WT1 Haploinsufficiency Supports Milder Renal Manifestation in Two Patients with Denys-Drash Syndrome

Autor(es)

Guaragna, Mara S. ; Ribeiro de Andrade, Juliana G. ; Carli, Brbara de Freitas ; Belangero, Vera M. S. ; Maciel-Guerra, Andrea T. ; Guerra-Junior, Gil ; de Mello, Maricilda P.

• Tipo de documento: Artigo Científico
• Fonte: SEXUAL DEVELOPMENT; v. 11, n. 1, p. 34-39, 2017.
• Citações Web of Science: 0

Resumo

Denys-Drash syndrome (DDS) is characterized by nephropathy, genital abnormalities, and predisposition to Wilms' tumor. DDS patients usually present heterozygous de novo germline WT1 mutations. The WT1 gene comprises 10 exons encoding the N-terminal transactivation and the C-terminal DNA-binding regions. Two unrelated patients with genital ambiguity and Wilms' tumor were analyzed by sequencing of the WT1 gene, and 3 mutations in exon 1 were identified of which 2 are novel. Patient 1 carried a c.555delC mutation that causes a frameshift and a premature stop codon. Patient 2 carried both c.421A>C and c. 424C>T aberrations that lead to the missense p.Lys141Gln and the nonsense p. Lys142 {*} mutation, respectively. As both patients were heterozygous for the mutations, we tested their parents who did not carry any mutation. Therefore, the 3 WT1 mutations occurred de novo in both patients. Heterozygous mutations result in WT1 haploinsufficiency as they impair protein production. They are associated with a milder DDS phenotype as observed in the patients studied here. (AU)

• Processo FAPESP: 12/51109-0 - Estudo dos genes WT1, NPHS1 e NPHS2 em crianças com síndrome nefrótica
• Beneficiário: Maricilda Palandi de Mello
• Modalidade de apoio: Auxílio à Pesquisa - Regular