Unraveling the Complexity of Childhood Polycystic Kidney Disease: A Case Study of Three Sisters

Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary kidney disorder, estimated to affect 1 in 1000 people. It displays a high level of variability in terms of onset and severity among affected individuals within the same family. In this case study, three sisters (4, 8,...

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Main Authors: Ivana Trutin, Lea Oletić, Tamara Nikuševa-Martić
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/10/1700
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author Ivana Trutin
Lea Oletić
Tamara Nikuševa-Martić
author_facet Ivana Trutin
Lea Oletić
Tamara Nikuševa-Martić
author_sort Ivana Trutin
collection DOAJ
description Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary kidney disorder, estimated to affect 1 in 1000 people. It displays a high level of variability in terms of onset and severity among affected individuals within the same family. In this case study, three sisters (4, 8, and 10 years of age) were suspected of having ADPKD due to their positive family history. While the two younger sisters aged 8 and 4 showed no disease complications and had normal kidney function, the oldest sister was found to have no dipping status on ambulatory blood pressure measurement (ABPM). Two of the sisters were discovered to have a <i>PKD1</i> mutation, while the third sister aged 8 was heterozygous for <i>TTC21B</i> c.1593_1595del, p. (Leu532del), which is a variant of uncertain significance (VUS). Environmental factors and genetic modifying factors are believed to contribute to the phenotypic variability observed in ADPKD. Identifying and understanding potential genetic and environmental modifiers of ADPKD could pave the way to targeted treatments for childhood ADPKD.
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spelling doaj.art-d278c3a59dbb4f5f8055e934ac19d35e2023-11-19T16:05:50ZengMDPI AGChildren2227-90672023-10-011010170010.3390/children10101700Unraveling the Complexity of Childhood Polycystic Kidney Disease: A Case Study of Three SistersIvana Trutin0Lea Oletić1Tamara Nikuševa-Martić2Department of Pediatrics, Sestre Milosrdnice University Hospital Center, 10000 Zagreb, CroatiaDepartment of Pediatrics, Sestre Milosrdnice University Hospital Center, 10000 Zagreb, CroatiaDepartment of Biology, School of Medicine, University of Zagreb, 10000 Zagreb, CroatiaAutosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary kidney disorder, estimated to affect 1 in 1000 people. It displays a high level of variability in terms of onset and severity among affected individuals within the same family. In this case study, three sisters (4, 8, and 10 years of age) were suspected of having ADPKD due to their positive family history. While the two younger sisters aged 8 and 4 showed no disease complications and had normal kidney function, the oldest sister was found to have no dipping status on ambulatory blood pressure measurement (ABPM). Two of the sisters were discovered to have a <i>PKD1</i> mutation, while the third sister aged 8 was heterozygous for <i>TTC21B</i> c.1593_1595del, p. (Leu532del), which is a variant of uncertain significance (VUS). Environmental factors and genetic modifying factors are believed to contribute to the phenotypic variability observed in ADPKD. Identifying and understanding potential genetic and environmental modifiers of ADPKD could pave the way to targeted treatments for childhood ADPKD.https://www.mdpi.com/2227-9067/10/10/1700autosomal dominant polycystic kidney diseasechildrenmutation
spellingShingle Ivana Trutin
Lea Oletić
Tamara Nikuševa-Martić
Unraveling the Complexity of Childhood Polycystic Kidney Disease: A Case Study of Three Sisters
Children
autosomal dominant polycystic kidney disease
children
mutation
title Unraveling the Complexity of Childhood Polycystic Kidney Disease: A Case Study of Three Sisters
title_full Unraveling the Complexity of Childhood Polycystic Kidney Disease: A Case Study of Three Sisters
title_fullStr Unraveling the Complexity of Childhood Polycystic Kidney Disease: A Case Study of Three Sisters
title_full_unstemmed Unraveling the Complexity of Childhood Polycystic Kidney Disease: A Case Study of Three Sisters
title_short Unraveling the Complexity of Childhood Polycystic Kidney Disease: A Case Study of Three Sisters
title_sort unraveling the complexity of childhood polycystic kidney disease a case study of three sisters
topic autosomal dominant polycystic kidney disease
children
mutation
url https://www.mdpi.com/2227-9067/10/10/1700
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