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Bilateral Wilms' tumor in a child with Denys-Drash syndrome: novel frameshift variant disrupts the WT1 nuclear location signaling region

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Author(s):
Guaragna, Mara Sanches ; Ledesma, Felipe Lourenco ; Manzano, Victoria Zavanelli ; Maciel-Guerra, Andrea Trevas ; Guerra-Junior, Gil ; Silva, Marcelo Milone ; de Brito, Pedro Luiz ; de Mello, Maricilda Palandi
Total Authors: 8
Document type: Journal article
Source: JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM; v. 35, n. 6, p. 7-pg., 2022-03-21.
Abstract

Background Wilm's Tumor (WT) is the most common pediatric kidney cancer. Whereas most WTs are isolated, approximately 5% are associated with syndromes such as Denys-Drash (DDS), characterized by early onset nephropathy, disorders of sex development and predisposition to WT. Case presentation A 46,XY patient presenting with bilateral WT and genital ambiguity without nephropathy was heterozygous for the novel c.851_854dup variant in WT1 gene sequence. This variant affects the protein generating the frameshift p.(Ser285Argfs*14) that disrupts a nuclear localization signal (NLS) region. Conclusions This molecular finding is compatible with the severe scenario regarding the Wilm's tumor presented by the patient even though nephropathy was absent. (AU)

FAPESP's process: 15/20502-6 - Whole Exome Sequencing in Brazilian Children and Adolescents with Steroid Resistant Nephrotic Syndrome
Grantee:Maricilda Palandi de Mello
Support Opportunities: Regular Research Grants