RT Journal Article SR Electronic T1 Whole-Exome Sequencing Identifies Causative Mutations in Families with Congenital Anomalies of the Kidney and Urinary Tract JF Journal of the American Society of Nephrology JO J. Am. Soc. Nephrol. FD American Society of Nephrology SP 2348 OP 2361 DO 10.1681/ASN.2017121265 VO 29 IS 9 A1 van der Ven, Amelie T. A1 Connaughton, Dervla M. A1 Ityel, Hadas A1 Mann, Nina A1 Nakayama, Makiko A1 Chen, Jing A1 Vivante, Asaf A1 Hwang, Daw-yang A1 Schulz, Julian A1 Braun, Daniela A. A1 Schmidt, Johanna Magdalena A1 Schapiro, David A1 Schneider, Ronen A1 Warejko, Jillian K. A1 Daga, Ankana A1 Majmundar, Amar J. A1 Tan, Weizhen A1 Jobst-Schwan, Tilman A1 Hermle, Tobias A1 Widmeier, Eugen A1 Ashraf, Shazia A1 Amar, Ali A1 Hoogstraaten, Charlotte A. A1 Hugo, Hannah A1 Kitzler, Thomas M. A1 Kause, Franziska A1 Kolvenbach, Caroline M. A1 Dai, Rufeng A1 Spaneas, Leslie A1 Amann, Kassaundra A1 Stein, Deborah R. A1 Baum, Michelle A. A1 Somers, Michael J.G. A1 Rodig, Nancy M. A1 Ferguson, Michael A. A1 Traum, Avram Z. A1 Daouk, Ghaleb H. A1 Bogdanović, Radovan A1 Stajić, Natasa A1 Soliman, Neveen A. A1 Kari, Jameela A. A1 El Desoky, Sherif A1 Fathy, Hanan M. A1 Milosevic, Danko A1 Al-Saffar, Muna A1 Awad, Hazem S. A1 Eid, Loai A. A1 Selvin, Aravind A1 Senguttuvan, Prabha A1 Sanna-Cherchi, Simone A1 Rehm, Heidi L. A1 MacArthur, Daniel G. A1 Lek, Monkol A1 Laricchia, Kristen M. A1 Wilson, Michael W. A1 Mane, Shrikant M. A1 Lifton, Richard P. A1 Lee, Richard S. A1 Bauer, Stuart B. A1 Lu, Weining A1 Reutter, Heiko M. A1 Tasic, Velibor A1 Shril, Shirlee A1 Hildebrandt, Friedhelm YR 2018 UL http://jasn.asnjournals.org/content/29/9/2348.abstract AB Background Congenital anomalies of the kidney and urinary tract (CAKUT) are the most prevalent cause of kidney disease in the first three decades of life. Previous gene panel studies showed monogenic causation in up to 12% of patients with CAKUT.Methods We applied whole-exome sequencing to analyze the genotypes of individuals from 232 families with CAKUT, evaluating for mutations in single genes known to cause human CAKUT and genes known to cause CAKUT in mice. In consanguineous or multiplex families, we additionally performed a search for novel monogenic causes of CAKUT.Results In 29 families (13%), we detected a causative mutation in a known gene for isolated or syndromic CAKUT that sufficiently explained the patient’s CAKUT phenotype. In three families (1%), we detected a mutation in a gene reported to cause a phenocopy of CAKUT. In 15 of 155 families with isolated CAKUT, we detected deleterious mutations in syndromic CAKUT genes. Our additional search for novel monogenic causes of CAKUT in consanguineous and multiplex families revealed a potential single, novel monogenic CAKUT gene in 19 of 232 families (8%).Conclusions We identified monogenic mutations in a known human CAKUT gene or CAKUT phenocopy gene as the cause of disease in 14% of the CAKUT families in this study. Whole-exome sequencing provides an etiologic diagnosis in a high fraction of patients with CAKUT and will provide a new basis for the mechanistic understanding of CAKUT.