TABLE 1
FROM:
Genetics of hypercalciuric stone forming diseases
O Devuyst and Y Pirson
BACK TO ARTICLETable 1. Monogenic human disorders associated with renal hypercalciuria and nephrolithiasis
| Mode of inheritance disease | MIM | Gene, protein, function | Segment | Pathophysiology, renal manifestations | Extra-renal manifestations |
|---|---|---|---|---|---|
| X-linked | |||||
| Dent's disease (1) (X-linked recessive nephrolithiasis; X-linked hypophosphatemic rickets; idiopathic low-molecular-weight proteinuria) | 300009 | CLCN5, ClC-5 Cl-/H+ exchanger | PT, TAL, IC
| Trafficking defect, defective endocytosis PT dysfunction, renal Fanconi syndrome Nephrocalcinosis, stones Impaired urine acidification Renal failure | Rickets |
| Lowe's syndrome (oculo-cerebro-renal syndrome) Dent's disease (2) | 309000 300555 |
OCRL, OCRL1 Phosphatidylinositol 4,5-bisphosphate-5-phosphatase | PT | PT dysfunction, renal Fanconi syndrome Proximal RTA, metabolic acidosis Nephrocalcinosis, stones | Mental retardation, cataract, rickets, cryptorchidism, neuromuscular and behavioral abnormalities, growth delay |
| Autosomal dominant | |||||
| Autosomal dominant hypocalcemia (ADH) (Bartter-like syndrome type V) | 146200 |
CASR, CaSR Calcium-sensing receptor | PT, TAL, DCT, CD | Gain-of-function mutations Low serum PTH Hypocalcemia, hypercalciuria Nephrocalcinosis, stones (vitamin D) Salt-losing nephropathy, hypokalemia | Neuromuscular manifestations of hypocalcemia, seizures, basal ganglia calcifications |
| Distal renal tubular acidosis (dRTA, RTA type I) | 179800 |
SLC4A1, AE1 Cl-/HCO3 - exchanger | IC
| Impaired anion exchange in IC Metabolic acidosis, hypercalciuria Nephrocalcinosis, stones | Osteomalacia, rickets, growth retardation |
| Autosomal recessive | |||||
| Antenatal Bartter's syndrome type I (hyperprostaglandin E syndrome) | 601678 |
SLC12A1, NKCC2 Na+-K+-2Cl- co-transporter 2 | TAL | Profound salt-wasting, polyuria Metabolic alkalosis, hypokalemia Hyperprostaglandinuria Hypercalciuria, nephrocalcinosis | Polyhydramnios, prematurity, fever, vomiting, diarrhea, osteopenia |
| Antenatal Bartter's syndrome type II (hyperprostaglandin E syndrome 2) | 241200 |
KCNJ1, ROMK K+ channel | TAL, CD | Profound salt-wasting, polyuria Transient (neonatal) hyperkalemia Metabolic alkalosis, hypokalemia Hyperprostaglandinuria Hypercalciuria, nephrocalcinosis | Polyhydramnios, prematurity, Fever, vomiting, diarrhea, osteopenia |
| Bartter's syndrome type III (classic Bartter's syndrome) | 607364 |
CLCNKB, ClC-Kb Cl- channel | TAL, DCT | Highly variable phenotype Variable calciuria levels, stones | Variable (polyhydramnios) |
| Familial hypomagnesemia with hypercalciuria and nephrocalcinosis (FHHNC) | 248250 |
CLDN16 (PCLN1), Claudin-16, paracellin-1 Tight junction protein | TAL, DCT | Impaired paracellular transport of calcium and magnesium Calcium and magnesium wasting, renal failure, nephrocalcinosis, stones Incomplete distal tubular acidosis | Convulsions, tetany, chondrocalcinosis, neuromuscular manifestations |
| Distal renal tubular acidosis (dRTA with progressive nerve deafness) | 267300 |
ATP6V1B1, V1 subunit B1 Subunit of V-ATPase | IC
| Impaired urine acidification Metabolic acidosis, kaliuresis Hypercalciuria, nephrocalcinosis, stones | Sensorineural hearing loss, hypokalemic paralysis, rickets, growth impairment |
| Distal renal tubular acidosis (dRTA with preserved hearing or late onset hearing loss) | 602722 |
ATPV0A4, V0 subunit a4 Subunit of V-ATPase | IC
| Normal hearing or late onset sensorineural hearing loss, paralysis, rickets, growth impairment | |
CD, collecting duct; DCT, distal convoluted tubule; dRTA, distal renal tubular acidosis; IC
, intercalated cell (
-type); RTA, renal tubular acidosis; PT, proximal tubule; TAL, thick ascending limb of Henle's loop; V-ATPase, vacuolar H+-ATPase.
