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WT1 gene mutations in three girls with nephrotic syndrome

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Abstract

Denys-Drash syndrome and Frasier syndrome are two related conditions caused by mutations of the Wilms tumor gene, WT1. Both syndromes are characterized by male pseudohermaphrodism, a progressive glomerulopathy, and the development of genitourinary tumors. This study examines three girls with steroid-resistant nephrotic syndrome related to mutations in the WT1 gene, but with normal 46, XX karyotype and normal female phenotype. WT1 mutation analysis should be routinely done in females with steroid-resistant nephrotic syndrome.

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References

  1. Aucella F, Bisceglia L, De Bonis P, Gigante M, Caridi G, Barbano G, Mattioli G, Perfumo F, Gesualdo L, Ghiggeri GM (2006) WT1 mutations in nephrotic syndrome revised. High prevalence in young girls, associations and renal phenotypes. Pediatr Nephrol 21:1393–1398

    Article  PubMed  Google Scholar 

  2. Barbaux S, Niaudet P, Gubler MC, Grunfeld J-P, Jaubert F, Kuttenn F, Fekete CN, Souleyreau-Therville N, Thibaud E, Fellous M, McElreavey K (1997) Donor-splice-site mutations in WT1 are responsible for Frasier syndrome. Nat Genet 17:467–470

    Article  PubMed  CAS  Google Scholar 

  3. Call KM, Glaser T, Ito CY, Buckler AL, Pelletier J, Haber DA, Rose EA, Krai A, Yeger H, Lewis WH, Jones C, Housman DE (1990) Isolation and characterization of zinc finger polypeptide gene at the human chromosome 11 Wilms’ tumor locus. Cell 60:509–520

    Article  PubMed  CAS  Google Scholar 

  4. Denys P, Malvaux P, Vanden Berghe H, Tanghe W, Proesmans W (1967) Association d’un syndrome anatomopathologique de pseudohermaphrodisme masculin, d’une tumeur de Wilms, d’une nephropathie parenchymateuse et d’un mosaicisme XX/XY. Arch Fr Pediatr 24:729–739

    PubMed  CAS  Google Scholar 

  5. Haber DA (1991) Alternative splicing and genomic structure of the Wilms’ tumor gene WT1. Proc Natl Acad Sci USA 88:9618–9622

    Article  PubMed  CAS  Google Scholar 

  6. Habib R, Gubler MC, Antignac C, Gagnadoux MF (1993) Diffuse mesangial sclerosis: a congenital glomerulopathy with nephrotic syndrome. Adv Nephrol 22:43–56

    CAS  Google Scholar 

  7. Habib R, Loirat C, Gubler MC, Niaudet P, Bensman A, Levy M, Broyer M (1985) The nephropathy associated with male pseudohermaphrodism and Wilm’s tumor (Drash syndrome): a distinctive glomerular lesion-report of 10 cases. Clin Nephrol 24:269–278

    PubMed  CAS  Google Scholar 

  8. Jeanpierre C, Denamur E, Cabanis MO, Luce S, Cecille A, Elion J, Peuchmaur M, Loirat C, Niaudet P, Gubler MC, Junien C (1998) Identification of constitutional WT1 mutations in patients with isolated diffuse mesengial sclerosis and analysis of genotype-phenotype correlations using a computerized mutation database. Am J Hum Genet 62:824–833

    Article  PubMed  CAS  Google Scholar 

  9. Klamt B, Koziell A, Poulat F, Wieacker P, Scambler P, Berta P, Gessler M (1998) Frasier syndrome is caused by defective alternative splicing of WT1 +/-KTS splice isoforms. Hum Mol Genet 7:709–714

    Article  PubMed  CAS  Google Scholar 

  10. McTaggart SJ, Algar E, Chow CW, Powell HR, Jones CL (2001) Clinical spectrum of Denys-Drash and Frasier syndrome. Pediatr Nephrol 16:335–339

    Article  PubMed  CAS  Google Scholar 

  11. Moorthy AV, Chesney RW, Lubinsky M (1987) Chronic renal failure and XY gonadal dysgenesis: “Frasier” syndrome-a commentary on reported cases. Am J Med Genet 3:297–302

    Article  CAS  Google Scholar 

  12. Mueller RF (1994) The Denys-Drash syndrome. J Med Genet 31:471–477

    Article  PubMed  CAS  Google Scholar 

  13. Niaudet P, Gubler MC (2006) WT1 and glomerular diseases. Pediatr Nephrol 21:1653–1660

    Article  PubMed  Google Scholar 

  14. Souka AP, Skentou H, Geerts L, Bower S, Nicolaides KH (2002) Congenital nephrotic syndrome presenting with increase nuchal translucency in the first trimester. Prenat Diagn 22:93–95

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Khalid Ismaili.

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Ismaili, K., Verdure, V., Vandenhoute, K. et al. WT1 gene mutations in three girls with nephrotic syndrome. Eur J Pediatr 167, 579–581 (2008). https://doi.org/10.1007/s00431-007-0514-z

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  • DOI: https://doi.org/10.1007/s00431-007-0514-z

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