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Síndrome nefrótica corticorresistente genética
ORPHA:656CID-10 · N04.1CID-11 · GB41DOENÇA RARA
Esta doença tem causa genética. Recomendamos procurar um médico geneticista para diagnóstico, exames genéticos e aconselhamento familiar.
heartInício neonatalHerança AD/AR
Também conhecida comoSRNSFSGS
Sinônimos clínicos: Síndrome nefrótica corticorresistente hereditária · Síndrome nefrótica corticorresistente idiopática familiar · SRNS genética

A Síndrome Nefrótica Familiar Idiopática Resistente a Corticoides é uma condição dos rins caracterizada por ocorrer em famílias, ter causa desconhecida, não responder ao tratamento com corticoides e, frequentemente, manifestar-se cedo.

Em construçãohistóricoSugerir correção
Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

💬
EM LINGUAGEM SIMPLES

A **Síndrome nefrótica corticorresistente genética** é uma alteração rara nos rins que faz o organismo perder proteínas pela urina e não responde ao tratamento com corticoides. Ela tem origem hereditária e pode provocar sinais como inchaço abdominal, sangue na urina e pressão alta desde a infância ou em fases posteriores da vida. Embora a forma genética não tenha um protocolo próprio na lista oficial de doenças raras do Ministério da Saúde, o SUS dispensa remédios de suporte por diretrizes de síndrome nefrótica primária. O diagnóstico pode ser esclarecido com testes genéticos específicos para identificar o gene causador e direcionar o acompanhamento adequado.

📋
Informacoes curadas por IA — podem conter imprecisoes

A Síndrome Nefrótica Familiar Idiopática Resistente a Corticoides é uma condição dos rins caracterizada por ocorrer em famílias, ter causa desconhecida, não responder ao tratamento com corticoides e, frequentemente, manifestar-se cedo.

Publicações científicas
11 artigos
Último publicado: 2026 Feb

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
Adolescent
+ adult, antenatal, childhood, infancy, neonatal
🏥
SUS: Sem cobertura SUSScore: 30%
CID-10: N04.1
Você se identifica com essa condição?
O Raras está aqui pra te apoiar — com ou sem diagnóstico

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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
😀
Face
10 sintomas
🧠
Neurológico
5 sintomas
🦴
Ossos e articulações
3 sintomas
❤️
Coração
2 sintomas
🩸
Sangue
1 sintomas

+ 15 sintomas em outras categorias

Características mais comuns

100%prev.
Proteinúria
90%prev.
Edema
Muito frequente (99-80%)
55%prev.
Glomeruloesclerose segmentar focal
Frequente (79-30%)
55%prev.
Doença renal crônica
Frequente (79-30%)
55%prev.
Doença renal crônica estágio 5
Frequente (79-30%)
55%prev.
Edema periorbital
Frequente (79-30%)
55sintomas
Muito frequente (2)
Frequente (4)
Ocasional (9)
Muito raro (2)
Sem dados (38)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 55 características clínicas mais associadas, ordenadas por frequência.

ProteinúriaProteinuria
Muito frequente100%
Muito frequente (99-80%)90%
Glomeruloesclerose segmentar focalFocal segmental glomerulosclerosis
Frequente (79-30%)55%
Doença renal crônicaChronic kidney disease
Frequente (79-30%)55%
Doença renal crônica estágio 5Stage 5 chronic kidney disease
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico11PubMed
Últimos 10 anos9publicações
Pico20242 papers
Linha do tempo
2026Hoje · 2026
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

35 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Autosomal recessive.

NPHS1NephrinDisease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (1)
Nephrin family interactions
MECANISMO DE DOENÇA

Nephrotic syndrome 1

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form and progress to end-stage renal failure.

EXPRESSÃO TECIDUAL(Tecido-específico)
Rim - Córtex
36.8 TPM
Pâncreas
15.9 TPM
Rim - Medula
3.1 TPM
Testículo
2.3 TPM
Cerebelo
0.7 TPM
OUTRAS DOENÇAS (2)
congenital nephrotic syndrome, Finnish typefamilial idiopathic steroid-resistant nephrotic syndrome
HGNC:7908UniProt:O60500
COQ6Ubiquinone biosynthesis monooxygenase COQ6, mitochondrialDisease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (1)
Ubiquinol biosynthesis
MECANISMO DE DOENÇA

Coenzyme Q10 deficiency, primary, 6

An autosomal recessive disorder characterized by onset in infancy of severe progressive nephrotic syndrome resulting in end-stage renal failure and sensorineural deafness. Renal biopsy usually shows focal segmental glomerulosclerosis.

VIAS REACTOME (1)
OUTRAS DOENÇAS (2)
familial steroid-resistant nephrotic syndrome with sensorineural deafnessschwannomatosis
HGNC:20233UniProt:Q9Y2Z9
KANK2KN motif and ankyrin repeat domain-containing protein 2Disease-causing germline mutation(s) inTolerante
MECANISMO DE DOENÇA

Palmoplantar keratoderma and woolly hair

A disorder characterized by abnormal thickening of the skin on the palms and soles, in association with woolly scalp hair. Affected individuals manifest a variable degree of striate palmoplantar keratoderma, generally more severe on the soles. Leukonychia is more pronounced on the fingernails than toenails. Scalp hair, body hair, eyebrows, and eyelashes are sparse. The fifth toes show variable degrees of pseudoainhum, ranging from external rotation to a deep sulcus at the digitoplantar fold, accompanied by a bulbous appearance of the distal toe.

EXPRESSÃO TECIDUAL(Ubíquo)
Útero
425.3 TPM
Cólon sigmoide
398.8 TPM
Artéria tibial
390.4 TPM
Esôfago - Muscular
388.1 TPM
Esôfago - Junção
370.2 TPM
INTERAÇÕES PROTEICAS (3)
OUTRAS DOENÇAS (3)
nephrotic syndrome 16wooly hair-palmoplantar keratoderma syndromefamilial idiopathic steroid-resistant nephrotic syndrome
HGNC:29300UniProt:Q63ZY3
NUP205Nuclear pore complex protein Nup205Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (10)
snRNP AssemblyHCMV Early EventsHCMV Late EventsNEP/NS2 Interacts with the Cellular Export MachineryTransport of Ribonucleoproteins into the Host Nucleus
MECANISMO DE DOENÇA

Nephrotic syndrome 13

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form and progress to end-stage renal failure.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
70.9 TPM
Fibroblastos
32.1 TPM
Útero
31.0 TPM
Fallopian Tube
30.1 TPM
Nervo tibial
28.0 TPM
OUTRAS DOENÇAS (2)
nephrotic syndrome, type 13familial idiopathic steroid-resistant nephrotic syndrome
HGNC:18658UniProt:Q92621
LAMA5Laminin subunit alpha-5Disease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (9)
MET activates PTK2 signalingDevelopmental Lineage of Pancreatic Ductal CellsAttachment of bacteria to epithelial cellsLaminin interactionsNon-integrin membrane-ECM interactions
MECANISMO DE DOENÇA

Nephrotic syndrome 26

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form that progresses to end-stage renal failure. NPHS26 is an autosomal recessive form characterized by onset of proteinuria in the first months or years of life. Some patients respond to steroids, whereas others show steroid resistance and progression to end-stage renal disease.

EXPRESSÃO TECIDUAL(Ubíquo)
Cólon sigmoide
175.2 TPM
Artéria tibial
171.8 TPM
Cerebelo
127.8 TPM
Artéria coronária
127.2 TPM
Pulmão
125.9 TPM
OUTRAS DOENÇAS (4)
nephrotic syndrome, IIa 26bent bone dysplasia syndrome 2LAMA5-related multisystemic syndromefamilial idiopathic steroid-resistant nephrotic syndrome
HGNC:6485UniProt:O15230
NUP107Nuclear pore complex protein Nup107Disease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (10)
Amplification of signal from unattached kinetochores via a MAD2 inhibitory signalRHO GTPases Activate ForminsMitotic PrometaphaseEML4 and NUDC in mitotic spindle formationResolution of Sister Chromatid Cohesion
MECANISMO DE DOENÇA

Nephrotic syndrome 11

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form and progress to end-stage renal failure. NPHS11 is an autosomal recessive, steroid-resistant and progressive form with onset in the first decade of life.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
28.5 TPM
Testículo
21.7 TPM
Fibroblastos
18.6 TPM
Cervix Endocervix
17.4 TPM
Nervo tibial
17.3 TPM
OUTRAS DOENÇAS (6)
nephrotic syndrome, type 11ovarian dysgenesis 6Galloway-Mowat syndrome 7Galloway-Mowat syndrome
HGNC:29914UniProt:P57740
NUP133Nuclear pore complex protein Nup133Disease-causing germline mutation(s) inRestrito
VIAS BIOLÓGICAS (10)
Amplification of signal from unattached kinetochores via a MAD2 inhibitory signalRHO GTPases Activate ForminsMitotic PrometaphaseEML4 and NUDC in mitotic spindle formationResolution of Sister Chromatid Cohesion
MECANISMO DE DOENÇA

Nephrotic syndrome 18

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form that progresses to end-stage renal failure. NPHS18 is an autosomal recessive, steroid-resistant progressive form with onset in the first decade of life.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
35.8 TPM
Ovário
33.2 TPM
Cérebro - Hemisfério cerebelar
33.0 TPM
Útero
31.8 TPM
Cerebelo
31.0 TPM
OUTRAS DOENÇAS (4)
nephrotic syndrome, type 18Galloway-Mowat syndrome 8familial idiopathic steroid-resistant nephrotic syndromeGalloway-Mowat syndrome
HGNC:18016UniProt:Q8WUM0
ACTN4Alpha-actinin-4Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (1)
Nephrin family interactions
MECANISMO DE DOENÇA

Focal segmental glomerulosclerosis 1

A renal pathology defined by the presence of segmental sclerosis in glomeruli and resulting in proteinuria, reduced glomerular filtration rate and progressive decline in renal function. Renal insufficiency often progresses to end-stage renal disease, a highly morbid state requiring either dialysis therapy or kidney transplantation.

OUTRAS DOENÇAS (2)
focal segmental glomerulosclerosis 1familial idiopathic steroid-resistant nephrotic syndrome
HGNC:166UniProt:O43707
DAAM2Disheveled-associated activator of morphogenesis 2Disease-causing germline mutation(s) inAltamente restrito
MECANISMO DE DOENÇA

Nephrotic syndrome 24

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form that progresses to end-stage renal failure. NPHS24 is an autosomal recessive, slowly progressive form. Most patients eventually develop end-stage renal disease.

EXPRESSÃO TECIDUAL(Ubíquo)
Esôfago - Muscular
162.0 TPM
Brain Spinal cord cervical c-1
147.2 TPM
Esôfago - Junção
128.3 TPM
Substância negra
94.9 TPM
Artéria tibial
87.6 TPM
OUTRAS DOENÇAS (2)
nephrotic syndrome, type 24familial idiopathic steroid-resistant nephrotic syndrome
HGNC:18143UniProt:Q86T65
ARHGAP24Rho GTPase-activating protein 24Disease-causing germline mutation(s) (loss of function) inTolerante
VIAS BIOLÓGICAS (3)
RAC1 GTPase cycleCDC42 GTPase cycleRHOA GTPase cycle
INTERAÇÕES PROTEICAS (4)
OUTRAS DOENÇAS (1)
familial idiopathic steroid-resistant nephrotic syndrome
HGNC:25361UniProt:Q8N264
EMP2Epithelial membrane protein 2Disease-causing germline mutation(s) (loss of function) inTolerante
MECANISMO DE DOENÇA

Nephrotic syndrome 10

A form of nephrotic syndrome, a renal disease clinically characterized by focal segmental glomerulosclerosis, progressive renal failure, severe proteinuria, hypoalbuminemia, hyperlipidemia and edema. NPHS10 is a steroid-sensitive form characterized by onset in childhood and remission without end-stage kidney disease.

EXPRESSÃO TECIDUAL(Ubíquo)
Pulmão
271.7 TPM
Skin Not Sun Exposed Suprapubic
123.1 TPM
Esôfago - Mucosa
115.5 TPM
Skin Sun Exposed Lower leg
107.8 TPM
Aorta
97.9 TPM
INTERAÇÕES PROTEICAS (2)
OUTRAS DOENÇAS (2)
nephrotic syndrome, type 10familial idiopathic steroid-resistant nephrotic syndrome
HGNC:3334UniProt:P54851
COL4A3Collagen alpha-3(IV) chainModifying germline mutation inTolerante
VIAS BIOLÓGICAS (1)
Collagen degradation
OUTRAS DOENÇAS (6)
hematuria, benign familial, 2Alport syndrome 3b, autosomal recessiveautosomal dominant Alport syndromeautosomal recessive Alport syndrome
HGNC:2204UniProt:Q01955
AVILAdvillinDisease-causing germline mutation(s) inTolerante
MECANISMO DE DOENÇA

Nephrotic syndrome 21

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form that progresses to end-stage renal failure. NPHS21 is an autosomal recessive, rapidly progressive, steroid-resistant form characterized by onset of kidney dysfunction in the first year of life. Some patients may have variable extra-renal manifestations.

INTERAÇÕES PROTEICAS (1)
OUTRAS DOENÇAS (2)
nephrotic syndrome, type 21familial idiopathic steroid-resistant nephrotic syndrome
HGNC:14188UniProt:O75366
CRB2Protein crumbs homolog 2Disease-causing germline mutation(s) (loss of function) inTolerante
MECANISMO DE DOENÇA

Focal segmental glomerulosclerosis 9

A renal pathology defined by the presence of segmental sclerosis in glomeruli and resulting in proteinuria, reduced glomerular filtration rate and progressive decline in renal function. Renal insufficiency often progresses to end-stage renal disease, a highly morbid state requiring either dialysis therapy or kidney transplantation.

OUTRAS DOENÇAS (3)
ventriculomegaly-cystic kidney diseasefocal segmental glomerulosclerosis 9familial idiopathic steroid-resistant nephrotic syndrome
HGNC:18688UniProt:Q5IJ48
MAGI2Membrane-associated guanylate kinase, WW and PDZ domain-containing protein 2Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (1)
Nephrin family interactions
MECANISMO DE DOENÇA

Nephrotic syndrome 15

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. NPHS15 is an autosomal recessive form with onset in the first months of life. Disease severity is variable. Some patients show rapid progression to end-stage renal failure.

EXPRESSÃO TECIDUAL(Ubíquo)
Artéria tibial
5.9 TPM
Brain Frontal Cortex BA9
5.2 TPM
Nervo tibial
4.7 TPM
Brain Caudate basal ganglia
4.5 TPM
Córtex cerebral
4.3 TPM
OUTRAS DOENÇAS (2)
nephrotic syndrome 15familial idiopathic steroid-resistant nephrotic syndrome
HGNC:18957UniProt:Q86UL8
ANLNAnillinDisease-causing germline mutation(s) inRestrito
VIAS BIOLÓGICAS (3)
RHOB GTPase cycleRHOC GTPase cycleRHOA GTPase cycle
MECANISMO DE DOENÇA

Focal segmental glomerulosclerosis 8

A renal pathology defined by the presence of segmental sclerosis in glomeruli and resulting in proteinuria, reduced glomerular filtration rate and progressive decline in renal function. Renal insufficiency often progresses to end-stage renal disease, a highly morbid state requiring either dialysis therapy or kidney transplantation.

OUTRAS DOENÇAS (2)
focal segmental glomerulosclerosis 8familial idiopathic steroid-resistant nephrotic syndrome
HGNC:14082UniProt:Q9NQW6
NUP85Nuclear pore complex protein Nup85Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (10)
Amplification of signal from unattached kinetochores via a MAD2 inhibitory signalRHO GTPases Activate ForminsMitotic PrometaphaseEML4 and NUDC in mitotic spindle formationResolution of Sister Chromatid Cohesion
MECANISMO DE DOENÇA

Nephrotic syndrome 17

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form that progresses to end-stage renal failure. NPHS17 is an autosomal recessive, steroid-resistant progressive form with onset in the first decade of life.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
55.5 TPM
Cerebelo
51.1 TPM
Nervo tibial
37.5 TPM
Cervix Endocervix
35.1 TPM
Cervix Ectocervix
35.0 TPM
OUTRAS DOENÇAS (3)
nephrotic syndrome, type 17Seckel syndromefamilial idiopathic steroid-resistant nephrotic syndrome
HGNC:8734UniProt:Q9BW27
NPHS2PodocinDisease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (1)
Nephrin family interactions
MECANISMO DE DOENÇA

Nephrotic syndrome 2

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. The disorder is resistant to steroid treatment and progresses to end-stage renal failure in the first or second decades. Some patients show later onset of the disorder.

EXPRESSÃO TECIDUAL(Tecido-específico)
Rim - Córtex
175.0 TPM
Rim - Medula
22.9 TPM
Testículo
3.1 TPM
Pituitária
0.5 TPM
Bladder
0.2 TPM
OUTRAS DOENÇAS (2)
nephrotic syndrome, type 2familial idiopathic steroid-resistant nephrotic syndrome
HGNC:13394UniProt:Q9NP85
NUP93Nuclear pore complex protein Nup93Disease-causing germline mutation(s) (loss of function) inTolerante
VIAS BIOLÓGICAS (10)
snRNP AssemblyHCMV Early EventsHCMV Late EventsNEP/NS2 Interacts with the Cellular Export MachineryTransport of Ribonucleoproteins into the Host Nucleus
MECANISMO DE DOENÇA

Nephrotic syndrome 12

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form and progress to end-stage renal failure. NPHS12 inheritance is autosomal recessive.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
20.3 TPM
Linfócitos
19.2 TPM
Tireoide
16.2 TPM
Fibroblastos
12.9 TPM
Brain Spinal cord cervical c-1
12.1 TPM
OUTRAS DOENÇAS (2)
nephrotic syndrome, type 12familial idiopathic steroid-resistant nephrotic syndrome
HGNC:28958UniProt:Q8N1F7
NUP37Nucleoporin Nup37Disease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (10)
Amplification of signal from unattached kinetochores via a MAD2 inhibitory signalRHO GTPases Activate ForminsMitotic PrometaphaseEML4 and NUDC in mitotic spindle formationResolution of Sister Chromatid Cohesion
MECANISMO DE DOENÇA

Microcephaly 24, primary, autosomal recessive

A form of microcephaly, a disease defined as a head circumference more than 3 standard deviations below the age, sex and ethnically matched mean. Brain weight is markedly reduced and the cerebral cortex is disproportionately small. MCPH24 patients additionally manifest mildly impaired intellectual development, cerebellar vermis hypoplasia, and fifth finger clinodactyly.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
34.2 TPM
Fibroblastos
23.2 TPM
Testículo
12.7 TPM
Esôfago - Mucosa
11.0 TPM
Fallopian Tube
9.8 TPM
OUTRAS DOENÇAS (3)
microcephaly 24, primary, autosomal recessivefamilial idiopathic steroid-resistant nephrotic syndromeautosomal recessive primary microcephaly
HGNC:29929UniProt:Q8NFH4
PLCE11-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1Disease-causing germline mutation(s) inRestrito
VIAS BIOLÓGICAS (1)
Synthesis of IP3 and IP4 in the cytosol
MECANISMO DE DOENÇA

Nephrotic syndrome 3

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form and progress to end-stage renal failure. Most patients with NPHS3 show diffuse mesangial sclerosis on renal biopsy, which is a pathologic entity characterized by mesangial matrix expansion with no mesangial hypercellularity, hypertrophy of the podocytes, vacuolized podocytes, thickened basement membranes, and diminished patency of the capillary lumen.

EXPRESSÃO TECIDUAL(Ubíquo)
Artéria tibial
22.9 TPM
Nervo tibial
16.9 TPM
Tireoide
13.1 TPM
Útero
12.8 TPM
Cólon transverso
12.4 TPM
OUTRAS DOENÇAS (2)
nephrotic syndrome, type 3familial idiopathic steroid-resistant nephrotic syndrome
HGNC:17175UniProt:Q9P212
MYO1EUnconventional myosin-IeDisease-causing germline mutation(s) inRestrito
MECANISMO DE DOENÇA

Focal segmental glomerulosclerosis 6

A renal pathology defined by the presence of segmental sclerosis in glomeruli and resulting in proteinuria, reduced glomerular filtration rate and progressive decline in renal function. Renal insufficiency often progresses to end-stage renal disease, a highly morbid state requiring either dialysis therapy or kidney transplantation. FSGS6 is a childhood-onset disorder resulting in nephrotic syndrome, which includes massive proteinuria, hypoalbuminemia, hyperlipidemia, and edema.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
52.2 TPM
Artéria tibial
41.9 TPM
Fibroblastos
40.6 TPM
Aorta
31.5 TPM
Nervo tibial
30.7 TPM
OUTRAS DOENÇAS (2)
focal segmental glomerulosclerosis 6familial idiopathic steroid-resistant nephrotic syndrome
HGNC:7599UniProt:Q12965
CD2APCD2-associated proteinDisease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (1)
Nephrin family interactions
MECANISMO DE DOENÇA

Focal segmental glomerulosclerosis 3

A renal pathology defined by the presence of segmental sclerosis in glomeruli and resulting in proteinuria, reduced glomerular filtration rate and progressive decline in renal function. Renal insufficiency often progresses to end-stage renal disease, a highly morbid state requiring either dialysis therapy or kidney transplantation.

OUTRAS DOENÇAS (2)
focal segmental glomerulosclerosis 3, susceptibility tofamilial idiopathic steroid-resistant nephrotic syndrome
HGNC:14258UniProt:Q9Y5K6
COQ8BAtypical kinase COQ8B, mitochondrialDisease-causing germline mutation(s) (loss of function) inTolerante
VIAS BIOLÓGICAS (1)
Ubiquinol biosynthesis
MECANISMO DE DOENÇA

Nephrotic syndrome 9

A form of nephrotic syndrome, a renal disease clinically characterized by progressive renal failure, severe proteinuria, hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show focal segmental glomerulosclerosis.

VIAS REACTOME (1)
OUTRAS DOENÇAS (3)
nephrotic syndrome, type 9familial idiopathic steroid-resistant nephrotic syndromeretinitis pigmentosa
HGNC:19041UniProt:Q96D53
ARHGDIARho GDP-dissociation inhibitor 1Disease-causing germline mutation(s) (loss of function) inRestrito
VIAS BIOLÓGICAS (9)
Axonal growth inhibition (RHOA activation)Axonal growth stimulationRHOG GTPase cycleRHOH GTPase cycleRAC1 GTPase cycle
MECANISMO DE DOENÇA

Nephrotic syndrome 8

A form of nephrotic syndrome, a renal disease clinically characterized by progressive renal failure, severe proteinuria, hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show diffuse mesangial sclerosis, with small glomeruli, hypercellularity, increased extracellular matrix, and contracted/collapsed glomerular tufts surrounded by immature or abnormal podocytes.

OUTRAS DOENÇAS (2)
nephrotic syndrome, type 8familial idiopathic steroid-resistant nephrotic syndrome
HGNC:678UniProt:P52565
ANKFY1Ankyrin repeat and FYVE domain-containing protein 1Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (1)
RHOD GTPase cycle
VIAS REACTOME (1)
OUTRAS DOENÇAS (1)
familial idiopathic steroid-resistant nephrotic syndrome
HGNC:20763UniProt:Q9P2R3
NUP160Nuclear pore complex protein Nup160Disease-causing germline mutation(s) inRestrito
VIAS BIOLÓGICAS (10)
Amplification of signal from unattached kinetochores via a MAD2 inhibitory signalRHO GTPases Activate ForminsMitotic PrometaphaseEML4 and NUDC in mitotic spindle formationResolution of Sister Chromatid Cohesion
MECANISMO DE DOENÇA

Nephrotic syndrome 19

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form that progresses to end-stage renal failure. NPHS19 is an autosomal recessive, steroid-resistant form with onset in the first or second decade of life, resulting in chronic kidney disease.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
35.8 TPM
Ovário
31.4 TPM
Fibroblastos
28.6 TPM
Útero
27.1 TPM
Nervo tibial
27.1 TPM
OUTRAS DOENÇAS (2)
nephrotic syndrome, type 19familial idiopathic steroid-resistant nephrotic syndrome
HGNC:18017UniProt:Q12769
WT1Wilms tumor proteinDisease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (3)
Nephron developmentNegative Regulation of CDH1 Gene TranscriptionTranscriptional regulation of testis differentiation
MECANISMO DE DOENÇA

Frasier syndrome

Characterized by a slowly progressing nephropathy leading to renal failure in adolescence or early adulthood, male pseudohermaphroditism, and no Wilms tumor. As for histological findings of the kidneys, focal glomerular sclerosis is often observed. There is phenotypic overlap with Denys-Drash syndrome. Inheritance is autosomal dominant.

EXPRESSÃO TECIDUAL(Tecido-específico)
Útero
109.7 TPM
Fallopian Tube
75.2 TPM
Ovário
65.2 TPM
Testículo
40.5 TPM
Adipose Visceral Omentum
30.0 TPM
OUTRAS DOENÇAS (12)
Wilms tumor 1nephrotic syndrome, type 4Meacham syndromemalignant mesothelioma
HGNC:12796UniProt:P19544
PTPROReceptor-type tyrosine-protein phosphatase ODisease-causing germline mutation(s) inRestrito
VIAS BIOLÓGICAS (1)
Signaling by NTRK3 (TRKC)
VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Tecido-específico)
Rim - Córtex
15.6 TPM
Brain Nucleus accumbens basal ganglia
9.8 TPM
Brain Frontal Cortex BA9
7.6 TPM
Aorta
7.5 TPM
Córtex cerebral
6.2 TPM
OUTRAS DOENÇAS (2)
nephrotic syndrome, type 6familial idiopathic steroid-resistant nephrotic syndrome
HGNC:9678UniProt:Q16827
GAPVD1GTPase-activating protein and VPS9 domain-containing protein 1Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (2)
Clathrin-mediated endocytosisRAB GEFs exchange GTP for GDP on RABs
EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
18.3 TPM
Tireoide
17.8 TPM
Nervo tibial
16.8 TPM
Skin Sun Exposed Lower leg
16.4 TPM
Pulmão
16.1 TPM
OUTRAS DOENÇAS (1)
familial idiopathic steroid-resistant nephrotic syndrome
HGNC:23375UniProt:Q14C86
INF2Inverted formin-2Disease-causing germline mutation(s) inAltamente restrito
MECANISMO DE DOENÇA

Focal segmental glomerulosclerosis 5

A renal pathology defined by the presence of segmental sclerosis in glomeruli and resulting in proteinuria, reduced glomerular filtration rate and progressive decline in renal function. Renal insufficiency often progresses to end-stage renal disease, a highly morbid state requiring either dialysis therapy or kidney transplantation.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
204.3 TPM
Artéria tibial
83.2 TPM
Artéria coronária
78.6 TPM
Aorta
69.0 TPM
Brain Spinal cord cervical c-1
68.8 TPM
OUTRAS DOENÇAS (3)
Charcot-Marie-Tooth disease dominant intermediate Efocal segmental glomerulosclerosis 5familial idiopathic steroid-resistant nephrotic syndrome
HGNC:23791UniProt:Q27J81
TRPC6Short transient receptor potential channel 6Disease-causing germline mutation(s) (gain of function) inTolerante
VIAS BIOLÓGICAS (4)
Effects of PIP2 hydrolysisElevation of cytosolic Ca2+ levelsRole of second messengers in netrin-1 signalingTRP channels
MECANISMO DE DOENÇA

Focal segmental glomerulosclerosis 2

A renal pathology defined by the presence of segmental sclerosis in glomeruli and resulting in proteinuria, reduced glomerular filtration rate and progressive decline in renal function. Renal insufficiency often progresses to end-stage renal disease, a highly morbid state requiring either dialysis therapy or kidney transplantation.

EXPRESSÃO TECIDUAL(Ubíquo)
Pulmão
23.2 TPM
Esôfago - Muscular
19.0 TPM
Tireoide
12.0 TPM
Esôfago - Junção
9.5 TPM
Tecido adiposo
7.9 TPM
OUTRAS DOENÇAS (2)
focal segmental glomerulosclerosis 2familial idiopathic steroid-resistant nephrotic syndrome
HGNC:12338UniProt:Q9Y210
TBC1D8BTBC1 domain family member 8BDisease-causing germline mutation(s) (loss of function) inTolerante
VIAS BIOLÓGICAS (1)
Golgi Associated Vesicle Biogenesis
MECANISMO DE DOENÇA

Nephrotic syndrome 20

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form that progresses to end-stage renal failure. NPHS20 is an X-linked, steroid-resistant form with onset at birth or in the first years of life in affected males. Death in childhood may occur in absence of renal transplantation. Carrier females may be unaffected or have a mild disease with proteinuria.

EXPRESSÃO TECIDUAL(Ubíquo)
Glândula adrenal
11.7 TPM
Fibroblastos
11.7 TPM
Pituitária
7.7 TPM
Tireoide
5.4 TPM
Cervix Ectocervix
5.0 TPM
INTERAÇÕES PROTEICAS (3)
OUTRAS DOENÇAS (2)
nephrotic syndrome, type 20familial idiopathic steroid-resistant nephrotic syndrome
HGNC:24715UniProt:Q0IIM8
PAX2Paired box protein Pax-2Disease-causing germline mutation(s) (loss of function) inAltamente restrito
VIAS BIOLÓGICAS (3)
Formation of the ureteric budFormation of the nephric ductFormation of intermediate mesoderm
MECANISMO DE DOENÇA

Papillorenal syndrome

An autosomal dominant disorder characterized by both ocular and renal anomalies, but may also include vesicoureteral reflux, high frequency hearing loss, central nervous system anomalies, and/or genital anomalies. Eye anomalies in this disorder consist of a wide and sometimes excavated dysplastic optic disk with the emergence of the retinal vessels from the periphery of the disk, designated optic nerve coloboma or 'morning glory' anomaly. Associated findings may include a small corneal diameter, retinal coloboma, scleral staphyloma, optic nerve cyst, microphthalmia, and pigmentary macular dysplasia. The kidneys are small and abnormally formed (renal hypodysplasia), and have fewer than the normal number of glomeruli, which are enlarged (oligomeganephronia). These ocular and renal anomalies result in decreased visual acuity and retinal detachment, as well as hypertension, proteinuria, and renal insufficiency that frequently progresses to end-stage renal disease.

EXPRESSÃO TECIDUAL(Tecido-específico)
Rim - Medula
58.0 TPM
Rim - Córtex
52.8 TPM
Fallopian Tube
3.5 TPM
Cerebelo
2.5 TPM
Cérebro - Hemisfério cerebelar
1.8 TPM
OUTRAS DOENÇAS (4)
renal coloboma syndromefocal segmental glomerulosclerosis 7familial idiopathic steroid-resistant nephrotic syndromerenal hypoplasia, bilateral
HGNC:8616UniProt:Q02962
APOL1Apolipoprotein L1Major susceptibility factor inTolerante
VIAS BIOLÓGICAS (2)
Post-translational protein phosphorylationRegulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)
MECANISMO DE DOENÇA

Focal segmental glomerulosclerosis 4

A renal pathology defined by the presence of segmental sclerosis in glomeruli and resulting in proteinuria, reduced glomerular filtration rate and progressive decline in renal function. Renal insufficiency often progresses to end-stage renal disease, a highly morbid state requiring either dialysis therapy or kidney transplantation.

OUTRAS DOENÇAS (2)
familial idiopathic steroid-resistant nephrotic syndromefocal segmental glomerulosclerosis 4, susceptibility to
HGNC:618UniProt:O14791

Variantes genéticas (ClinVar)

687 variantes patogênicas registradas no ClinVar.

🧬 NPHS1: NM_004646.4(NPHS1):c.3589C>T (p.Gln1197Ter) ()
🧬 NPHS1: NM_004646.4(NPHS1):c.3128_3136delinsCC (p.Gly1043fs) ()
🧬 NPHS1: NM_004646.4(NPHS1):c.840+5G>C ()
🧬 NPHS1: NM_004646.4(NPHS1):c.2496TGT[1] (p.Val834del) ()
🧬 NPHS1: NM_004646.4(NPHS1):c.3481+5G>T ()
Ver todas no ClinVar

Vias biológicas (Reactome)

84 vias biológicas associadas aos genes desta condição.

Nephrin family interactions Ubiquinol biosynthesis ISG15 antiviral mechanism Transport of the SLBP independent Mature mRNA Transport of the SLBP Dependant Mature mRNA Transport of Mature mRNA Derived from an Intronless Transcript Transport of Mature mRNA derived from an Intron-Containing Transcript Rev-mediated nuclear export of HIV RNA Transport of Ribonucleoproteins into the Host Nucleus NS1 Mediated Effects on Host Pathways Viral Messenger RNA Synthesis NEP/NS2 Interacts with the Cellular Export Machinery Regulation of Glucokinase by Glucokinase Regulatory Protein Nuclear import of Rev protein Vpr-mediated nuclear import of PICs snRNP Assembly SUMOylation of DNA damage response and repair proteins SUMOylation of ubiquitinylation proteins Nuclear Pore Complex (NPC) Disassembly Regulation of HSF1-mediated heat shock response SUMOylation of SUMOylation proteins SUMOylation of chromatin organization proteins SUMOylation of RNA binding proteins SUMOylation of DNA replication proteins Defective TPR may confer susceptibility towards thyroid papillary carcinoma (TPC) tRNA processing in the nucleus HCMV Early Events HCMV Late Events Postmitotic nuclear pore complex (NPC) reformation SARS-CoV-2 activates/modulates innate and adaptive immune responses Degradation of the extracellular matrix Laminin interactions Non-integrin membrane-ECM interactions ECM proteoglycans Interleukin-4 and Interleukin-13 signaling MET activates PTK2 signaling Attachment of bacteria to epithelial cells Formation of the dystrophin-glycoprotein complex (DGC) Developmental Lineage of Pancreatic Ductal Cells Amplification of signal from unattached kinetochores via a MAD2 inhibitory signal Separation of Sister Chromatids Resolution of Sister Chromatid Cohesion RHO GTPases Activate Formins Mitotic Prometaphase Platelet degranulation RHOA GTPase cycle CDC42 GTPase cycle RAC1 GTPase cycle Collagen degradation Fibronectin matrix formation Collagen biosynthesis and modifying enzymes Signaling by PDGF Assembly of collagen fibrils and other multimeric structures Integrin cell surface interactions Anchoring fibril formation Crosslinking of collagen fibrils NCAM1 interactions Collagen chain trimerization RHOB GTPase cycle RHOC GTPase cycle Synthesis of IP3 and IP4 in the cytosol Axonal growth inhibition (RHOA activation) Axonal growth stimulation RAC2 GTPase cycle RHOH GTPase cycle RHOG GTPase cycle RHOD GTPase cycle Transcriptional regulation of testis differentiation Negative Regulation of CDH1 Gene Transcription Nephron development Signaling by SCF-KIT Clathrin-mediated endocytosis RAB GEFs exchange GTP for GDP on RABs Effects of PIP2 hydrolysis Elevation of cytosolic Ca2+ levels TRP channels Role of second messengers in netrin-1 signaling Golgi Associated Vesicle Biogenesis Formation of intermediate mesoderm Formation of the nephric duct Formation of the ureteric bud Scavenging of heme from plasma Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs) Post-translational protein phosphorylation

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Publicações mais relevantes

Timeline de publicações
9 papers (10 anos)
#1

Screening for genetic kidney diseases in a dialysis cohort via exome sequencing.

Clinical kidney journal2026 Feb

Monogenic causes are increasingly recognized in end-stage kidney disease (ESKD), but the real-world diagnostic efficacy of exome sequencing in unselected dialysis cohorts is still being defined. We conducted a prospective study enrolling 317 adult ESKD patients from a single center in Taiyuan, China, regardless of presumed etiology. Whole-exome sequencing (WES) was performed on peripheral blood DNA. Variants were curated and classified per the American College of Medical Genetics and Genomics/Association for Molecular Pathology (ACMG/AMP) 2015 and Association for Clinical Genomic Science (ACGS) guidelines, with only "pathogenic" or "likely pathogenic" findings considered diagnostic. The cohort was 59% male, mean ESKD onset 53.2 ± 14.3 years. A definitive monogenic diagnosis emerged in 7.3% (23/317) of patients, in line with multicenter and international studies. Genes most frequently implicated were PKD1 (3.5% of cohort; 47.8% of genetically diagnosed) and COL4A3/4/5 (1.9%; 26.1% of diagnosed), reflecting global trends of autosomal dominant polycystic kidney disease and Alport syndrome as major genetic contributors in adult ESKD. Notably, mutations in ACTN4, PAX2, COQ8B or INF2, causing hereditary steroid-resistant nephrotic syndrome, led to significantly earlier ESKD onset (mean 31.3 years) compared with PKD1 or COL4-related cases. Inconclusive genetic findings were present in 7.9% (25/317). Most patients reported no family history of kidney disease, indicating the limitations of clinical suspicion alone. In a real-world Chinese dialysis cohort, WES provided a molecular diagnosis in 7.3% of cases, demonstrating clinical utility for risk stratification, family counseling, donor selection and actionable therapy. These findings underscore the need for routine integration of genetic testing in ESKD care irrespective of family history, especially to clarify ambiguous cases and optimize management.

#2

A Rare NPHS2 Mutation (E130K) in Hereditary Steroid-Resistant Nephrotic Syndrome: A Case Report.

Case reports in nephrology2026

Hereditary steroid-resistant nephrotic syndrome (HSRNS) due to mutations in the NPHS2 gene (encoding podocin) is a rare genetic condition that typically presents in childhood. We report a case of a 2-year-and-8-month-old male, the seventh child of consanguineous parents, who presented with recurrent fever, febrile tonic-clonic seizures, and periorbital edema. His medical history included multiple hospitalizations in infancy due to suspected sepsis and chest infections. Upon admission, laboratory findings revealed proteinuria, hypoalbuminemia, and hypercholesterolemia, along with mild hepatomegaly. Genetic testing identified compound heterozygous mutations (R138X and E130K) in the NPHS2 gene, confirming a diagnosis of HSRNS. Renal biopsy revealed features consistent with minimal change disease, and immunofluorescence was negative for IgG, IgM, IgA, C3, and C4. The patient was treated with enalapril as part of supportive management. This case highlights the importance of early genetic testing and renal biopsy in diagnosing steroid-resistant nephrotic syndrome, particularly in children with atypical presentations. Understanding the genetic underpinnings of such rare cases is essential for guiding appropriate treatment and providing prognostic insights.

#3

Single-cell transcriptomics in a child with coenzyme Q10 nephropathy: potential of single-cell RNA sequencing in pediatric kidney disease.

Pediatric nephrology (Berlin, Germany)2025 May

Coenzyme Q10 (CoQ10) nephropathy is a well-known cause of hereditary steroid-resistant nephrotic syndrome, primarily impacting podocytes. This study aimed to elucidate variations in individual cell-level gene expression in CoQ10 nephropathy using single-cell transcriptomics. We conducted single-cell sequencing of a kidney biopsy specimen from a 5-year-old boy diagnosed with a CoQ10 nephropathy caused by a compound heterozygous COQ2 mutation complicated with immune complex-mediated glomerulonephritis. The analysis focused on the proportion of cell types, differentially expressed genes in each cell type, and changes in gene expression related to mitochondrial function and oxidative phosphorylation (OXPHOS). Our findings revealed a uniform downregulation of mitochondrial gene expression across various cell types in the context of these mutations. Notably, there was a specific decrease in mitochondrial gene expression across all cell types. The study also highlighted an altered immune cell population proportion attributed to the COQ2 gene mutation. Pathway analysis indicated a downregulation in OXPHOS and an upregulation of various synthesis pathways, particularly in podocytes. This study improves our understanding of CoQ10 nephropathy's pathogenesis and highlights the potential applications of single-cell sequencing in pediatric hereditary kidney diseases.

#4

Mutations in the NUP93, NUP107 and NUP160 genes cause steroid-resistant nephrotic syndrome in Chinese children.

Italian journal of pediatrics2024 Apr 22

The variants of nucleoporins are extremely rare in hereditary steroid-resistant nephrotic syndrome (SRNS). Most of the patients carrying such variants progress to end stage kidney disease (ESKD) in their childhood. More clinical and genetic data from these patients are needed to characterize their genotype-phenotype relationships and elucidate the role of nucleoporins in SRNS. Four patients of SRNS carrying biallelic variants in the NUP93, NUP107 and NUP160 genes were presented. The clinical and molecular genetic characteristics of these patients were summarized, and relevant literature was reviewed. All four patients in this study were female and initially presented with SRNS. The median age at the onset of the disease was 5.08 years, ranging from 1 to 10.5 years. Among the four patients, three progressed to ESKD at a median age of 7 years, ranging from 1.5 to 10.5 years, while one patient reached stage 3 chronic kidney disease (CKD3). Kidney biopsies revealed focal segmental glomerulosclerosis in three patients. Biallelic variants were detected in NUP93 in one patient, NUP107 in two patients, as well as NUP160 in one patient respectively. Among these variants, five yielded single amino acid substitutions, one led to nonsense mutation causing premature termination of NUP107 translation, one caused a single nucleotide deletion resulting in frameshift and truncation of NUP107. Furthermore, one splicing donor mutation was observed in NUP160. None of these variants had been reported previously. This report indicates that biallelic variants in NUP93, NUP107 and NUP160 can cause severe early-onset SRNS, which rapidly progresses to ESKD. Moreover, these findings expand the spectrum of phenotypes and genotypes and highlight the importance of next-generation sequencing in elucidating the molecular basis of SRNS and allowing rational treatment for affected individuals.

#5

Estimation of the Age of the Kashubian-Specific Pathogenic NPHS2 Variant Responsible for Hereditary Steroid-Resistant Nephrotic Syndrome Points to Its Recent Local Origin.

Human mutation2024

Steroid-resistant nephrotic syndrome (SRNS) is a highly heterogenic kidney disorder resulting from genetic abnormalities or immune system dysfunction affecting the establishment and maintenance of the glomerular filtration barrier. The most common cause of genetic SRNS is biallelic pathogenic variants in NPHS2 gene, especially in individuals with an infantile or childhood onset. The type of the NPHS2 defect implies the course of the disease and the stage of its onset and differs across populations. In a cohort of Polish patients with SRNS, a unique profile of the disease-related NPHS2 variants was identified in patients from northern Poland inhabited by Kashubs, a minority West-Slavic ethnic group known for a local increase of the frequency of several pathogenic variants. Among Kashubian families, the compound heterozygotes c.686G>A/c.1032delT and a single c.1032delT homozygote were the only underlying cause of SRNS. The restricted, Kashubian-only pattern of c.1032delT occurrence, suggesting the founder effect, prompted us to conduct a detailed analysis of its haplotype background to estimate the age of the c.1032delT origin. Eight Kashubian SRNS families were genotyped using the Infinium Global Screening Array-24. The haplotype background analysis was performed using an in-house pipeline designed to solve the phase of the heterozygous genotype data. The age of the c.1032delT mutation was calculated using the gamma method based on the genetic length of ancestral haplotypes shared between two or more individuals carrying this variant. The results of our study indicated a very recent origin of the c.1032delT mutation (~240 years). Genetic screening performed in the general Polish population control corroborates the assumption that the mutation occurred on the specific Kashubian haplotype background. The identification of ancestry-specific Kashubian pathogenic variant can help to develop effective screening and diagnostic strategies as a part of personalized medicine approach in the region.

Publicações recentes

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Doença com base genética

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Respostas geradas por IA a partir das fontes citadas

É uma doença renal hereditária caracterizada por perdas de proteínas que não melhoram com o uso de corticoides. Ela pode se manifestar em diversas idades, desde o período pré-natal e a infância até a fase adulta.

Referências

Fontes citadas no texto, publicações do grafo e bases de dados usadas neste verbete

5 publicações do grafo RarasNet (PubMed) · 6 bases de dados. Títulos, periódicos e PMIDs vêm direto da fonte, sem intermediação de IA.

  1. ORPHA:656
    Orphanet
  2. GARD:3946
    GARD (NIH)
  3. Q56014244
    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.

Citar este verbete

Raras. (s.d.). Síndrome nefrótica corticorresistente genética. Em Raras — Enciclopédia de Doenças Raras do Brasil. https://raras.org/doenca/sindrome-nefrotica-corticorresistente-genetica

Formato APA. Conteúdo sob CC BY 4.0 — reuso livre com atribuição.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Compêndio · Raras BR

Síndrome nefrótica corticorresistente genética

ORPHA:656 · MONDO:0019006
Prevalência
Unknown
Herança
Autosomal dominant, Autosomal recessive
CID-10
N04.1 · Síndrome nefrótica - lesões glomerulares focais e segmentares
CID-11
Início
Adolescent, Adult, Antenatal, Childhood, Infancy, Neonatal
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C1868672
Repurposing
9 candidatos
chlorthalidone — carbonic anhydrase inhibitor
dexamethasone — glucocorticoid receptor agonist
dexamethasone-acetate — sodium/potassium/chloride transporter inhibitor
+6 outros
EuropePMC
Wikidata
Papers 10a

📋 Origem dos dados

Esta página agrega dados de fontes públicas e oficiais. Dados sobre cobertura no SUS (PCDT, CEAF) são verificados ativamente por agente proativo (ver badge no infobox). Demais dados têm atribuição de fonte + data da última sincronização — clique para abrir o original.

Doença rara (ontologia)
fonte: Orphanet
Identificador unificado
fonte: MONDO
Dado público estruturado
fonte: Wikidata
Rara