Presentation
Juvenile NPH, the most prevalent subtype, typically presents with polydipsia and polyuria, growth retardation, chronic iron-resistant anemia, or other findings related to chronic kidney disease (CKD). [ncbi.nlm.nih.gov]
Management and treatment At present, there is no treatment for preventing progression to end-stage renal failure. The documents contained in this web site are presented for information purposes only. [orpha.net]
Cysts may or may not be present and are a result of tubular dilation. They probably share similar mechanisms, although these are not well characterized. [merckmanuals.com]
Acronym NPHPL1 Keywords Any medical or genetic information present in this entry is provided for research, educational and informational purposes only. [uniprot.org]
Entire Body System
- Short Stature
[…] of breath Signs and symptoms of juvenile form of Nephronophthisis may include: Growth retardation resulting in short stature Abnormally-formed bones 1 in 10 individuals present retinitis pigmentosa resulting in loss of peripheral vision, night blindness [dovemed.com]
Presentation may also vary - eg, renal mass, loin pain, failure to thrive, short stature, hypertension or renal dysfunction. [patient.info]
stature, enuresis, anemia arterial hypertension typically only in infantile NPH manifestation Juvenile NPH: ESRD around the 13.th year of Age Infantile NPH: ESRD before the 4. th year of Age Adolescent NPH: ESRD around the 19. th year of age inheritance [neocyst.de]
Presentation may include abdominal/loin pain, urinary tract infections, hematuria, enlargement of one or more cysts, failure to thrive, short stature, hypertension or renal dysfunction. [centogene.com]
- Infertility
Gastrointestinal bleeding, ulcers Hemorrhage (excessive bleeding) High blood pressure Hyponatremia (low blood sodium level) Hyperkalemia (too much potassium in the blood), especially with end-stage kidney disease Hypokalemia (too little potassium in the blood) Infertility [medlineplus.gov]
Table 1 shows list of genes searched with term ‘NPHP’, ‘SLSN’, ‘JBTS’, ‘MKS’ and ‘Bardet-Biedl syndrome (BBS, syndrome of NPHP, RP, obesity, polydactyly, cognitive impairment, and male infertility)’, representatives of NPHP-RC. [chikd.org]
- Pallor
Advanced CRF is accompanied by anemia and growth retardation, thus most of NPHP patients present with general weakness, pallor, and poor growth. [chikd.org]
- Fever
However, simple kidney cysts may: Cause pain in your side, back, or upper abdomen if they enlarge and press on other organs Bleed Become infected, causing fever, chills, or other signs of infection Impair kidney function (rare) Simple kidney cysts have [webmd.com]
- Swelling
[…] loss of kidney function occurs slowly over time, however the following signs/symptoms could be observed in an affected individual: [6] Some individuals with this disease develop gout, [8] which is a condition in which patients develop severe pain and swelling [en.wikipedia.org]
Psychiatrical
- Suggestibility
Our data highlight an emerging link between mitochondria and ciliary dysfunction, and suggest that further understanding the enzymatic activity and substrates of XPNPEP3 will illuminate novel cystogenic pathways. [experts.umich.edu]
Subsequent reports, however, suggested that NPH and MCKD were a single disorder. [sjkdt.org]
Our results therefore suggest XPNPEP3 to be a transcriptional target of Wnt/β-catenin pathway with particular significance for CRC Actions (login required) View Item [cdfd.sciencecentral.in]
XPNPEP3 to be a transcriptional target of Wnt/beta-catenin pathway with particular significance for CRC Data suggest that human XPNPEP3, Ashbya gossypii Icp55, and Fusarium graminearum Icp55 exhibit structural and functional properties of genuine Xaa-Pro [antibodies-online.com]
Urogenital
- Kidney Failure
/enzymology*; Kidney/pathology; Kidney Failure/enzymology*; Kidney Failure/genetics; Kidney Failure/pathology; Male; Mitochondria/enzymology*; Mit; BARDET-BIEDL-SYNDROME; PLANAR CELL POLARITY; AMINOPEPTIDASE-P; JOUBERT-SYNDROME; RETINAL DEGENERATION; [push-zb.helmholtz-muenchen.de]
Example - the heart is present on the right side, liver on the left side, etc. resulting in related symptoms End-stage renal disease by age 1 Kidney failure by age 3 years - the signs and symptoms of kidney failure include: Tiredness Swollen face, ankles [dovemed.com]
As the disease progresses, kidney failure develops. Treatment may involve taking medicines and diet changes, limiting foods containing phosphorus and potassium. You may need dialysis and a kidney transplant. [medlineplus.gov]
They are not the same thing as polycystic kidney disease, which is a progressive disease that can lead to kidney failure. Simple kidney cysts most often do not cause harm. [webmd.com]
Dominant mutations in the REN gene, which encodes renin, have recently been described in families with hyperuricemia, anemia, progressive kidney failure, and progressive interstitial fibrosis. [11] These patients may also be considered to fall under the [emedicine.medscape.com]
Neurologic
- Seizure
Severely affected individuals can have mitochondrial changes with isolated complex-I deficiency activity in muscle, seizures, mental retardation and hypertrophic dilated cardiomyopathy. [medical-dictionary.thefreedictionary.com]
Severely affected individuals can manifest a mitochondrial disorder with isolated complex I deficiency activity in muscle, seizures, mental retardation and hypertrophic dilated cardiomyopathy. [uniprot.org]
Severely affected individuals can manifest a mitochondrial disorder with isolated complex I deficiency activity in muscle, seizures, mental retardation and hypertrophic dilated cardiomyopathy. 配列類似性 Belongs to the peptidase M24B family. [abcam.co.jp]
Synonyms - Classification genetic, renal Phenotypes Arachnoid cyst ; Autosomal recessive inheritance ; Chronic pancreatitis ; Hypertension ; Intellectual disability ; Kinetic tremor ; Nephronophthisis ; Pancreatic cysts ; Renal corticomedullary cysts ; Seizures [mousephenotype.org]
Workup
Topics include: Non-neoplastic diseases in kidney cancer; Nephrectomy for non-neoplastic causes; Autopsy renal pathology; Practical approach to kidney donation workup; Kidney allograft pathology; Renal infections; Amyloidosis - all subtypes; Histologic [books.google.com]
Treatment
Simple Kidney Cyst Treatment If your cyst does not cause symptoms or complications, you do not need treatment. Your doctor may simply watch your cysts to make sure they don't cause any problems. [webmd.com]
Management and treatment At present, there is no treatment for preventing progression to end-stage renal failure. The documents contained in this web site are presented for information purposes only. [orpha.net]
It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice . [uniprot.org]
Lifelong treatment may control the symptoms of chronic kidney disease. [medlineplus.gov]
Prognosis
(Outcomes/Resolutions) The prognosis of Nephronophthisis is typically guarded. [dovemed.com]
Therefore NPH counts among the group of ciliopathies progress and prognosis Depending on the form of NPH progress of chronic renal failure. [neocyst.de]
Early detection of the disease can significantly improve prognosis. [centogene.com]
Diagnosis, management, and prognosis of HNF1B nephropathy in adulthood. Kidney Int. 2011;80:768-76. [ Links ] 17. Zivná M, Hulková H, Matignon M, Hodanová K, Vylet'al P, Kalbácová M, et al. [scielo.isciii.es]
Etiology
Etiology Five genes associated with the disease have been identified. The first gene, NPHP1, has been mapped to chromosome 2q13. [orpha.net]
(Etiology) Nephronophthisis is an inherited genetic disorder, and the inheritance pattern is autosomal recessive. [dovemed.com]
In some cases, a clinically defined mitochondrial syndrome has been associated with multiple distinct genetic etiologies. Alternatively, the same genetic lesion has been observed in association with variable clinical presentations. [dovepress.com]
Epidemiology
Summary Epidemiology Prevalence is 1/100 000 individuals. Clinical description The disease is both clinically and genetically heterogeneous. Three main clinical forms have been described. [orpha.net]
Relevant External Links for XPNPEP3 Genetic Association Database (GAD) XPNPEP3 Human Genome Epidemiology (HuGE) Navigator XPNPEP3 Atlas of Genetics and Cytogenetics in Oncology and Haematology: XPNPEP3 No data available for Genatlas for XPNPEP3 Gene Individuals [genecards.org]
Nephronophthisis in Finland: epidemiology and comparison of genetically classified subgroups. Eur J Hum Genet 1999; 7: 205-11. 18. Hildebrandt F, Singh-Sawhney I, Schnieders B, et al. [sjkdt.org]
Pathophysiology
All diseases mentioned above ground on the same pathophysiological mechanism: the genes causing renal cysts encode for proteins in the primary cilium, a cellular antennae like organelle projecting from the cell surface of most cells. [neocyst.de]
The pathophysiology of IgA nephropathy. J Am Soc Nephrol 2011,22:1795-1803. Mestecky J, Raska M, Julian BA, Gharavi AG, Renfrow MB, Moldoveanu Z, et al. IgA nephropathy: molecular mechanisms of the disease. Annu Rev Pathol 2013,8:217-240. [nanbyou.or.jp]
Indeed, according to microscopic findings two pathophysiologic mechanisms for FSGS have been hypothesised in this disease, which are still to be elucidated. [revistanefrologia.com]
Pathophysiology and therapeutic implications. Am J Physiol Renal Physiol 303: F180–F191. View Article Google Scholar 29. Kim J, Guan KL (2011) Amino acid signaling in TOR activation. Annu Rev Biochem 80: 1001–32 – View Article Google Scholar 30. [journals.plos.org]
Prevention
[…] include high blood pressure, anemia, skeletal abnormalities, increased thirst and urination, and reduced kidney function that can result in end-stage kidney disease There is no cure for the genetic condition, and presently, Nephronophthisis cannot be prevented [dovemed.com]
→ AA: Prevents cleavage of N-terminal transit peptide; when associated with A-18; A-39-40-A and A-44. 2 Mutagenesis i 39 – 40 RR → AA: Prevents cleavage of N-terminal transit peptide; when associated with A-18; A-29-30-A and A-44. 2 Mutagenesis i 44 R [uniprot.org]
Management and treatment At present, there is no treatment for preventing progression to end-stage renal failure. The documents contained in this web site are presented for information purposes only. [orpha.net]
It may not be preventable. ADTKD; Medullary cystic kidney disease; Renin associated kidney disease; Familial juvenile hyperuricemic nephropathy; Uromodulin associated kidney disease Bleyer AJ, Kidd K, Živná M, Kmoch S. [medlineplus.gov]