Doença renal rara caracterizada por nefropatia glomerular com hematúria progredindo para doença renal em estágio terminal (DRT), frequentemente associada à surdez neurossensorial e, ocasionalmente, a anomalias oculares.
Introdução
O que você precisa saber de cara
Doença renal rara caracterizada por nefropatia glomerular com hematúria progredindo para doença renal em estágio terminal (DRT), frequentemente associada à surdez neurossensorial e, ocasionalmente, a anomalias oculares.
Tem tratamento?
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 13 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 55 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
3 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Autosomal recessive, X-linked dominant.
Type IV collagen is the major structural component of glomerular basement membranes (GBM), forming a 'chicken-wire' meshwork together with laminins, proteoglycans and entactin/nidogen Tumstatin, a cleavage fragment corresponding to the collagen alpha 3(IV) NC1 domain, possesses both anti-angiogenic and anti-tumor cell activity; these two anti-tumor properties may be regulated via RGD-independent ITGB3-mediated mechanisms
Secreted, extracellular space, extracellular matrix, basement membrane
Type IV collagen is the major structural component of glomerular basement membranes (GBM), forming a 'chicken-wire' meshwork together with laminins, proteoglycans and entactin/nidogen
Secreted, extracellular space, extracellular matrix, basement membrane
Alport syndrome 2, autosomal recessive
A syndrome characterized by progressive glomerulonephritis, glomerular basement membrane defects, renal failure, sensorineural deafness and specific eye abnormalities (lenticonous and macular flecks). The disorder shows considerable heterogeneity in that families differ in the age of end-stage renal disease and the occurrence of deafness.
Type IV collagen is the major structural component of glomerular basement membranes (GBM), forming a 'chicken-wire' meshwork together with laminins, proteoglycans and entactin/nidogen
Secreted, extracellular space, extracellular matrix, basement membrane
Alport syndrome 1, X-linked
A syndrome that is characterized by progressive glomerulonephritis, renal failure, sensorineural deafness, specific eye abnormalities (lenticonous and macular flecks), and glomerular basement membrane defects. The disorder shows considerable heterogeneity in that families differ in the age of end-stage renal disease and the occurrence of deafness.
Medicamentos e terapias
Mecanismo: Toll-like receptor 7 antagonist
Mecanismo: Angiotensin-converting enzyme inhibitor
Mecanismo: Type-1 angiotensin II receptor antagonist
Mecanismo: Keap1/Nrf2 inhibitor
Mecanismo: HMG-CoA reductase inhibitor
Mecanismo: 80S Ribosome modulator
Variantes genéticas (ClinVar)
4,079 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 4,062 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
15 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Síndrome Alport
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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
Ensaios em destaque
🟢 Recrutando agora
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Outros ensaios clínicos
38 ensaios clínicos encontrados, 15 ativos.
Publicações mais relevantes
Mostrando amostra de 200 publicações de um total de 1.102
Sequential sequencing reveals the architecture and complexity of genomic variants in patients with Alport syndrome.
Alport syndrome (AS) is a prevalent inherited kidney disorder mainly caused by mutations in COL4A3, COL4A4, and COL4A5 genes. To elucidate the genetic variants of AS, we implemented a sequential sequencing strategy within a Chinese cohort of 555 patients, comprising whole-exome sequencing (WES) for all participants, followed by whole-genome sequencing (WGS), RNA sequencing (RNA-seq), and nanopore long-read sequencing (NLR-seq) for selected individuals. We identify 431 distinct variants in 509 (91.7%) patients, with 42.2% being novel. Beyond WES, additional sequencing approaches resolve 23 patients with noncoding, copy number, or structural variants. Notably, noncoding variants account for 16.2% of detected variants and exhibit ethnic-specific mutagenesis patterns. More interestingly, NLR-seq uncovers two novel types of structural variants, namely large insertions in intronic regions and complex duplication-inversion variants. This study provides deeper insights into the genetic architecture of AS and proposes a research paradigm for improving the genetic diagnosis of inherited diseases.
Systematic reassessment of reported variants in individuals with suspicion of Alport spectrum disorder reveals a high rate of ambiguous results.
"Alport spectrum disorder" describes a phenotypically and genotypically multifaceted disease entity encompassing classic autosomal recessive and X-linked Alport syndrome (AS) but also more heterogenous and typically milder, yet not benign, hematuric phenotypes like autosomal dominant AS, formerly also known as thin basement membrane nephropathy (TBMN). Alport spectrum disorder is associated with disease-causing variants in the type IV collagen genes COL4A3, COL4A4 and COL4A5. Variants and genotypes, reported by a genetic diagnostics lab between 2009 and 2014, of 91 index cases with the clinical tentative diagnosis of AS (66/91), TBMN (21/91), or AS/TBMN (not specified further; 4/91), were reassessed based on 2015 ACMG (American College of Medical Genetics and Genomics) criteria and current amendments. 80 different variants, all originally reported as "mutations", and their genotypes have been reassessed (COL4A3: 21/80, COL4A4: 15/80, COL4A5: 44/80). In 10/80 variants, classification changed from disease-causing to variant of uncertain significance (VUS). 69/91 (76%) index cases included in the analysis could be classified as solved. 22/91 (24%) index cases had an ambiguous result either on variant, genotype, or both variant and genotype level. VUS cases had a significantly more limited phenotype (e.g., isolated microscopic hematuria) compared to non-downgraded cases (e.g., additional extrarenal manifestations). Reassessment of variants/genotypes in this study showed a significant reduction in unequivocal genetic diagnoses highlighting variant and genotype interpretation as a dynamic process. Genetic reports of individuals with suspected Alport spectrum disorder, especially those obtained in the pre-ACMG criteria era, should therefore be critically evaluated.
The Importance of Molecular Testing in the Diagnosis of Genetic Syndromes with Chronic Kidney Disease: Genotype-Phenotype Correlations.
Globally, chronic kidney disease (CKD) affects over 800 million individuals and is characterized by significant genetic complexity. More than 600 genes are associated with hereditary kidney disease, which may manifest as isolated kidney issues or as part of a syndrome that also includes extrarenal manifestations. The aim of this study was to identify genetic variants in a group of ten patients who presented with clinical signs suggestive of genetic syndromes associated with CKD, or who were asymptomatic but had a positive family history of CKD. Extensive genetic testing (targeted gene panels and whole-exome sequencing-WES) identified a mutation in the PKD1 gene in 3 out of 10 cases. In one patient, a known mutation in the PKD2 gene was identified. Another four patients were diagnosed with Alport syndrome: three of these presented with de novo missense mutations in the COL4A5 gene, and one patient had a mutation in the COL4A3 gene. One patient was diagnosed with MODY5, caused by a known mutation in the HNF1B gene, and one patient was diagnosed with Bartter syndrome type 1, resulting from a known mutation in the SLC12A1 gene. We present genotype-phenotype correlations, highlighting the particularities of each patient within their family context. Our findings emphasize the importance of genotype-phenotype correlations in refining diagnosis, personalizing therapeutic management, and providing essential genetic counseling for at-risk relatives.
'Missing' disease-causing variants in Alport syndrome.
Up to 20% of people with clinically suspected Alport syndrome do not have a disease-causing variant identified with genetic testing. Disease-causing changes are 'missing' because the identified variant is of uncertain significance or no suspicious change has been found. A variant of uncertain significance might be resolved after a clinician-laboratory consultation, family segregation studies, functional assays, evidence from large case-control cohorts or review after further genetic and experimental information becomes available. Other explanations for a lack of disease-causing variants include the presence of phenocopies such as IgA nephropathy, technical issues associated with whole-exome sequencing and difficulties in identifying and computationally assessing non-canonical splicing variants, including deep intronic and synonymous changes. Candidate splicing variants might be identified using whole-exome, whole-genome or long-read sequencing, prioritized bioinformatically, and validated with targeted RNA sequencing or splicing assays. People with suspected Alport syndrome but no identified disease-causing variant should be managed as for Alport syndrome while awaiting confirmation of their diagnosis. Missing disease-causing variants are also common in other genetic kidney diseases, and the methods used for their resolution are the same. Our current inability to detect all disease-causing variants means that the contribution of genetic disease is underestimated for kidney phenotypes.
Glomerular basement membrane structural integrity dictates trans-tissue deposition of laminin in the kidney.
Basement membranes (BMs) are specialized extracellular matrices (ECMs) essential for tissue structure and function. In non-vertebrates, ECM components can be produced both locally and by distant tissues. In contrast, mammalian ECM has traditionally been considered to originate predominantly from adjacent or tissue-resident cells. The kidney glomerular basement membrane (GBM), composed of laminin-α5β2γ1 and collagen-α3α4α5(IV), is produced by neighboring cells and functions as a filtration barrier. Alport syndrome, a genetic kidney disease, is characterized by GBM structural defects and ectopic laminin-α2 deposition, but the source of this laminin remains unknown. Here, using CRISPR-Cas9 transgenic models, we demonstrated that ectopic laminin-α2 in GBM originates not from local kidney cells but from the circulation. Furthermore, laminin-α2 in the mesangium partially derives from circulating sources even under healthy conditions. Our findings uncover a non-cell-autonomous mechanism whereby GBM integrity regulates circulating protein incorporation, revealing a trans-tissue regulation of BM composition in mammals.
Publicações recentes
Unusual Glomerular Abnormalities in a Patient With Combined COL4A5-NPHS1 Variants.
Umbilical cord-derived mesenchymal stem cells restore renal homeostasis in Alport Syndrome: Mechanistic insights and clinical translation.
SPARC upregulation mediates podocyte injury in Alport syndrome mice.
Clinical Insights Into the COL4A3 p.Gly407Arg Variant in Alport Syndrome.
Epidemiological characteristics and treatment patterns of Alport syndrome in Korea.
📚 EuropePMC1.259 artigos no totalmostrando 197
Sequential sequencing reveals the architecture and complexity of genomic variants in patients with Alport syndrome.
Nature communicationsExtracellular vesicle miR-93-5p cargo regulates glomerular endothelial cell damage in Alport syndrome.
JCI insightUpdate on Alport Syndrome: The Report of the 2024 International Workshop on Alport Syndrome.
Kidney international reportsSystematic reassessment of reported variants in individuals with suspicion of Alport spectrum disorder reveals a high rate of ambiguous results.
European journal of human genetics : EJHGCoexisting genetic kidney disease explains many cases of 'familial' IgA nephropathy where the proband has biopsy-confirmed mesangial IgA deposits.
Frontiers in medicineThe Importance of Molecular Testing in the Diagnosis of Genetic Syndromes with Chronic Kidney Disease: Genotype-Phenotype Correlations.
International journal of molecular sciences'Missing' disease-causing variants in Alport syndrome.
Nature reviews. NephrologyHeterozygous X-linked Alport syndrome in a pregnant woman: A case report.
SAGE open medical case reportsAlport syndrome complicated with IgA nephropathy: a case report.
Frontiers in medicineMultifactorial Predictors of Renal Outcomes in Alport Syndrome: Integrating Genetic, Clinical, and Cystic Phenotypes.
Kidney medicineThe Inheritance Puzzle: A Case of Dual Genetic Kidney Disease.
Nephrology (Carlton, Vic.)Minnelide ameliorates Col4a5+/- mice by upregulating Col4a5 and alleviating endoplasmic reticulum stress.
Frontiers in pharmacologyScreening for genetic kidney diseases in a dialysis cohort via exome sequencing.
Clinical kidney journalGlomerular basement membrane structural integrity dictates trans-tissue deposition of laminin in the kidney.
Cell reportsPediatric Conditions for Which Skin Biopsies of Clinically Normal Skin Have Diagnostic Yield: A Review for the Pediatric Dermatologist.
Pediatric dermatologyNot So Normal Skin: A Review of the "Random" Skin Biopsy.
The American Journal of dermatopathologyHereditary Myopathy With Early Respiratory Failure Associated With an Incidental COL4A5 Variant: A Case Report.
Case reports in geneticsProtective role of early Tnfsf15 upregulation in limiting glomerular injury and proteinuria in experimental Alport Syndrome.
Journal of pharmacological sciencesWNK1 Kinase Activity Is Required for the Functional Maintenance of Podocyte Structure.
FASEB journal : official publication of the Federation of American Societies for Experimental BiologyCase Report: Neuroretinitis versus hypertensive retinopathy secondary to Alport syndrome.
Frontiers in neurologymRNA Therapy for Alport Syndrome.
bioRxiv : the preprint server for biologyDetermining Genetic Cause of Posterior Staphylomas in Eyes with Pathologic Myopia by Whole Exome Sequencing.
Ophthalmology scienceDisease-modifying effects of iron deficiency in mouse models of chronic renal failure.
Blood. Red cells & ironIntravenous trimethoprim-sulfamethoxazole desensitization as a therapeutic strategy for late-onset Pneumocystis jirovecii pneumonia in a kidney transplant recipient: a case report.
Journal of medical case reportsRedefining Alport syndrome in the era of genomic medicine: time for a unified, genotype-driven nomenclature.
Pediatric nephrology (Berlin, Germany)TRPC6 inhibition for the treatment of focal segmental glomerulosclerosis: a randomised, placebo-controlled, phase 2 trial of BI 764198.
Lancet (London, England)Deciphering the complexity: a case of kidney failure with co-inheritance of COL4A5 and APOE variants.
BMC nephrologyModulation of the Apolipoprotein M/S1PR4 Pathway Reduces Podocyte Lipid Overload in Alport Syndrome via Distinct Autophagy and Efflux Mechanisms.
Journal of the American Society of Nephrology : JASNWhen Genes Reveal the Truth: Alport Syndrome Mimicking Steroid-Resistant Nephrotic Syndrome.
Pediatric reportsCoincidence of autosomal dominant polycystic kidney disease and Alport syndrome: a case report and literature review.
CEN case reportsRetinal and microvascular alterations in Alport syndrome: a multimodal imaging study.
BMC ophthalmologyTips of family history taking in diagnosing Alport syndrome: a report of six cases.
CEN case reportsAlport Syndrome is a Partial Tubulointerstitial Disease of the Kidney.
Kidney international reportsBilateral giant macular holes in a patient with Alport syndrome.
Eye (London, England)Coexistence of Alport Syndrome and Fabry Disease in a Female with R112H Variant: Early Progression of Fabry Nephropathy.
International journal of molecular sciencesDapagliflozin Reduces Kidney Inflammation in Alport Syndrome by Inhibiting the Stimulator of Interferon Genes Pathway in Renal Tubular Epithelial Cells.
Kidney360Whole-genome sequencing identified a deep intronic COL4A5 variant causing aberrant splicing in a female patient with X-linked Alport syndrome.
CEN case reportsA Western Diet High in Phosphate Primes the Development of the CKD-Mineral Bone Disorder in an Alport Syndrome Model.
Kidney360Shunt Complications in Syndromic versus Non-Syndromic Pediatric Hydrocephalus: A Propensity-Matched Multicenter Analysis of 35,234 Patients.
Pediatric neurosurgeryUrine Screening for Early Diagnosis of Young Individuals With Alport Syndrome: A Call for Action.
Kidney international reportsImpact of Age-3 Urine Screening on Diagnosis and Treatment Timing in Alport Syndrome.
Kidney international reportsAnticodon-edited tRNA enables translational readthrough of COL4A5 premature termination codons.
PloS oneSplice modulation of COL4A5 reinstates collagen IV assembly in an organoid model of Alport syndrome.
JCI insightA novel COL4A5 splicing variant in alport syndrome presenting with extreme myopia.
Ophthalmic geneticsClinical features of hearing loss and genotype-phenotype correlations in Alport syndrome caused by COL4A4 or COL4A5 variants.
Scientific reportsIncreased in vivo transduction of AAV-9 cargo in Alport podocytes.
Wellcome open researchElectron Microscopy in Renal Biopsy Interpretation: When and Why It Still Matters.
CureusExome Sequencing in a Large Cohort with Ciliopathy-Related Kidney Disease.
Clinical journal of the American Society of Nephrology : CJASNAlport Syndrome: A Case of Delayed Diagnosis Through Genetic Testing.
CureusCase Report: A novel TTN gene variant and a concurrent rare COL4A4 gene variant in a Chinese patient with dilated cardiomyopathy.
Frontiers in cardiovascular medicineA case of concurrent Alport syndrome and Nail-patella syndrome posing diagnostic challenge without genetic testing.
BMC nephrologyLeveraging genomic biobanks to enhance genetic testing outcomes for kidney disease.
medRxiv : the preprint server for health sciencesPodocyte specific exon skipping after disease onset improves kidney pathology and function in a mouse model of Alport syndrome.
Scientific reportsGenetic etiology of inherited kidney diseases in egyptian patients: next generation sequencing identifies six novel variants.
Molecular and cellular pediatricsHigh adherence to angiotensin-converting enzyme inhibitor in children and adolescents with Alport syndrome: objective verification using liquid chromatography-mass spectrometry.
Pediatric nephrology (Berlin, Germany)Autosomal Dominant Alport Syndrome Diagnosed in an Elderly Man.
CureusFrom RAAS blockade to regenerative medicine: evolving treatment strategies in Alport syndrome.
Pediatric nephrology (Berlin, Germany)Dapagliflozin with losartan but not olmesartan has an add-on protective effect in experimental Alport syndrome.
Journal of pharmacological sciencesBilateral Macular Holes with Depleted Internal Limiting Membrane in Alport Syndrome Patient: A Case Report.
Korean journal of ophthalmology : KJOKidney Cysts in Alport Syndrome: Illustrative Cases, but Misleading Conclusions.
American journal of kidney diseases : the official journal of the National Kidney FoundationWhole-exome sequencing of kidney transplant recipients and donors: insights into end-stage renal disease and post-transplant genetic risk.
BMC nephrologyKidney organoids in translational research: disease modeling, drug discovery, and unresolved challenges.
Cell and tissue researchCase report: Surgical and clinical results in bilateral lenticonus due to Alport syndrome.
Romanian journal of ophthalmologyGene Therapies: Any Merit in Nephrology?
Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologiaMouse Alport podocytes are susceptible to AAV9 transduction in vivo.
Kidney internationalCorrigendum to "Discoidin domain receptor 1 activation links extracellular matrix to podocyte lipotoxicity in Alport syndrome" eBioMedicine, Volume 63, January 2021, 103162.
EBioMedicineCochlear Implantation in Alport Syndrome: A Novel Case Series.
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and NeurotologyFrom Data to Drug: The Translational Impact of RaDaR, the UK National Registry of Rare Kidney Diseases.
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal AssociationCase Report: Evaluation of COL4A5 non-canonical splicing variants in two families.
Frontiers in medicineExpanding the COL4A4 variant spectrum: genotype-phenotype correlation in 19 Chinese children using updated Alport kidney disease classification.
Renal failureAn Elusive Diagnosis of Autosomal Dominant Alport Syndrome: Genomic Sequencing Is a Game Changer.
CureusNephrotic syndrome as the first symptom in Alport syndrome children.
Clinical nephrologyLong-Term Renal Transplant Success Is Possible in Hypoparathyroidism, Sensorineural Deafness, and Renal Dysplasia Syndrome: A Case Report.
Molecular syndromologyAge at disease onset and risk of chronic kidney disease in patients with heterozygous disease-causing variants in COL4A3 and COL4A4.
Clinical kidney journalNutcracker syndrome in an Alport family: a tricky case.
Wiener klinische WochenschriftSevere Clinical Phenotype in Alport Syndrome Due to 2 COL4A4 Exon-Skipping Events.
Kidney medicineSystematic metabolomic study on the plasma and urine of a mouse model of Alport syndrome.
Scientific reportsDual Renal and Cardiac Phenotypes Associated with Rare Variants Inherited from Both Parents.
Internal medicine (Tokyo, Japan)Effect of 2-Hydroxypropyl-γ-cyclodextrin on Renal Inflammation in Alport Mouse Model.
Biological & pharmaceutical bulletinWhole-exome sequencing in pediatric patients with glomerulonephritis.
Frontiers in geneticsFrom screening to strategy: Clinical implications of COL4A3/COL4A4 variants found in reproductive genetic testing.
European journal of human genetics : EJHGUnfolding the potential-chemical chaperones in Alport syndrome.
Kidney internationalInvestigation of clinical and genetic characteristics of Alport syndrome using a national registry in Japan (JP-ALPS).
Clinical and experimental nephrologyTargeted exome sequencing for molecular diagnosis of pediatric Alport syndrome in Southwest China.
Frontiers in geneticsTreatment Approaches for Alport Syndrome.
Journal of the American Society of Nephrology : JASNCRISPR and gene editing for kidney diseases: where are we?
Clinical kidney journalA rare case of dual glomerular pathology: Alport syndrome and immune complex-mediated MPGN.
BMC nephrologyAutosomal recessive Alport syndrome should be diagnosed in an m.3243A>G carrier only if a pathogenic COL4A3 variant has been detected.
Internal medicine (Tokyo, Japan)Novel COL4A3-COL4A5 variants and digenic inheritance in pediatric Alport syndrome from Southwestern China.
Scientific reportsHigh Prevalence of Autosomal Recessive Alport Syndrome in Roma Population of Eastern Slovakia.
BiomedicinesPathogenic synonymous variation of the COL4A3 gene causing Alport syndrome comorbid with IgA deposition in a toddler: a case report.
BMC nephrologyCase Report: Whole genome sequencing identifies a novel deep intronic COL4A5 variant of uncertain significance in X-linked Alport syndrome.
Frontiers in pediatricsPediatric Renal Transplantation: A 10-Year Single-Center Experience.
Transplantation proceedings[A case report of Alport syndrome a denovo mosaic variation in the COL4A5 gene].
Zhonghua er ke za zhi = Chinese journal of pediatricsHow does LAMB2 contribute to kidney disease? Insights from a pediatric case.
BMC nephrologyLipidomics Unveils Critical Lipid Pathway Shifts in Alport Syndrome.
Kidney international reportsLithuanian Study on COL4A3 and COL4A4 Genetic Variants in Alport Syndrome: Clinical Characterization of 52 Individuals from 38 Families.
International journal of molecular sciencesGene editing for collagen disorders: current advances and future perspectives.
Gene therapyDotinurad, a Novel Urate Reabsorption Inhibitor, Prolongs Survival in Alport Mice.
Kidney360Alpha-dystroglycan receptor signaling likely influences basement membrane laminin α2 mediated pathology in the stria vascularis of Alport mice.
Hearing researchCo-localization of IgG with nephrin in immune-mediated idiopathic nephrotic syndrome.
Clinical and experimental nephrologyUnveiling Maternal Germline Mosaicism in X-Linked Alport Syndrome by Advanced Genetic Testing.
The American journal of case reportsRNA therapeutics in kidney diseases: prospects and current status.
Clinical kidney journalEctopic laminin α2 accumulation in the glomerular basement membrane exacerbates podocyte injury in Alport syndrome.
Biochimica et biophysica acta. Molecular basis of diseaseImportance of family history and health checkup for school-aged children for type IV collagen-associated nephropathy in hereditary kidney disease.
Journal of nephrologyCollagen IV in Gould syndrome and Alport syndrome.
Nature reviews. NephrologySuccessful management of a giant macular hole in Alport syndrome using autologous retinal translation as an initial procedure.
Retinal cases & brief reportsExtracellular Matrix: Alport Syndrome.
Advances in experimental medicine and biologyRenal Single-Cell RNA Sequencing and Digital Cytometry in Dogs with X-Linked Hereditary Nephropathy.
Animals : an open access journal from MDPIImproving the Quality of Two Lives by Treating Obesity.
Reports (MDPI)Novel mitophagy inducer TJ0113 alleviates pulmonary inflammation during acute lung injury.
Frontiers in pharmacologyKidney Cysts in Autosomal Dominant Polycystic Kidney Disease and Alport Syndrome: Two Familial Cases Illustrating Diagnostic Challenges.
American journal of kidney diseases : the official journal of the National Kidney FoundationEstimating Lifetime Risk of Autosomal Recessive Kidney Diseases Using Population-Based Genotypic Data.
Kidney international reportsEducating the Next-Generation Expert in Nephrology Genetics.
Seminars in nephrologyStair-Case/Honeycomb Maculopathy in Alport Syndrome: A Case Report.
Case reports in ophthalmologyHow to Suspect and Approach Patients With Genetic Glomerular Disease.
Seminars in nephrologyHereditary kidney disease with auditory abnormalities: analysis of mutations and clinical phenotypes.
BMC medical genomics[Anterior lenticonus in Alport Syndrome].
Die OphthalmologieUsing Large Genomic Biobanks to Generate Insights into Genetic Kidney Disease.
Seminars in nephrologyA Prediction Model of Disease Progression in X-Linked Alport syndrome Based on Clinical Characteristics and Genetic Variants.
Kidney international reportsCombined Alport Syndrome Type 3A and Mitochondrial Disease Presenting with a Thin Base Membrane and Overt Albuminuria.
Internal medicine (Tokyo, Japan)Urinary DKK3 in Alport syndrome: early marker or epiphenomenon?
Pediatric nephrology (Berlin, Germany)A comprehensive splicing characterization of COL4A5 mutations and prognostic significance in a single cohort with X-linked alport syndrome.
Frontiers in geneticsCollagen Type IV Variants and Kidney Cysts: Decoding the COL4A Puzzle.
GenesAlport syndrome complicated with steroid-sensitive nephrotic syndrome: a case report.
Pediatric nephrology (Berlin, Germany)Progressive Renal Dysfunction in Autosomal-dominant Alport Syndrome Co-occurring with C1q Nephropathy.
Internal medicine (Tokyo, Japan)Efficacy of Nrf2 activation in a proteinuric Alport syndrome mouse model.
Life science allianceTargeted incorporation of collagen IV to the basement membrane: A step forward for developing extracellular protein therapies.
The Journal of biological chemistryThe complexity of kidney disease secondary to collagen IV variants: insights into phenotypic variability from a large Sicilian pedigree.
Journal of nephrologyWNK1 kinase activity is required for maintenance of podocyte foot process structure.
bioRxiv : the preprint server for biologyDapagliflozin, in addition to ramipril, ameliorates kidney disease progression in mice with Alport syndrome.
American journal of physiology. Renal physiologyFamilial Kidney Disease Phenocopying Hypertensive Nephropathy.
Glomerular diseasesThe First Observation and Diagnosis of Nail-Patella Syndrome Using LV-SEM: GBM Abnormalities Mimicking Alport Syndrome.
Nephrology (Carlton, Vic.)Prospective Cohort Study in Alport Syndrome Patients Under Standard Therapy.
Kidney international reportsCOL4A5-p.Gly624Asp is the Predominant Variant in Europe Associated With a Mild Alport Syndrome Phenotype.
Kidney international reportsChemical chaperone 4-phenylbutyrate treatment alleviates the kidney phenotype in a mouse model of Alport syndrome with a pathogenic variant in Col4a3.
Kidney internationalRelationship between clinical and pathologic findings and the presence of genetic variants in patients with steroid-resistant nephrotic syndrome.
Pediatric nephrology (Berlin, Germany)Proteinuria in Alport Syndrome: Treatment With Sodium-Glucose Co-Transporter-2 (SGLT2) Inhibitors.
CureusThe enzyme SMPDL3b in podocytes decouples proteinuria from chronic kidney disease progression in experimental Alport Syndrome.
Kidney internationalThe heterozygous mutation COL4A4 c.817-1G>A causes Alport syndrome in a Chinese family: a case report.
Frontiers in pediatricsA retrospective study of kidney disease in Alport syndrome during and after pregnancy.
Journal of nephrologyA novel mouse model for X-linked Alport syndrome induced by splicing mutation in the Col4a5 gene.
Scientific reportsKidney pathological findings of MYH9-related disease: a cross-sectional nationwide survey in Japan.
Pediatric nephrology (Berlin, Germany)[New Genetic Variants Involved in the Pathogenesis of Autosomal Dominant Alport Syndrome: A Familial Case Report].
Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia[Renal Lipid Metabolism in Collagenopathies].
Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologiaCarrier screening for Alport syndrome: The clinical importance of heterozygosity for pathogenic or likely pathogenetic variants.
Journal of genetic counselingClinical differences between female monozygotic twins with X-linked Alport syndrome with somatic mosaicism.
Pediatric nephrology (Berlin, Germany)Amniotic membrane grafting in the prevention of long-term retinal detachment secondary to giant full-thickness macular hole in Alport syndrome.
Journal francais d'ophtalmologieClinical use of the VNtyper-Kestrel pipeline for MUC1 variant detection in autosomal-dominant tubulointerstitial kidney disease.
Clinical and experimental nephrologyPhenotype-genotype correlations in patients with Alport syndrome from the Polish population.
Journal of nephrologyAre we ACE-ing the early treatment of Alport syndrome?
Pediatric nephrology (Berlin, Germany)Thiazides as an additional antiproteinuric treatment in young patients with Alport syndrome.
Clinical kidney journalCorrigendum to A triad of retinal signs in Alport syndrome: The 'stair-case' fovea, choroidal thinning and peripheral schisis.
European journal of ophthalmologyTacrolimus-Associated Leukoencephalopathy Following a Living Donor Kidney Transplant for Autosomal Recessive Alport Syndrome: A Case Report.
Experimental and clinical transplantation : official journal of the Middle East Society for Organ TransplantationCollagen IV of basement membranes: I. Origin and diversification of COL4 genes enabling metazoan multicellularity, evolution, and adaptation.
The Journal of biological chemistryAlport Syndrome Presenting as Incidental Finding of Proteinuria on Pre-Employment Checkup: A Case Report.
Case reports in nephrologyWhole exome sequencing shows novel COL4A3 and COL4A4 variants as causes of Alport syndrome in Rio Grande do Norte, Brazil.
BMC genomicsSystematic Review of Management Strategies for Alport Syndrome: Implications for Male Patients.
Health science reportsTubular proteinuria due to hereditary endocytic receptor disorder of the proximal tubule: Dent disease and chronic benign proteinuria.
Pediatric nephrology (Berlin, Germany)The Role of Vitamin D in Rare Diseases-A Clinical Review.
BiomedicinesThe interplay between the cardiovascular system and pediatric congenital or acquired kidney diseases.
Pediatric nephrology (Berlin, Germany)Understanding the clinical genetics of kidney stone disease using the Natera Renasight panel.
UrolithiasisKeap1-independent Nrf2 regulation: A novel therapeutic target for treating kidney disease.
Redox biologyIncreased HA/CD44/TGFβ signaling implicates in renal fibrosis of a Col4a5 mutant Alport mice.
Molecular medicine (Cambridge, Mass.)Oral Ketone β -Hydroxybutyrate Supplement Retards the Loss of GFR in Alport Mice on Dual Renin-Angiotensin System/Sodium-Glucose Transporter 2 Blockade.
Kidney360NAD+ prevents chronic kidney disease by activating renal tubular metabolism.
JCI insightIdentification of novel COL4A5 variants and prenatal diagnosis in three large families.
Scientific reportsSGLT2 inhibitors in CKD: are they really effective in all patients?
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal AssociationPathogenic variants in the Alport genes are prevalent in the Singapore multiethnic population with highest frequency in the Chinese.
Scientific reportsIncidence of Leading Causes of Pediatric CKD Using Electronic Health Record-Driven Computable Phenotype.
Kidney360GLP-1 receptor agonists-another promising therapy for Alport syndrome?
Journal of rare diseases (Berlin, Germany)Molecular Review of Suspected Alport Syndrome Patients-A Single-Centre Experience.
GenesCandidate Genetic Modifiers in Alport Syndrome: A Case Series.
Life (Basel, Switzerland)A CASE REPORT OF TEMPORAL MACULAR THINNING ASSOCIATED WITH ALPORT SYNDROME.
Retinal cases & brief reportsCOL4A5 Intronic Variants at Third to Fifth Nucleotides Cause Alport Syndrome.
Kidney international reportsAlport Syndrome May contribute to Grand Multiparity in a Typical Low Income Setting.
Ethiopian journal of health sciences[Alport syndrome-the most common hereditary glomerular kidney disease].
MMW Fortschritte der MedizinRenal Phenotype Variations among Families with Autosomal Alport Syndrome: Potential Role of Modifier Genes.
Kidney360Cracking the code: an integrated electronic medical record approach to early diagnosis of genetic kidney disease in children with microscopic haematuria.
Pediatric nephrology (Berlin, Germany)Corneal endothelial neovascularization and glaucoma in X-linked Alport syndrome.
European journal of ophthalmologyEffects of a Novel COL4A3 Homozygous/Heterozygous Splicing Mutation on the Mild Phenotype in a Family With Autosomal Recessive Alport Syndrome and a Literature Review.
Molecular genetics & genomic medicineCase of maternal uniparental isodisomy with autosomal recessive Alport syndrome combined with congenital myasthenia and Oguchi disease.
CEN case reportsA Novel Loss-of-Function Variant in COL4A3 in a Consanguineous Moroccan Family Displaying the Alport Syndrome with Variable Clinical Expression.
Molecular syndromologyTrichostatin A suppresses hearing loss by reducing oxidative stress and inflammation in an Alport syndrome model.
PloS oneSelective endothelin A receptor antagonism in chronic kidney disease: improving clinical application.
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal AssociationUrinary Dickkopf-related protein 3 as a novel biomarker for kidney function decline in children with Alport syndrome.
Pediatric nephrology (Berlin, Germany)Genotype-Based Molecular Mechanisms in Alport Syndrome.
Journal of the American Society of Nephrology : JASNThe Impact of a Western Diet High in Phosphate on the CKD-MBD in an Alport Syndrome Model.
bioRxiv : the preprint server for biologyAberrant right renal perfusion from right internal mammary artery.
Journal of vascular surgery cases and innovative techniquesThe role of cyclooxygenase-2 (COX-2) and inflammatory markers in the progress of Alport syndrome in Egyptian children.
BMC pediatricsCase Report: Nephrotic syndrome as the primary manifestation of Alport syndrome in a Chinese pediatric patient.
Frontiers in pediatricsActinomyces odontolyticus: A Rare Agent of Exit-Site Infection in Peritoneal Dialysis.
Cureus[Clinical and genetic features of persistent asymptomatic microscopic hematuria in children].
Zhonghua er ke za zhi = Chinese journal of pediatricsAlport syndrome: an update.
Current opinion in nephrology and hypertensionAdvances in CRISPR-Cas systems for kidney diseases.
Progress in molecular biology and translational scienceExon location of glycine substitutions impacts kidney survival in autosomal dominant Alport syndrome.
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal AssociationUnraveling the genetic spectrum of inherited deaf-blindness in Portugal.
Orphanet journal of rare diseasesAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
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Comunidades
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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.
- Sequential sequencing reveals the architecture and complexity of genomic variants in patients with Alport syndrome.
- Systematic reassessment of reported variants in individuals with suspicion of Alport spectrum disorder reveals a high rate of ambiguous results.
- The Importance of Molecular Testing in the Diagnosis of Genetic Syndromes with Chronic Kidney Disease: Genotype-Phenotype Correlations.
- 'Missing' disease-causing variants in Alport syndrome.
- Glomerular basement membrane structural integrity dictates trans-tissue deposition of laminin in the kidney.
- Unusual Glomerular Abnormalities in a Patient With Combined COL4A5-NPHS1 Variants.
- Umbilical cord-derived mesenchymal stem cells restore renal homeostasis in Alport Syndrome: Mechanistic insights and clinical translation.
- SPARC upregulation mediates podocyte injury in Alport syndrome mice.
- Clinical Insights Into the COL4A3 p.Gly407Arg Variant in Alport Syndrome.
- Epidemiological characteristics and treatment patterns of Alport syndrome in Korea.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:63(Orphanet)
- MONDO:0018965(MONDO)
- GARD:5785(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Artigo Wikipedia(Wikipedia)
- Q1331116(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.
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