Raras
Buscar doenças, sintomas, genes...
Doença renal policística autossômica dominante
ORPHA:730CID-10 · Q61.2CID-11 · GB81DOENÇA RARA

Forma autossômica dominante de doença renal policística.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

Forma autossômica dominante de doença renal policística.

Pesquisas ativas
33 ensaios
171 total registrados no ClinicalTrials.gov
Publicações científicas
5.791 artigos
Último publicado: 2026 Apr 9

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-5 / 10 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
39.6
Europe
Início
Adolescent
+ adult, childhood
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q61.2
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
Você se identifica com essa condição?
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Encontrou um erro ou informação desatualizada? Sugira uma correção →

Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🫘
Rins
16 sintomas
🦴
Ossos e articulações
6 sintomas
❤️
Coração
5 sintomas
🫃
Digestivo
5 sintomas
🧠
Neurológico
3 sintomas
😀
Face
2 sintomas

+ 14 sintomas em outras categorias

Características mais comuns

90%prev.
Cisto renal
Muito frequente (99-80%)
90%prev.
Taxa de filtração glomerular diminuída
Muito frequente (99-80%)
90%prev.
Cistos hepáticos
Muito frequente (99-80%)
90%prev.
Concentração elevada de creatinina circulante
Muito frequente (99-80%)
90%prev.
Insuficiência renal
Muito frequente (99-80%)
55%prev.
Doença renal crônica estágio 5
Frequente (79-30%)
52sintomas
Muito frequente (5)
Frequente (7)
Ocasional (13)
Muito raro (1)
Sem dados (26)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 52 características clínicas mais associadas, ordenadas por frequência.

Cisto renalRenal cyst
Muito frequente (99-80%)90%
Taxa de filtração glomerular diminuídaDecreased glomerular filtration rate
Muito frequente (99-80%)90%
Cistos hepáticosHepatic cysts
Muito frequente (99-80%)90%
Concentração elevada de creatinina circulanteElevated circulating creatinine concentration
Muito frequente (99-80%)90%
Insuficiência renalRenal insufficiency
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico5.791PubMed
Últimos 10 anos200publicações
Pico2026123 papers
Linha do tempo
2026Hoje · 2026🧪 1994Primeiro ensaio clínico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

9 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant.

IFT140Intraflagellar transport protein 140 homologDisease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

Component of the IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs) (PubMed:20889716, PubMed:22503633). Plays a pivotal role in proper development and function of ciliated cells through its role in ciliogenesis and/or cilium maintenance (PubMed:22503633). Required for the development and maintenance of the outer segments of rod and cone photoreceptor cells. Plays a role in maintenance and the delivery of opsin to

LOCALIZAÇÃO

Cytoplasm, cytoskeleton, cilium basal bodyCytoplasm, cytoskeleton, microtubule organizing center, centrosomeCell projection, cilium

VIAS BIOLÓGICAS (2)
Hedgehog 'off' stateIntraflagellar transport
MECANISMO DE DOENÇA

Short-rib thoracic dysplasia 9 with or without polydactyly

A form of short-rib thoracic dysplasia, a group of autosomal recessive ciliopathies that are characterized by a constricted thoracic cage, short ribs, shortened tubular bones, and a 'trident' appearance of the acetabular roof. Polydactyly is variably present. Non-skeletal involvement can include cleft lip/palate as well as anomalies of major organs such as the brain, eye, heart, kidneys, liver, pancreas, intestines, and genitalia. Some forms of the disease are lethal in the neonatal period due to respiratory insufficiency secondary to a severely restricted thoracic cage, whereas others are compatible with life. Disease spectrum encompasses Ellis-van Creveld syndrome, asphyxiating thoracic dystrophy (Jeune syndrome), Mainzer-Saldino syndrome, and short rib-polydactyly syndrome. SRTD9 is characterized by phalangeal cone-shaped epiphyses, chronic renal disease, nearly constant retinal dystrophy, and mild radiographic abnormality of the proximal femur. Occasional features include short stature, cerebellar ataxia, and hepatic fibrosis.

EXPRESSÃO TECIDUAL(Ubíquo)
Tireoide
59.8 TPM
Testículo
47.9 TPM
Pituitária
34.4 TPM
Ovário
31.1 TPM
Cervix Endocervix
29.6 TPM
OUTRAS DOENÇAS (8)
retinitis pigmentosa 80cranioectodermal dysplasia 5short-rib thoracic dysplasia 9 with or without polydactylyJeune syndrome
HGNC:29077UniProt:Q96RY7
NEK8Serine/threonine-protein kinase Nek8Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Required for renal tubular integrity. May regulate local cytoskeletal structure in kidney tubule epithelial cells. May regulate ciliary biogenesis through targeting of proteins to the cilia (PubMed:37598857). Plays a role in organogenesis, and is involved in the regulation of the Hippo signaling pathway (PubMed:26967905)

LOCALIZAÇÃO

CytoplasmCytoplasm, cytoskeletonCell projection, ciliumCytoplasm, cytoskeleton, microtubule organizing center, centrosomeCytoplasm, cytoskeleton, cilium axoneme

VIAS BIOLÓGICAS (3)
EML4 and NUDC in mitotic spindle formationNuclear Pore Complex (NPC) DisassemblyActivation of NIMA Kinases NEK9, NEK6, NEK7
MECANISMO DE DOENÇA

Nephronophthisis 9

An autosomal recessive disorder resulting in end-stage renal disease. It is a progressive tubulo-interstitial kidney disorder histologically characterized by modifications of the tubules with thickening of the basement membrane, interstitial fibrosis and, in the advanced stages, medullary cysts.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
18.6 TPM
Tireoide
18.3 TPM
Rim - Medula
11.3 TPM
Testículo
10.7 TPM
Baço
9.9 TPM
OUTRAS DOENÇAS (6)
polycystic kidney disease 8nephronophthisis 9renal-hepatic-pancreatic dysplasia 2autosomal dominant polycystic kidney disease
HGNC:13387UniProt:Q86SG6
BICC1Protein bicaudal C homolog 1Candidate gene tested inRestrito
FUNÇÃO

Putative RNA-binding protein. Acts as a negative regulator of Wnt signaling. May be involved in regulating gene expression during embryonic development

LOCALIZAÇÃO

Cytoplasm

VIAS BIOLÓGICAS (1)
Signaling by FGFR2 fusions
MECANISMO DE DOENÇA

Renal dysplasia, cystic

An anomaly of the kidney characterized by numerous renal cysts and apparent disorder of differentiation of the renal parenchyma. Kidney of affected individuals lack the normal renal bean shape, and the collection drainage system. The cystic, dysplastic kidney contains undifferentiated mesenchyme, cartilaginous tissue, and immature collecting ducts.

INTERAÇÕES PROTEICAS (2)
OUTRAS DOENÇAS (2)
autosomal dominant polycystic kidney diseaserenal dysplasia, cystic, susceptibility to
HGNC:19351UniProt:Q9H694
ALG9Alpha-1,2-mannosyltransferase ALG9Disease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

Mannosyltransferase that operates in the biosynthetic pathway of dolichol-linked oligosaccharides, the glycan precursors employed in protein asparagine (N)-glycosylation. The assembly of dolichol-linked oligosaccharides begins on the cytosolic side of the endoplasmic reticulum membrane and finishes in its lumen. The sequential addition of sugars to dolichol pyrophosphate produces dolichol-linked oligosaccharides containing fourteen sugars, including two GlcNAcs, nine mannoses and three glucoses.

LOCALIZAÇÃO

Endoplasmic reticulum membrane

VIAS BIOLÓGICAS (1)
Biosynthesis of the N-glycan precursor (dolichol lipid-linked oligosaccharide, LLO) and transfer to a nascent protein
INTERAÇÕES PROTEICAS (5)
OUTRAS DOENÇAS (3)
ALG9-congenital disorder of glycosylationGillessen-Kaesbach-Nishimura syndromeautosomal dominant polycystic kidney disease
HGNC:15672UniProt:Q9H6U8
DNAJB11DnaJ homolog subfamily B member 11Disease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

As a co-chaperone for HSPA5 it is required for proper folding, trafficking or degradation of proteins (PubMed:10827079, PubMed:15525676, PubMed:29706351). Binds directly to both unfolded proteins that are substrates for ERAD and nascent unfolded peptide chains, but dissociates from the HSPA5-unfolded protein complex before folding is completed (PubMed:15525676). May help recruiting HSPA5 and other chaperones to the substrate. Stimulates HSPA5 ATPase activity (PubMed:10827079). It is necessary fo

LOCALIZAÇÃO

Endoplasmic reticulum lumen

VIAS BIOLÓGICAS (2)
XBP1(S) activates chaperone genesMaturation of DENV proteins
MECANISMO DE DOENÇA

Polycystic kidney disease 6 with or without polycystic liver disease

A form of polycystic kidney disease, a disorder characterized by progressive formation and enlargement of cysts in both kidneys, typically leading to end-stage renal disease in adult life. Cysts also occur in other organs, particularly the liver. PKD6 inheritance is autosomal dominant.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
93.9 TPM
Tireoide
91.3 TPM
Linfócitos
76.7 TPM
Baço
65.0 TPM
Pulmão
61.3 TPM
OUTRAS DOENÇAS (2)
polycystic kidney disease 6 with or without polycystic liver diseaseautosomal dominant polycystic kidney disease
HGNC:14889UniProt:Q9UBS4
ALG5Dolichyl-phosphate beta-glucosyltransferaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Dolichyl-phosphate beta-glucosyltransferase that operates in the biosynthetic pathway of dolichol-linked oligosaccharides, the glycan precursors employed in protein asparagine (N)-glycosylation. The assembly of dolichol-linked oligosaccharides begins on the cytosolic side of the endoplasmic reticulum membrane and finishes in its lumen. The sequential addition of sugars to dolichol pyrophosphate produces dolichol-linked oligosaccharides containing fourteen sugars, including two GlcNAcs, nine mann

LOCALIZAÇÃO

Endoplasmic reticulum membrane

VIAS BIOLÓGICAS (1)
Synthesis of dolichyl-phosphate-glucose
MECANISMO DE DOENÇA

Polycystic kidney disease 7

A form of polycystic kidney disease, a disorder characterized by progressive formation and enlargement of cysts in both kidneys, typically leading to end-stage renal disease in adult life. Cysts also occur in other organs, particularly the liver. PKD7 inheritance is autosomal dominant.

OUTRAS DOENÇAS (2)
polycystic kidney disease 7autosomal dominant polycystic kidney disease
HGNC:20266UniProt:Q9Y673
PKD2Polycystin-2Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Forms a nonselective cation channel (PubMed:11854751, PubMed:11991947, PubMed:15692563, PubMed:26269590, PubMed:27071085, PubMed:31441214, PubMed:39009345). Can function as a homotetrameric ion channel or can form heteromer with PKD1 (PubMed:31441214, PubMed:33164752). Displays distinct function depending on its subcellular localization and regulation by its binding partners (PubMed:11854751, PubMed:11991947, PubMed:27214281, PubMed:29899465). In primary cilium functions as a cation channel, wit

LOCALIZAÇÃO

Cell projection, cilium membraneEndoplasmic reticulum membraneCell membraneBasolateral cell membraneCytoplasmic vesicle membraneGolgi apparatusVesicleSecreted, extracellular exosome

VIAS BIOLÓGICAS (1)
VxPx cargo-targeting to cilium
MECANISMO DE DOENÇA

Polycystic kidney disease 2 with or without polycystic liver disease

An autosomal dominant disorder characterized by progressive formation and enlargement of cysts in both kidneys, typically leading to end-stage renal disease in adult life. Cysts also occurs in the liver and other organs. It represents approximately 15% of the cases of autosomal dominant polycystic kidney disease. PKD2 is clinically milder than PKD1 but it has a deleterious impact on overall life expectancy.

EXPRESSÃO TECIDUAL(Ubíquo)
Aorta
225.3 TPM
Útero
134.2 TPM
Artéria tibial
116.8 TPM
Fallopian Tube
89.6 TPM
Artéria coronária
88.5 TPM
OUTRAS DOENÇAS (2)
polycystic kidney disease 2autosomal dominant polycystic kidney disease
HGNC:9009UniProt:Q13563
GANABNeutral alpha-glucosidase ABDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Catalytic subunit of glucosidase II that cleaves sequentially the 2 innermost alpha-1,3-linked glucose residues from the Glc(2)Man(9)GlcNAc(2) oligosaccharide precursor of immature glycoproteins (PubMed:10929008). Required for PKD1/Polycystin-1 and PKD2/Polycystin-2 maturation and localization to the cell surface and cilia (PubMed:27259053)

LOCALIZAÇÃO

Endoplasmic reticulumGolgi apparatusMelanosome

VIAS BIOLÓGICAS (5)
Maturation of spike proteinMaturation of spike proteinRegulation of CDH1 posttranslational processing and trafficking to plasma membraneCalnexin/calreticulin cycleN-glycan trimming in the ER and Calnexin/Calreticulin cycle
MECANISMO DE DOENÇA

Polycystic kidney disease 3 with or without polycystic liver disease

A form of polycystic kidney disease, a disorder characterized by progressive formation and enlargement of cysts in both kidneys, typically leading to end-stage renal disease in adult life. Cysts also occur in other organs, particularly the liver. PKD3 inheritance is autosomal dominant.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
476.1 TPM
Ovário
253.0 TPM
Cervix Endocervix
244.7 TPM
Cervix Ectocervix
239.3 TPM
Útero
234.9 TPM
OUTRAS DOENÇAS (2)
polycystic kidney disease 3 with or without polycystic liver diseaseautosomal dominant polycystic kidney disease
HGNC:4138UniProt:Q14697
PKD1Polycystin-1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Component of a heteromeric calcium-permeable ion channel formed by PKD1 and PKD2 that is activated by interaction between PKD1 and a Wnt family member, such as WNT3A and WNT9B (PubMed:27214281). Both PKD1 and PKD2 are required for channel activity (PubMed:27214281). Involved in renal tubulogenesis (PubMed:12482949). Involved in fluid-flow mechanosensation by the primary cilium in renal epithelium (By similarity). Acts as a regulator of cilium length, together with PKD2 (By similarity). The dynam

LOCALIZAÇÃO

Cell membraneCell projection, ciliumEndoplasmic reticulumGolgi apparatusVesicleSecreted, extracellular exosome

VIAS BIOLÓGICAS (1)
VxPx cargo-targeting to cilium
MECANISMO DE DOENÇA

Polycystic kidney disease 1 with or without polycystic liver disease

An autosomal dominant disorder characterized by renal cysts, liver cysts and intracranial aneurysm. Clinical variability is due to differences in the rate of loss of glomerular filtration, the age of reaching end-stage renal disease and the occurrence of hypertension, symptomatic extrarenal cysts, and subarachnoid hemorrhage from intracranial 'berry' aneurysm.

EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
577.2 TPM
Cérebro - Hemisfério cerebelar
484.4 TPM
Pituitária
165.6 TPM
Aorta
150.0 TPM
Artéria tibial
96.0 TPM
OUTRAS DOENÇAS (3)
polycystic kidney disease 1autosomal dominant polycystic kidney disease type 1 with tuberous sclerosisautosomal dominant polycystic kidney disease
HGNC:9008UniProt:P98161

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 Jynarque (TOLVAPTAN)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

503 variantes patogênicas registradas no ClinVar.

🧬 IFT140: NM_014714.4(IFT140):c.69G>A (p.Trp23Ter) ()
🧬 IFT140: NM_014714.4(IFT140):c.3780del (p.Lys1261fs) ()
🧬 IFT140: NM_014714.4(IFT140):c.2659G>T (p.Glu887Ter) ()
🧬 IFT140: NM_014714.4(IFT140):c.2254C>T (p.Gln752Ter) ()
🧬 IFT140: NM_014714.4(IFT140):c.1035_1036del (p.Gly346fs) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 1,127 variantes classificadas pelo ClinVar.

733
394
VUS (65.0%)
Benigna (35.0%)
VARIANTES MAIS SIGNIFICATIVAS
PKD2: NM_000297.4(PKD2):c.706A>C (p.Ile236Leu) [Uncertain significance]
PKD2: NM_000297.4(PKD2):c.2324A>G (p.His775Arg) [Uncertain significance]
PKD2: NM_000297.4(PKD2):c.2120G>T (p.Gly707Val) [Uncertain significance]
PKD2: NM_000297.4(PKD2):c.1235A>G (p.Asn412Ser) [Uncertain significance]
PKD2: NM_000297.4(PKD2):c.1391G>A (p.Arg464Gln) [Uncertain significance]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
3Fase 31
2Fase 24
1Fase 13
·Pré-clínico12
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 20 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Doença renal policística autossômica dominante

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

18 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

NCT07535385 · RADIOLOGICAL AND CLINICAL EVALUATION OF RENAL EMBOLIZATION U…Recrutando
NCT07161037 · Phase 2a Study of VX-407 in Participants With ADPKD Who Have…Recrutando
PHASE2
NCT04939935 · Implementation of Metformin theraPy to Ease Decline of Kidne…Recrutando
PHASE3
NCT05996731 · Developing a Pipeline to Employ RNA-Seq as a Complementary D…Recrutando
NA
NCT07228364 · Safety, Tolerability and Pharmacokinetics of AZD1613 in Adul…Recrutando
PHASE1
NCT07454174 · Metabolic Impacts of Ren-Nu: A Dietary Program for Polycysti…Recrutando
NA
NCT06714006 · Phase 1 Study to Evaluate the Safety and Tolerability of Int…Recrutando
PHASE1
NCT06902558 · A Study to Assess Adverse Events and Effectiveness of IntraV…Recrutando
PHASE2
NCT04111692 · A Prospective Observational Study of Foam Sclerotherapy .Recrutando
NCT04344769 · Characterization of the Nrf2 Response in Patients With Autos…Recrutando
NCT04630613 · NOX4 and Related Biomarkers in ADPKDRecrutando
NCT07260071 · Hypertension in Children and Young People at Risk of Autosom…Recrutando
NCT00792155 · Polycystic Kidney Disease Data RepositoryRecrutando
NCT06435858 · Short-term Effects of an SGLT2 Inhibitor on Divalent Ions in…Recrutando
PHASE2
NCT06734234 · A Study to Evaluate the Safety, Tolerability, and Effects on…Recrutando
PHASE1
NCT06800651 · Trial of JMKX003142 in Participants With Rapidly Progressive…Recrutando
PHASE2
NCT02936791 · Early PKD Observational Cohort StudyRecrutando
NCT03901521 · Autosomal Dominant Polycystic Kidney Disease Somatic Mutatio…Por convite

Outros ensaios clínicos

171 ensaios clínicos encontrados, 33 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
3.153 papers (10 anos)

Mostrando amostra de 200 publicações de um total de 3.153

#1

Investigating PKD2 deficiency-associated cardiomyopathies using hESC-cardiomyocytes and bioengineered 3D ventricular cardiac tissue strips.

Cell death &amp; disease2026 Mar 25

Autosomal dominant polycystic kidney disease is a highly prevalent hereditary renal disorder caused by mutations in either polycystin-1 or polycystin-2. These patients also develop cardiomyopathies. However, the mechanism of how polycystin-2 defects could lead to cardiomyopathies is poorly understood. Moreover, previous studies using animal models cannot fully represent human cardiomyocyte pathophysiology. Human embryonic stem cells were differentiated into cardiomyocytes. These cardiomyocytes were transduced with viral-based polycystin-2-shRNAs, then mixed with an appropriate amount of human fetal fibroblasts, collagen, and Matrigel, and biofabricated into 3D bioengineered ventricular cardiac tissue strips (hvCTS). We used these 3D hvCTS and 2D human embryonic stem cells-derived cardiomyocytes to recapitulate polycystin-2 deficiency-associated cardiac contractile defects and to explore underlying mechanisms. Knockdown of polycystin-2 decreased the contractile force and slowed down the contraction and relaxation velocities in hvCTS, indicative of contractile malfunction. The underlying mechanisms involved an elevated endoplasmic reticulum stress and a decreased activity of sarcoplasmic reticulum Ca2+-ATPases. Alleviation of endoplasmic reticulum stress by small molecular chaperones 4-phenylbutyrate/tauroursodeoxycholic acid or stimulation of sarcoplasmic reticulum Ca2+-ATPase activity by CDN1163 partially rescued the polycystin-2 deficiency-associated contractile dysfunction in hvCTS. This study used 3D hvCTS and 2D human embryonic stem cells-derived cardiomyocytes as novel disease models to recapitulate PKD2 deficiency-associated contractile defects. We found that knockdown of polycystin-2 induces cardiomyopathies via elevating endoplasmic reticulum stress and decreasing sarcoplasmic reticulum Ca2+-ATPase activity. The results provide novel insights about polycystin-2 deficiency-associated cardiomyopathies in polycystic kidney disease patients.

#2

Generation of a human-induced pluripotent stem cell line (NUMNi003-A) from a patient with autosomal dominant polycystic kidney disease harboring a PKD1 gene variant.

Stem cell research2026 Mar 16

PKD1 variants are risk factors for autosomal dominant polycystic kidney disease (ADPKD). However, the detailed mechanisms by which PKD1 variants cause ADPKD remain unclear. Currently, there are no curative treatments for ADPKD. We generated induced pluripotent stem cells (iPSCs) from a patient with ADPKD and a PKD1 variant. These iPSCs expressed stem cell markers and could differentiate into the three germ layers in vitro. The iPSCs will serve as useful tools for understanding the pathophysiology of ADPKD and for screening therapeutic approaches.

#3

Reversible cystogenesis in juvenile primate ADPKD models: evidence from PKD1 heterozygous monkeys.

Human molecular genetics2026 Feb 23

Autosomal dominant polycystic kidney disease (ADPKD) is a common inherited disorder caused predominantly by heterozygous mutations in the PKD1 gene, leading to progressive renal cyst formation. While PKD1 mutant mouse models have provided mechanistic insights, PKD1 heterozygous mice fail to replicate the early cystogenesis observed in human patients. To address this gap, we conducted a longitudinal study using PKD1 heterozygous cynomolgus monkeys. Serial renal ultrasonography from birth to five years of age-corresponding to human childhood-revealed progressive cyst development. Remarkably, a subset of cysts, particularly smaller ones, exhibited spontaneous regression over time. This phenomenon was also observed in PKD1 mosaic monkeys harboring mixed variant patterns. In contrast, monkeys with biallelic PKD1 loss-of-function variants developed severe cystic disease, kidney enlargement, hepatic cysts, and elevated serum creatinine, resembling the clinical features of advanced ADPKD. These findings demonstrate that early renal cysts may possess intrinsic plasticity, challenging the conventional view of ADPKD as a relentlessly progressive disorder. Our results suggest that the early stages of cystogenesis represent a potential therapeutic window for intervention, in which cyst regression may be promoted. The PKD1 heterozygous monkey model thus provides a valuable platform for studying the developmental dynamics of ADPKD and for evaluating novel therapeutic approaches targeting early cystic changes.

#4

Genetic basis of the circle of Willis characteristics in the healthy and intracranial aneurysm population.

European journal of human genetics : EJHG2026 Mar 13

Rupture of an intracranial aneurysm (IA) can result in aneurysmal subarachnoid hemorrhage (ASAH), a severe and often fatal form of stroke. The configuration of the intracranial arteries - collectively known as the circle of Willis (CoW) - influences the risk of IA development and rupture. Although CoW variation is known to be heritable, its genetic underpinnings and contribution to IA remain poorly understood. Here, we aimed to investigate the genetic architecture of CoW variation and its potential link with IA. Using a semi-automated detection tool, we characterized the diameters, bifurcation angles, and presence of arterial segments of the CoW in 1078 participants from a population-based cohort and 682 IA patients. Composite traits capturing variation in all CoW characteristics were generated through principal component analysis. We conducted a genome-wide association study (GWAS) on these composite traits and identified four loci with suggestively significant associations. Lead single-nucleotide polymorphisms (SNPs) were located in or near the genes DPYSL2, CSMD3, TRPC6, and PKD1L2. Notably, PKD1L2 is closely related to PKD1, a gene implicated in autosomal dominant polycystic kidney disease, a connective tissue disorder that increases IA susceptibility. We observed statistically significant SNP-based heritability for the second principal component of CoW variation (heritability estimate = 0.95, standard error = 0.25). All lead SNPs demonstrated nominal association (p < 0.05) with multiple CoW characteristics and other vascular traits. Our findings highlight a substantial genetic contribution to CoW morphology and offer new insights into the molecular mechanisms underlying CoW variation and its role in IA pathogenesis.

#5

Pellino1-mTOR/S6K1 signaling axis is a key pathogenesis for the development of polycystic kidney disease.

Cell death &amp; disease2026 Mar 05

Ubiquitination serves a critical role in regulating both inflammatory responses and kidney injury. Among inherited renal disorders, autosomal dominant polycystic kidney disease (ADPKD) has demonstrated associations with disrupted ubiquitin signaling that exacerbates inflammation and cyst progression. In this study, we demonstrate that the E3 ligase Pellino1 (Peli1) acts as an essential contributor to the pathogenesis of ADPKD amid inflammatory conditions. In individuals with clear cell renal cell carcinoma (ccRCC), Peli1 exhibits markedly elevated expression, and this upregulation is associated with adverse clinical outcomes. Additionally, we find that various TLR stimulations in renal tubular cells induce increased Peli1 expression, which is also elevated in samples from ADPKD patients. Using doxycycline-inducible Peli1-transgenic mice, we establish that Peli1 overexpression leads to impaired renal function and facilitates cyst formation. On a mechanistic level, elevated Peli1 promotes cystic epithelial cell proliferation by activating mTOR signaling, accomplished through the stabilization of S6K1. In summary, our data indicate that TLR-driven upregulation of Peli1 facilitates renal cyst growth via S6K1 stabilization. These results reveal a novel mechanistic link between PKD and ccRCC.A schematic model is proposed to describe the role of Peli1 in the development of polycystic kidney diseases. Normal signaling pathways (Left) and Peli1-mediated signaling pathways in polycystic kidney disease (Right). The illustration outlines the cascade from TLR stimulation to Peli1-dependent K63 ubiquitination of S6K1 and subsequent proliferation in renal tubular epithelial cells. This figure was generated using BioRender.com.

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Journal of the American Society of Nephrology : JASN
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Journal of the American Society of Nephrology : JASN
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Journal of the American Society of Nephrology : JASN
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Experimental and therapeutic medicine
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Nucleic acids research
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CEN case reports
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CEN case reports
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The Journal of surgical research
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Kidney international reports
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Canadian journal of kidney health and disease
2026

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Communications medicine
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Kidney360
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Journal of personalized medicine
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Biomedicine &amp; pharmacotherapy = Biomedecine &amp; pharmacotherapie
2026

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American journal of nephrology
2026

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Human molecular genetics
2026

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International urology and nephrology
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Kidney360
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Kidney360
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PLoS genetics
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FASEB journal : official publication of the Federation of American Societies for Experimental Biology
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Medicina (Kaunas, Lithuania)
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International journal of molecular sciences
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Cureus
2025

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bioRxiv : the preprint server for biology
2025

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Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia
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Genes &amp; diseases
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The American journal of pathology
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Kidney360
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European journal of pediatrics
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Kidney international
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Canadian journal of kidney health and disease
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Kidney360
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Nature communications
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Clinical kidney journal
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bioRxiv : the preprint server for biology
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Surgical case reports
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Application of Surface-Enhanced Raman Spectroscopy and Machine Learning Omics Techniques in the Progression Assessment of Autosomal Dominant Polycystic Kidney Disease.

Kidney diseases (Basel, Switzerland)
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Prenatal-Onset Autosomal Dominant Polycystic Kidney Disease: Clinical Spectrum and Genetic Complexity of a Pseudo-Recessive Phenotype.

Prenatal diagnosis
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Discovery of Non-benzoazacyclic V2R Antagonists for the Treatment of Autosomal Dominant Polycystic Kidney Disease.

Journal of medicinal chemistry
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Nature communications
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Oxford medical case reports
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Nutrients
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Estimation of Kidney Volumes in Autosomal Dominant Polycystic Kidney Disease: A Comparison Between Manual Segmentation and Ellipsoid Formula.

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Coronary aneurysms and dissections in a patient with autosomal dominant polycystic kidney disease: a case report.

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Precision genomic profiling in Gaucher disease: insights from atypical presentations.

Frontiers in genetics
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Distinguishing Acute Pancreatitis From Refractory Peritonitis in Peritoneal Dialysis: A Case Report.

Cureus
2025

Extra-ciliary role for polycystins in regulation of Ezrin and renal tubular morphology.

bioRxiv : the preprint server for biology
2025

Frailty Among Patients With ADPKD.

Kidney international reports
2025

End Point Selection in ADPKD Clinical Trials.

Kidney international reports
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Genotype-first assessment of presentation and penetrance of neurofibromatosis type 1, autosomal dominant polycystic kidney disease, and Marfan syndrome within the All of Us research program cohort.

Genetics in medicine : official journal of the American College of Medical Genetics
2026

A national cohort study examined the risk of severe infection and infection-related mortality in patients with chronic kidney disease with lupus nephritis in comparison to other chronic kidney disease etiologies.

Kidney international
2025

Translational readthrough therapy for ADPKD induces polycystin1 expression and partially rescues functional deficits in PKD1 mutant cells.

Scientific reports
2025

In-depth 3D exploration of autosomal dominant polycystic kidney disease through light sheet fluorescence microscopy.

Scientific reports
2025

Molecular Diagnosis and Identification of a Novel Pathogenic Variant in Autosomal Dominant Polycystic Kidney Disease (ADPKD): A Case in Full Bloom.

Cureus
2025

Metformin in non-diabetic patients with autosomal dominant polycystic kidney disease: a systematic review and meta-analysis of randomized controlled trials.

BMC nephrology
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De novo PKD1 splicing and missense variants in two familial ADPKD: Molecular characterization and genetic counseling implications.

Gene
2025

Inhibition of the inflammasome ameliorates orthologous polycystic kidney disease.

Proceedings of the National Academy of Sciences of the United States of America
2025

Kidneys in Children with Tuberous Sclerosis Complex-An Up-to-Date Review.

Journal of clinical medicine
2025

Pentosidine and Bone Properties in Autosomal Dominant Polycystic Kidney Disease.

Journal of clinical medicine
2025

Circulating and Urinary CCL20 in Human Kidney Disease.

International journal of molecular sciences
2025

Sodium-Glucose Cotransporter 2 Inhibitors in Autosomal Dominant Polycystic Kidney Disease: Mechanistic Insights and Therapeutic Promise.

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2025

Molecular pathology and cystogenic propensity of the ADPKD Taiwan founder variant.

JCI insight
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Kidney stones and autosomal dominant polycystic kidney disease: a state-of-the-art review.

Renal failure
2025

Cardiac complications in autosomal dominant polycystic kidney disease: links to genotype and CKD severity.

Clinical kidney journal
2025

Kidney organoids in translational research: disease modeling, drug discovery, and unresolved challenges.

Cell and tissue research
2025

Automatically Measuring Kidney, Liver, and Cyst Volumes in Autosomal Dominant Polycystic Kidney Disease.

Journal of the American Society of Nephrology : JASN
2025

Combined Preimplantation Genetic Testing for Aneuploidy (PGT-A) and Monogenic Disorders (PGT-M) to Prevent Autosomal Dominant Polycystic Kidney Disease After Kidney Transplant.

Cureus
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Drug repurposing in PIK3CA-related overgrowth spectrum: breakthroughs from overgrowth syndromes to kidney disease.

Kidney international
2025

Eliosin-an alternative product from the HmPKD1 locus is a component of endoplasmic reticulum mitochondria membrane contact sites.

PloS one
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A novel frameshift variation of PKD1 in familial autosomal dominant polycystic kidney diseases: expanding the clinical phenotype and genetic spectrum of PKD1 disorders.

BMC medical genomics
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Assessing ciliary function in polycystic kidney disease: beyond the kidney.

Acta clinica Belgica
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Unraveling the Genetic Links Between Polycystic Kidney Disease and Hypertension Through ARL13B.

International journal of nephrology and renovascular disease
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Hypertension Resistant to RAAS Inhibitors as a Prognostic Indicator for Rapid Progression to ESRD in ADPKD: A Ten-Year Follow-Up.

Diagnostics (Basel, Switzerland)
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Refining Tolvaptan Dosing in Autosomal Dominant Polycystic Kidney Disease.

Kidney360
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Contemporary management of advanced chronic kidney disease: An evidence-based review.

European journal of internal medicine
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Kcnn4/KCa3.1 inhibition blunts polycystic kidney disease progression in mouse models.

JCI insight
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Idiopathic Pubic Symphysis Diastasis in a Patient With Autosomal Dominant Polycystic Kidney Disease: A Rare Case Report.

Cureus
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Unexpected Paraganglioma Identified During Bilateral Nephrectomy in Autosomal Dominant Polycystic Kidney Disease: A Case Report.

Cureus
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Kidney international
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SDF2 and SDF2L1 are essential co-factors of DNAJB11 for Polycystin-1 processing.

The Journal of biological chemistry
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Inhibiting mPGES-2 impedes renal cyst growth in mice with polycystic kidney disease.

Acta pharmacologica Sinica
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A Review of the Management of Nephrolithiasis in Autosomal Dominant Polycystic Kidney Disease.

Cureus
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Associations of Skeletal Muscle Mass and Body Mass Index With Clinical Outcomes in Autosomal-Dominant Polycystic Kidney Disease: An Observational Study.

American journal of kidney diseases : the official journal of the National Kidney Foundation
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Do Patients with Autosomal Dominant Polycystic Kidney Disease Need Native Nephrectomy before Kidney Transplantation? A Single-Center Retrospective Study over 11 Years.

Urologia internationalis
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PKD1 Splice and PKD2 Nonsense Variants Identified in Two Chinese Families With Autosomal Dominant Polycystic Kidney Disease.

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ACS omega
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Inactivation of Pkd2 in adult mice results in delayed cyst formation and identifies sex as a major modifier of disease severity.

Kidney international
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A randomized controlled trial evaluated the effect of pravastatin on kidney disease outcomes in adult patients with early-stage autosomal dominant polycystic kidney disease.

Kidney international
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Organizações que acompanham esta doença — pra ter apoio e orientação

IJCVerificada

Pioneiro da triagem neonatal na América Latina (1976). 17 milhões de bebês triados.

Comunidades

Grupos ativos de quem convive com esta doença aqui no Raras

Ainda não existe comunidade no Raras para Doença renal policística autossômica dominante

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Ordenadas pelo número de sintomas em comum.

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Investigating PKD2 deficiency-associated cardiomyopathies using hESC-cardiomyocytes and bioengineered 3D ventricular cardiac tissue strips.
    Cell death &amp; disease· 2026· PMID 41876456mais citado
  2. Generation of a human-induced pluripotent stem cell line (NUMNi003-A) from a patient with autosomal dominant polycystic kidney disease harboring a PKD1 gene variant.
    Stem cell research· 2026· PMID 41850000mais citado
  3. Reversible cystogenesis in juvenile primate ADPKD models: evidence from PKD1 heterozygous monkeys.
    Human molecular genetics· 2026· PMID 41843812mais citado
  4. Genetic basis of the circle of Willis characteristics in the healthy and intracranial aneurysm population.
    European journal of human genetics : EJHG· 2026· PMID 41826712mais citado
  5. Pellino1-mTOR/S6K1 signaling axis is a key pathogenesis for the development of polycystic kidney disease.
    Cell death &amp; disease· 2026· PMID 41786698mais citado
  6. SAR-Guided Scaffold Innovation of Selective V(2)R Antagonists: Therapeutic Frontiers in ADPKD.
    ACS Med Chem Lett· 2026· PMID 41982737recente
  7. Retroperitoneoscopic Nephrectomy at the Time of Kidney Transplantation for Autosomal Dominant Polycystic Kidney Disease: Safety, Efficacy, Feasibility, and Cosmetic Outcomes.
    Transplant Direct· 2026· PMID 41972228recente
  8. A case of Kocuria rhizophila infection and persistence in ascitic fluid of a peritoneal dialysis patient with polycystic kidney disease.
    New Microbiol· 2026· PMID 41969118recente
  9. Apelin inhibits cyst growth and improves kidney function in mice with polycystic kidney disease.
    bioRxiv· 2026· PMID 41958979recente
  10. Patient-derived kidney organoids recapitulate ADPKD and facilitate the identification of Rho pathway inhibitors as candidate therapeutics.
    Cell Rep Med· 2026· PMID 41946363recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:730(Orphanet)
  2. MONDO:0004691(MONDO)
  3. GARD:10413(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Artigo Wikipedia(Wikipedia)
  7. Q15443105(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Doença renal policística autossômica dominante
Compêndio · Raras BR

Doença renal policística autossômica dominante

ORPHA:730 · MONDO:0004691
Prevalência
1-5 / 10 000
Herança
Autosomal dominant
CID-10
Q61.2 · Rim policístico, autossômico dominante
CID-11
Ensaios
33 ativos
Início
Adolescent, Adult, Childhood
Prevalência
39.6 (Europe)
MedGen
UMLS
C0022680
EuropePMC
Wikidata
Wikipedia
Papers 10a
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