509
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author Silvio Maringhini
Rosa Cusumano
Ciro Corrado
Giuseppe Puccio
Giovanni Pavone
Maria Michela D’Alessandro
Maria Chiara Sapia
Olivier Devuyst
Serena Abbate
author_facet Silvio Maringhini
Rosa Cusumano
Ciro Corrado
Giuseppe Puccio
Giovanni Pavone
Maria Michela D’Alessandro
Maria Chiara Sapia
Olivier Devuyst
Serena Abbate
author_sort Silvio Maringhini
collection DOAJ
description Vesicoureteral reflux (VUR) is associated with urinary tract infections (UTI) and renal scars. The kidney damage is correlated with the grade of reflux and the number of UTI, but other factors may also play a role. Uromodulin (UMOD) is a protein produced by kidney tubular cells, forming a matrix in the lumen. We evaluated whether the common variant rs4293393 in the UMOD gene was associated with febrile UTI (FUTI) and/or scars in a group of children with VUR. A total of 31 patients with primary VUR were enrolled. Renal scars were detected in 16 children; no scar was detected in 15 children. Genotype rs4293393 TC (TC) was present in 8 patients, 7 (88%) had scars; genotype rs4293393 TT (TT) was found in 23 patients, and 9 (39%) had scars. Among children with scars, those with TC compared with those with TT were younger (mean age 77 vs. 101 months), their reflux grade was comparable (3.7 vs. 3.9), and the number of FUTI was lower (2.9 vs. 3.7 per patient). Children with VUR carrying UMOD genotype rs4293393 TC seem more prone to developing renal scars, independent of FUTI.
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spelling doaj.art-bc65a9abf59c420eab4dc43f544018a62023-11-16T19:19:18ZengMDPI AGBiomedicines2227-90592023-02-0111250910.3390/biomedicines11020509Uromodulin and Vesico-Ureteral Reflux: A Genetic StudySilvio Maringhini0Rosa Cusumano1Ciro Corrado2Giuseppe Puccio3Giovanni Pavone4Maria Michela D’Alessandro5Maria Chiara Sapia6Olivier Devuyst7Serena Abbate8Department of Pediatrics, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione ISMETT, 90127 Palermo, ItalyPediatric Nephrology Unit, Azienda di Rilievo Nazionale ed Alta Specializzazione (ARNAS) Civico, Di Cristina, Benfratelli, 90129 Palermo, ItalyPediatric Nephrology Unit, Azienda di Rilievo Nazionale ed Alta Specializzazione (ARNAS) Civico, Di Cristina, Benfratelli, 90129 Palermo, ItalyPediatric Nephrology Unit, Azienda di Rilievo Nazionale ed Alta Specializzazione (ARNAS) Civico, Di Cristina, Benfratelli, 90129 Palermo, ItalyPediatric Nephrology Unit, Azienda di Rilievo Nazionale ed Alta Specializzazione (ARNAS) Civico, Di Cristina, Benfratelli, 90129 Palermo, ItalyPediatric Nephrology Unit, Azienda di Rilievo Nazionale ed Alta Specializzazione (ARNAS) Civico, Di Cristina, Benfratelli, 90129 Palermo, ItalyPediatric Nephrology Unit, Azienda di Rilievo Nazionale ed Alta Specializzazione (ARNAS) Civico, Di Cristina, Benfratelli, 90129 Palermo, ItalyDepartment of Physiology, University of Zurich, CH-8057 Zurich, SwitzerlandDepartment of Pediatrics, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione ISMETT, 90127 Palermo, ItalyVesicoureteral reflux (VUR) is associated with urinary tract infections (UTI) and renal scars. The kidney damage is correlated with the grade of reflux and the number of UTI, but other factors may also play a role. Uromodulin (UMOD) is a protein produced by kidney tubular cells, forming a matrix in the lumen. We evaluated whether the common variant rs4293393 in the UMOD gene was associated with febrile UTI (FUTI) and/or scars in a group of children with VUR. A total of 31 patients with primary VUR were enrolled. Renal scars were detected in 16 children; no scar was detected in 15 children. Genotype rs4293393 TC (TC) was present in 8 patients, 7 (88%) had scars; genotype rs4293393 TT (TT) was found in 23 patients, and 9 (39%) had scars. Among children with scars, those with TC compared with those with TT were younger (mean age 77 vs. 101 months), their reflux grade was comparable (3.7 vs. 3.9), and the number of FUTI was lower (2.9 vs. 3.7 per patient). Children with VUR carrying UMOD genotype rs4293393 TC seem more prone to developing renal scars, independent of FUTI.https://www.mdpi.com/2227-9059/11/2/509uromodulin (UMOD)vesico-ureteral reflux (VUR)urinary tract infection (UTI)
spellingShingle Silvio Maringhini
Rosa Cusumano
Ciro Corrado
Giuseppe Puccio
Giovanni Pavone
Maria Michela D’Alessandro
Maria Chiara Sapia
Olivier Devuyst
Serena Abbate
Uromodulin and Vesico-Ureteral Reflux: A Genetic Study
Biomedicines
uromodulin (UMOD)
vesico-ureteral reflux (VUR)
urinary tract infection (UTI)
title Uromodulin and Vesico-Ureteral Reflux: A Genetic Study
title_full Uromodulin and Vesico-Ureteral Reflux: A Genetic Study
title_fullStr Uromodulin and Vesico-Ureteral Reflux: A Genetic Study
title_full_unstemmed Uromodulin and Vesico-Ureteral Reflux: A Genetic Study
title_short Uromodulin and Vesico-Ureteral Reflux: A Genetic Study
title_sort uromodulin and vesico ureteral reflux a genetic study
topic uromodulin (UMOD)
vesico-ureteral reflux (VUR)
urinary tract infection (UTI)
url https://www.mdpi.com/2227-9059/11/2/509
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