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J Am Soc Nephrol 12:2348-2357, 2001
© 2001 American Society of Nephrology

Familial Juvenile Hyperuricemic Nephropathy and Autosomal Dominant Medullary Cystic Kidney Disease Type 2: Two Facets of the Same Disease?

KARIN DAHAN*, ARNO FUCHSHUBER{dagger}, STAVROULA ADAMIS*, MICHÈLE SMAERS*, SABINE KROISS{dagger}, GUY LOUTE{ddagger}, JEAN-PIERRE COSYNS§, FRIEDHELM HILDEBRANDT{dagger}, CHRISTINE VERELLEN-DUMOULIN* and YVES PIRSON||

* Center for Human Genetics, Catholic University of Louvain, Brussels, Belgium
§ Department of Pathology, Catholic University of Louvain, Brussels, Belgium
|| Division of Nephrology, Catholic University of Louvain, Brussels, Belgium
{dagger} University Children's Hospital, Freiburg, Germany
{ddagger} Department of Nephrology, Princesse Paola Hospital, Aye, Belgium.

Correspondence to Dr. Karin Dahan, Center for Human Genetics, Université Catholique de Louvain, Avenue E, Mounier 52, Tour Vésale 5220, B-1200 Brussels, Belgium. Phone: 0032-2-764-52-20; Fax: 0032-2-764-52-22; E-mail: Dahan{at}gmed.ucl.ac.be

Abstract. Familial juvenile hyperuricemic nephropathy (FJHN) is an autosomal dominant disorder heralded by hyperuricemia during childhood; it is characterized by chronic interstitial nephritis, with marked thickening of tubular basement membranes, and leads to progressive renal failure during adulthood. A gene for FJHN in two Czech families was recently mapped to chromosome 16p11.2, close to the MCKD2 locus, which is responsible for a variant of autosomal dominant medullary cystic kidney disease observed in an Italian family. In a large Belgian family with FJHN, a tight linkage between the disorder and the marker D16S3060, located within the MCKD2 locus on chromosome 16p12 (maximal two-point logarithmic odds score of 3.74 at a recombination fraction of {theta} = 0), was observed in this study. The candidate region was further narrowed to a 1.3-Mb interval between D16S501 and D16S3036. Together with the striking clinical and pathologic resemblance between previously reported medullary cystic kidney disease type 2 and FJHN occurring in the Belgian family (including the presence of medullary cysts), this study suggests that these two disorders are facets of the same disease.




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