nih-gov/www.ncbi.nlm.nih.gov/omim/615008

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Entry
- #615008 - NEPHROTIC SYNDROME, TYPE 7; NPHS7
- OMIM
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<span class="h4">#615008</span>
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<strong>Table of Contents</strong>
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<a href="#title"><strong>Title</strong></a>
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<a href="#phenotypeMap"><strong>Phenotype-Gene Relationships</strong></a>
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<a href="/clinicalSynopsis/615008"><strong>Clinical Synopsis</strong></a>
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<a href="/phenotypicSeries/PS256300,PS235400"> <strong>Phenotypic Series</strong> </a>
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<a href="#text"><strong>Text</strong></a>
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<a href="#description">Description</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#clinicalFeatures">Clinical Features</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#inheritance">Inheritance</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#molecularGenetics">Molecular Genetics</a>
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<a href="#references"><strong>References</strong></a>
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<a href="#contributors"><strong>Contributors</strong></a>
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<a href="#creationDate"><strong>Creation Date</strong></a>
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<div><a href="https://clinicaltrials.gov/search?cond=NEPHROTIC SYNDROME, TYPE" class="mim-tip-hint" title="A registry of federally and privately supported clinical trials conducted in the United States and around the world." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Clinical Trials', 'domain': 'clinicaltrials.gov'})">Clinical Trials</a></div>
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<div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=779&Typ=Pat" title="Atypical hemolytic uremic syndrome" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'EuroGentest', 'domain': 'orpha.net'})">Atypical hemolytic uremic …&nbsp;</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=21946&Typ=Pat" title="Immunoglobulin-mediated membranoproliferative glomerulonephritis" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'EuroGentest', 'domain': 'orpha.net'})">Immunoglobulin-mediated me…&nbsp;</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=22195&Typ=Pat" title="Hemolytic uremic syndrome with DGKE deficiency" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'EuroGentest', 'domain': 'orpha.net'})">Hemolytic uremic syndrome …&nbsp;</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=10755&Typ=Pat" title="Primary membranoproliferative glomerulonephritis" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'EuroGentest', 'domain': 'orpha.net'})">Primary membranoproliferat…&nbsp;</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=28081&Typ=Pat" title="Atypical hemolytic uremic syndrome with complement gene abnormality" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'EuroGentest', 'domain': 'orpha.net'})">Atypical hemolytic uremic …&nbsp;</a></div>
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<div><a href="https://www.ncbi.nlm.nih.gov/books/NBK1425/" class="mim-tip-hint" title="Expert-authored, peer-reviewed descriptions of inherited disorders including the uses of genetic testing in diagnosis, management, and genetic counseling." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Gene Reviews', 'domain': 'ncbi.nlm.nih.gov'})">Gene Reviews</a></div>
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<div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=2134" title="Atypical hemolytic uremic syndrome" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">Atypical hemolytic uremic …</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=329903" title="Immunoglobulin-mediated membranoproliferative glomerulonephritis" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">Immunoglobulin-mediated me…</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=357008" title="Hemolytic uremic syndrome with DGKE deficiency" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">Hemolytic uremic syndrome …</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=54370" title="Primary membranoproliferative glomerulonephritis" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">Primary membranoproliferat…</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=544472" title="Atypical hemolytic uremic syndrome with complement gene abnormality" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">Atypical hemolytic uremic …</a></div>
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<a href="#" class="mim-tip-icd" qtip_title="<strong>ICD+</strong>" qtip_text="
<strong>ORPHA:</strong> 2134, 329903, 357008, 54370, 544472<br />
<strong>DO:</strong> 0080388<br />
">ICD+</a>
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<span class="mim-font mim-tip-hint" title="Phenotype description, molecular basis known">
<span class="text-danger"><strong>#</strong></span>
615008
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<a id="preferredTitle" class="mim-anchor"></a>
<h3>
<span class="mim-font">
NEPHROTIC SYNDROME, TYPE 7; NPHS7
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<em>Alternative titles; symbols</em>
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NEPHROTIC SYNDROME, TYPE 7, WITH MEMBRANOPROLIFERATIVE GLOMERULONEPHRITIS
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Other entities represented in this entry:
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HEMOLYTIC UREMIC SYNDROME, ATYPICAL, SUSCEPTIBILITY TO, 7, INCLUDED; AHUS7, INCLUDED
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<span class="h4 mim-font">
AHUS, SUSCEPTIBILITY TO, 7, INCLUDED
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<strong>Phenotype-Gene Relationships</strong>
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Location
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Phenotype
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<th>
Phenotype <br /> MIM number
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<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
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Gene/Locus
</th>
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Gene/Locus <br /> MIM number
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<tbody>
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<td>
<span class="mim-font">
<a href="/geneMap/17/769?start=-3&limit=10&highlight=769">
17q22
</a>
</span>
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<td>
<span class="mim-font">
Nephrotic syndrome, type 7
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615008"> 615008 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
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<span class="mim-font">
DGKE
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601440"> 601440 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/769?start=-3&limit=10&highlight=769">
17q22
</a>
</span>
</td>
<td>
<span class="mim-font">
{Hemolytic uremic syndrome, atypical, susceptibility to, 7}
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615008"> 615008 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
DGKE
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601440"> 601440 </a>
</span>
</td>
</tr>
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<span class="glyphicon glyphicon-question-sign mim-tip-hint" title="OMIM PheneGene graphics depict relationships between phenotypes, groups of related phenotypes (Phenotypic Series), and genes.<br /><a href='/static/omim/pdf/OMIM_Graphics.pdf' target='_blank'>A quick reference overview and guide (PDF)</a>"></span>
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<strong> INHERITANCE </strong>
</span>
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<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Autosomal recessive <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/258211005" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">258211005</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0441748&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0441748</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000007</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000007</a>]</span><br />
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<span class="h5 mim-font">
<strong> GENITOURINARY </strong>
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<div style="margin-left: 2em;">
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<span class="h5 mim-font">
<em> Kidneys </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Hemolytic uremic syndrome (in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/111407006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">111407006</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/D59.30" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">D59.30</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/D59.3" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">D59.3</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/283.11" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">283.11</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0019061&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0019061</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0005575" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0005575</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0005575" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0005575</a>]</span><br /> -
Acute renal failure <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/14669001" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">14669001</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/N17" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">N17</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/N17.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">N17.9</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/584" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">584</a>, <a href="https://purl.bioontology.org/ontology/ICD9CM/584.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">584.9</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0022660&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0022660</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001919" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001919</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001919" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001919</a>]</span><br /> -
Nephrotic syndrome <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/52254009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">52254009</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/N04" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">N04</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/581" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">581</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0027726&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0027726</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000100" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000100</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000100" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000100</a>]</span><br /> -
Proteinuria <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/29738008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">29738008</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/231860006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">231860006</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/R80.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R80.9</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/R80" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R80</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/791.0" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">791.0</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1279888&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1279888</a>, <a href="https://bioportal.bioontology.org/search?q=C0033687&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0033687</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000093" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000093</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000093" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000093</a>]</span><br /> -
Membranoproliferative glomerulonephritis seen on biopsy <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3554331&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3554331</a>]</span> <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/80321008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">80321008</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000793" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000793</a>]</span><br /> -
Thickening of the glomerular basement membrane <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/264932002" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">264932002</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0445347&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0445347</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0004722" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0004722</a>]</span><br /> -
Splitting of the basement membrane <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3554332&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3554332</a>]</span><br /> -
Focal capillary obliteration <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3554333&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3554333</a>]</span><br /> -
Mesangial cell proliferation <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3278595&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3278595</a>]</span><br /> -
Effacement of podocyte foot processes <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3280103&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3280103</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0031266" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0031266</a>]</span><br /> -
Patchy deposition of IgG and IgM <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3554334&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3554334</a>]</span><br /> -
Subendothelial deposits <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3554335&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3554335</a>]</span><br /> -
Swelling of endothelial cells <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3554336&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3554336</a>]</span><br /> -
Chronic thrombotic microangiopathy <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/1144912000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">1144912000</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3808622&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3808622</a>]</span><br /> -
End-stage renal failure (in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/90688005" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">90688005</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/46177005" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">46177005</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/433146000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">433146000</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/N18.5" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">N18.5</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/N18.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">N18.9</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/N18.6" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">N18.6</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/585.6" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">585.6</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0022661&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0022661</a>, <a href="https://bioportal.bioontology.org/search?q=C2316810&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C2316810</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003774" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003774</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003774" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003774</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> HEMATOLOGY </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Hemolytic anemia (in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/61261009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">61261009</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/D55-D59" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">D55-D59</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0002878&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0002878</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001878" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001878</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001878" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001878</a>]</span><br /> -
Thrombocytopenia (in some patients) <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/415116008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">415116008</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/302215000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">302215000</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/D69.6" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">D69.6</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/287.5" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">287.5</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0392386&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0392386</a>, <a href="https://bioportal.bioontology.org/search?q=C0040034&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0040034</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001873" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001873</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001873" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001873</a>]</span><br />
</span>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> LABORATORY ABNORMALITIES </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Low serum albumin <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0580493&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0580493</a>]</span><br /> -
Normal serum complement levels <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3554338&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3554338</a>]</span><br />
</span>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> MISCELLANEOUS </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Onset usually in the first decade (range 0.8 to 5 years)<br /> -
Atypical hemolytic-uremic syndrome shows onset in first 12 months<br /> -
Progressive disorder <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1864985&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1864985</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003676" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003676</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0003676" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0003676</a>]</span><br /> -
Some patients may show response to immunosuppressive agents<br /> -
Some patients do not reach end-stage renal failure<br />
</span>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> MOLECULAR BASIS </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Caused by mutation in the diacylglycerol kinase, epsilon, 64-kD gene (DGKE, <a href="/entry/601440#0001">601440.0001</a>)<br />
</span>
</div>
</div>
</div>
<div class="text-right">
<a href="#mimClinicalSynopsisFold" data-toggle="collapse">&#9650;&nbsp;Close</a>
</div>
</div>
</div>
<div id="mimPhenotypicSeriesFold" class="well well-sm collapse mimSingletonToggleFold">
<div class="small">
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<h5>
Hemolytic uremic syndrome
- <a href="/phenotypicSeries/PS235400">PS235400</a>
- 11 Entries
</h5>
</div>
</div>
<div class="row" style="margin-left: 0.125em; margin-right: 0.125em;">
<table class="table table-bordered table-condensed table-hover mim-table-padding">
<thead>
<tr>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Location</strong>
</th>
<th class="col-lg-5 col-md-5 col-sm-5 col-xs-6 text-nowrap">
<strong>Phenotype</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Inheritance</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />mapping key</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />MIM number</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus<br />MIM number</strong>
</th>
</tr>
</thead>
<tbody>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1528?start=-3&limit=10&highlight=1528"> 1q31.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/235400"> {Hemolytic uremic syndrome, atypical, susceptibility to, 1} </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>, <abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/235400"> 235400 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/134370"> CFH </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/134370"> 134370 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1529?start=-3&limit=10&highlight=1529"> 1q31.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/235400"> {Hemolytic uremic syndrome, atypical, susceptibility to} </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>, <abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/235400"> 235400 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/605336"> CFHR3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/605336"> 605336 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1530?start=-3&limit=10&highlight=1530"> 1q31.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/235400"> {Hemolytic uremic syndrome, atypical, susceptibility to} </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>, <abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/235400"> 235400 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/134371"> CFHR1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/134371"> 134371 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1659?start=-3&limit=10&highlight=1659"> 1q32.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612922"> {Hemolytic uremic syndrome, atypical, susceptibility to, 2} </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>, <abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612922"> 612922 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/120920"> MCP </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/120920"> 120920 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/4/482?start=-3&limit=10&highlight=482"> 4q25 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612923"> {Hemolytic uremic syndrome, atypical, susceptibility to, 3} </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612923"> 612923 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/217030"> CFI </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/217030"> 217030 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/343?start=-3&limit=10&highlight=343"> 6p21.33 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612924"> {Hemolytic uremic syndrome, atypical, susceptibility to, 4} </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612924"> 612924 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/138470"> CFB </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/138470"> 138470 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/769?start=-3&limit=10&highlight=769"> 17q22 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615008"> Nephrotic syndrome, type 7 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615008"> 615008 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601440"> DGKE </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601440"> 601440 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/769?start=-3&limit=10&highlight=769"> 17q22 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615008"> {Hemolytic uremic syndrome, atypical, susceptibility to, 7} </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615008"> 615008 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601440"> DGKE </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601440"> 601440 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/19/189?start=-3&limit=10&highlight=189"> 19p13.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612925"> {Hemolytic uremic syndrome, atypical, susceptibility to, 5} </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612925"> 612925 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/120700"> C3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/120700"> 120700 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/20/145?start=-3&limit=10&highlight=145"> 20p11.21 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612926"> {Hemolytic uremic syndrome, atypical, susceptibility to, 6} </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612926"> 612926 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/188040"> THBD </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/188040"> 188040 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/X/630?start=-3&limit=10&highlight=630"> Xq24 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/301110"> Hemolytic uremic syndrome, atypical, 8, with rhizomelic short stature </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="X-linked recessive">XLR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/301110"> 301110 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/300611"> C1GALT1C1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/300611"> 300611 </a>
</span>
</td>
</tr>
</tbody>
</table>
</div>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<h5>
Nephrotic syndrome
- <a href="/phenotypicSeries/PS256300">PS256300</a>
- 26 Entries
</h5>
</div>
</div>
<div class="row" style="margin-left: 0.125em; margin-right: 0.125em;">
<table class="table table-bordered table-condensed table-hover mim-table-padding">
<thead>
<tr>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Location</strong>
</th>
<th class="col-lg-5 col-md-5 col-sm-5 col-xs-6 text-nowrap">
<strong>Phenotype</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Inheritance</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />mapping key</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />MIM number</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus<br />MIM number</strong>
</th>
</tr>
</thead>
<tbody>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1281?start=-3&limit=10&highlight=1281"> 1q23.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619201"> Nephrotic syndrome, type 23 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619201"> 619201 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607428"> KIRREL1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607428"> 607428 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1362?start=-3&limit=10&highlight=1362"> 1q23.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619155"> Nephrotic syndrome, type 22 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619155"> 619155 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/605551"> NOS1AP </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/605551"> 605551 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1462?start=-3&limit=10&highlight=1462"> 1q25.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/600995"> Nephrotic syndrome, type 2 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/600995"> 600995 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604766"> PDCN </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604766"> 604766 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/1/1786?start=-3&limit=10&highlight=1786"> 1q42.13 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618177"> Nephrotic syndrome, type 18 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618177"> 618177 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607613"> NUP133 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607613"> 607613 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/3/303?start=-3&limit=10&highlight=303"> 3p21.31 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614199"> Nephrotic syndrome, type 5, with or without ocular abnormalities </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614199"> 614199 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/150325"> LAMB2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/150325"> 150325 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/467?start=-3&limit=10&highlight=467"> 6p21.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619263"> Nephrotic syndrome, type 24 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/619263"> 619263 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606627"> DAAM2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606627"> 606627 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/7/371?start=-3&limit=10&highlight=371"> 7q21.11 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617609"> Nephrotic syndrome, type 15 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617609"> 617609 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606382"> MAGI2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/606382"> 606382 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/7/709?start=-3&limit=10&highlight=709"> 7q33 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616893"> ?Nephrotic syndrome, type 13 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616893"> 616893 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614352"> NUP205 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614352"> 614352 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/10/277?start=-3&limit=10&highlight=277"> 10q22.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617575"> RENI syndrome </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/617575"> 617575 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603729"> SGPL1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/603729"> 603729 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/10/413?start=-3&limit=10&highlight=413"> 10q23.33 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610725"> Nephrotic syndrome, type 3 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610725"> 610725 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608414"> PLCE1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/608414"> 608414 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/11/284?start=-3&limit=10&highlight=284"> 11p13 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/256370"> Nephrotic syndrome, type 4 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/256370"> 256370 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607102"> WT1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607102"> 607102 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/11/374?start=-3&limit=10&highlight=374"> 11p11.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618178"> ?Nephrotic syndrome, type 19 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618178"> 618178 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607614"> NUP160 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607614"> 607614 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/202?start=-3&limit=10&highlight=202"> 12p12.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614196"> Nephrotic syndrome, type 6 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614196"> 614196 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/600579"> PTPRO </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/600579"> 600579 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/563?start=-3&limit=10&highlight=563"> 12q14.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618594"> Nephrotic syndrome, type 21 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618594"> 618594 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/613397"> AVIL </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/613397"> 613397 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/603?start=-3&limit=10&highlight=603"> 12q15 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616730"> Nephrotic syndrome, type 11 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616730"> 616730 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607617"> NUP107 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607617"> 607617 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/16/184?start=-3&limit=10&highlight=184"> 16p13.13 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615861"> Nephrotic syndrome, type 10 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615861"> 615861 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602334"> EMP2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602334"> 602334 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/16/469?start=-3&limit=10&highlight=469"> 16q13 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616892"> Nephrotic syndrome, type 12 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/616892"> 616892 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614351"> NUP93 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614351"> 614351 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/769?start=-3&limit=10&highlight=769"> 17q22 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615008"> Nephrotic syndrome, type 7 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615008"> 615008 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601440"> DGKE </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601440"> 601440 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/769?start=-3&limit=10&highlight=769"> 17q22 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615008"> {Hemolytic uremic syndrome, atypical, susceptibility to, 7} </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615008"> 615008 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601440"> DGKE </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/601440"> 601440 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/936?start=-3&limit=10&highlight=936"> 17q25.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618176"> Nephrotic syndrome, type 17 </a>
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<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
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<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
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<a href="/entry/618176"> 618176 </a>
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<a href="/entry/170285"> NUP85 </a>
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<a href="/entry/170285"> 170285 </a>
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<span class="mim-font">
<a href="/geneMap/17/1044?start=-3&limit=10&highlight=1044"> 17q25.3 </a>
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<span class="mim-font">
<a href="/entry/615244"> Nephrotic syndrome, type 8 </a>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
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<a href="/entry/615244"> 615244 </a>
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<a href="/entry/601925"> ARHGDIA </a>
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<a href="/entry/601925"> 601925 </a>
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<span class="mim-font">
<a href="/geneMap/19/290?start=-3&limit=10&highlight=290"> 19p13.2 </a>
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<span class="mim-font">
<a href="/entry/617783"> Nephrotic syndrome, type 16 </a>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
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<a href="/entry/617783"> 617783 </a>
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<a href="/entry/614610"> KANK2 </a>
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<span class="mim-font">
<a href="/entry/614610"> 614610 </a>
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<span class="mim-font">
<a href="/geneMap/19/602?start=-3&limit=10&highlight=602"> 19q13.12 </a>
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<span class="mim-font">
<a href="/entry/256300"> Nephrotic syndrome, type 1 </a>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
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<a href="/entry/256300"> 256300 </a>
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<span class="mim-font">
<a href="/entry/602716"> NPHS1 </a>
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<span class="mim-font">
<a href="/entry/602716"> 602716 </a>
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<span class="mim-font">
<a href="/geneMap/19/710?start=-3&limit=10&highlight=710"> 19q13.2 </a>
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<span class="mim-font">
<a href="/entry/615573"> Nephrotic syndrome, type 9 </a>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
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<span class="mim-font">
<a href="/entry/615573"> 615573 </a>
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<span class="mim-font">
<a href="/entry/615567"> COQ8B </a>
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<span class="mim-font">
<a href="/entry/615567"> 615567 </a>
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<span class="mim-font">
<a href="/geneMap/20/447?start=-3&limit=10&highlight=447"> 20q13.33 </a>
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<span class="mim-font">
<a href="/entry/620049"> Nephrotic syndrome, type 26 </a>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
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<span class="mim-font">
<a href="/entry/620049"> 620049 </a>
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<span class="mim-font">
<a href="/entry/601033"> LAMA5 </a>
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<span class="mim-font">
<a href="/entry/601033"> 601033 </a>
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<span class="mim-font">
<a href="/geneMap/X/545?start=-3&limit=10&highlight=545"> Xq22.3 </a>
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<span class="mim-font">
<a href="/entry/301028"> Nephrotic syndrome, type 20 </a>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="X-linked">XL</abbr>
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<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
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<span class="mim-font">
<a href="/entry/301028"> 301028 </a>
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<span class="mim-font">
<a href="/entry/301027"> TBC1D8B </a>
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<span class="mim-font">
<a href="/entry/301027"> 301027 </a>
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<a href="#mimPhenotypicSeriesFold" data-toggle="collapse">&#9650;&nbsp;Close</a>
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<strong>TEXT</strong>
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<p>A number sign (#) is used with this entry because nephrotic syndrome type 7 (NPHS7) and susceptibility to atypical hemolytic uremic syndrome-7 (AHUS7) are caused by homozygous or compound heterozygous mutation in the DGKE gene (<a href="/entry/601440">601440</a>) on chromosome 17q22.</p>
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<a id="description" class="mim-anchor"></a>
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<strong>Description</strong>
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<p>Nephrotic syndrome type 7 (NPHS7) is an autosomal recessive renal disease characterized by onset of nephrotic syndrome with proteinuria usually in the first decade of life. The disorder is progressive, and some patients develop end-stage renal disease within several years. Renal biopsy typically shows membranoproliferative glomerulonephritis. Some patients may benefit from immunosuppressive therapy (summary by <a href="#2" class="mim-tip-reference" title="Ozaltin, F., Li, B., Rauhauser, A., An, S.-W., Soylemezoglu, O., Gonul, I. I., Taskiran, E. Z., Ibsirlioglu, T., Korkmaz, E., Bilginer, Y., Duzova, A., Ozen, S., and 21 others. &lt;strong&gt;DGKE variants cause a glomerular microangiopathy that mimics membranoproliferative GN.&lt;/strong&gt; J. Am. Soc. Nephrol. 24: 377-384, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23274426/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23274426&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=23274426[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1681/ASN.2012090903&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23274426">Ozaltin et al., 2013</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23274426" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>Atypical hemolytic uremic syndrome-7 (AHUS7) is characterized by acute onset in the first year of life of microangiopathic hemolytic anemia, thrombocytopenia, and renal failure. After the acute episode, most patients develop chronic renal insufficiency. Unlike other genetic forms of aHUS, AHUS7 is not related to abnormal activation of the complement system (summary by <a href="#1" class="mim-tip-reference" title="Lemaire, M., Fremeaux-Bacchi, V., Schaefer, F., Choi, M., Tang, W. H., Le Quintrec, M., Fakhouri, F., Taque, S., Nobili, F., Martinez, F., Ji, W., Overton, J. D., and 18 others. &lt;strong&gt;Recessive mutations in DGKE cause atypical hemolytic-uremic syndrome.&lt;/strong&gt; Nature Genet. 45: 531-536, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23542698/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23542698&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=23542698[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2590&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23542698">Lemaire et al., 2013</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23542698" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>For a general phenotypic description and a discussion of genetic heterogeneity of nephrotic syndrome, see NPHS1 (<a href="/entry/256300">256300</a>).</p><p>For a general phenotypic description and a discussion of genetic heterogeneity of aHUS, see AHUS1 (<a href="/entry/235400">235400</a>).</p>
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<strong>Clinical Features</strong>
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<p><a href="#2" class="mim-tip-reference" title="Ozaltin, F., Li, B., Rauhauser, A., An, S.-W., Soylemezoglu, O., Gonul, I. I., Taskiran, E. Z., Ibsirlioglu, T., Korkmaz, E., Bilginer, Y., Duzova, A., Ozen, S., and 21 others. &lt;strong&gt;DGKE variants cause a glomerular microangiopathy that mimics membranoproliferative GN.&lt;/strong&gt; J. Am. Soc. Nephrol. 24: 377-384, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23274426/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23274426&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=23274426[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1681/ASN.2012090903&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23274426">Ozaltin et al. (2013)</a> reported 9 patients from 3 unrelated consanguineous families with onset of progressive clinical nephrotic syndrome in early childhood. Renal biopsy in all cases showed glomerular injury with membranoproliferative glomerulonephritis (MPGN). Most had onset in the first 5 years of life, although 2 sibs in 1 family presented at ages 8 and 17 years. At onset, all had proteinuria and most had low serum albumin. In 1 family, the proband presented with nephrotic syndrome and renal insufficiency at age 2 years and died of meningitis a year later. His brother was the most severely affected patient: he developed end-stage renal failure at age 8 years and underwent renal transplant at age 20. Another affected sib developed end-stage renal disease at age 19 years, and the fourth had no end-stage renal disease at age 30. Treatment with immunosuppressive agents failed to induce remission in the patients in this family. Two sibs from a second family showed the mildest phenotype. The sisters developed nephrotic syndrome at ages 8 and 17 years. One developed end-stage renal failure at age 23 despite immunosuppressive treatment, whereas the other responded to immunosuppressive treatment and ACE inhibitors and did not have renal failure at age 19. In the third family, 3 sibs, including a pair of twins, presented with nephrotic syndrome at age 1.5 years, but none developed end-stage renal failure by ages 2 or 12 years. These 3 patients showed partial remission in response to immunosuppressive treatment. Renal biopsies in all patients were consistent with MPGN based on the findings of hypertrophic and hypercellular glomeruli, thickening of the basement membrane with focal capillary obliteration, endothelial cell swelling, splitting of the basement membrane, effacement of podocyte foot processes, and subendothelial deposits. There was some deposition of IgM and IgG, but no C3 (<a href="/entry/120700">120700</a>) deposition. Renal biopsy in the patient who presented at age 17 years showed some evidence of focal and segmental glomerulosclerosis (FSGS), a nonspecific finding in advanced glomerulopathy. Serum complement components C3 and C4 (see <a href="/entry/120810">120810</a>) were normal in all individuals; serum CFH (<a href="/entry/134370">134370</a>) was not measured. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23274426" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#1" class="mim-tip-reference" title="Lemaire, M., Fremeaux-Bacchi, V., Schaefer, F., Choi, M., Tang, W. H., Le Quintrec, M., Fakhouri, F., Taque, S., Nobili, F., Martinez, F., Ji, W., Overton, J. D., and 18 others. &lt;strong&gt;Recessive mutations in DGKE cause atypical hemolytic-uremic syndrome.&lt;/strong&gt; Nature Genet. 45: 531-536, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23542698/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23542698&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=23542698[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2590&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23542698">Lemaire et al. (2013)</a> reported 13 patients from 9 unrelated families with onset of atypical hemolytic uremic syndrome within the first year of life. The infants presented with microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure. Renal biopsies showed chronic thrombotic microangiopathy with glomerular hypercellularity, split basement membranes, and endothelial cell swelling without electron-dense deposits. Capillary lumens were narrowed, and there was evidence of effaced podocytes. The clinical course was characterized by relapsing episodes of aHUS before age 5 years. None of the patients had abnormalities of the complement system, and 2 patients treated with anticomplement therapy had relapses while on treatment. During follow-up, most patients developed chronic hypertension, microhematuria, and proteinuria, and 3 developed full nephrotic syndrome. Three patients received kidney transplant, none of whom had recurrence of aHUS. Twenty-two percent of sibs of index cases had aHUS, consistent with recessive transmission and high penetrance. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23542698" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p>The transmission pattern of NPHS7 in the families reported by <a href="#2" class="mim-tip-reference" title="Ozaltin, F., Li, B., Rauhauser, A., An, S.-W., Soylemezoglu, O., Gonul, I. I., Taskiran, E. Z., Ibsirlioglu, T., Korkmaz, E., Bilginer, Y., Duzova, A., Ozen, S., and 21 others. &lt;strong&gt;DGKE variants cause a glomerular microangiopathy that mimics membranoproliferative GN.&lt;/strong&gt; J. Am. Soc. Nephrol. 24: 377-384, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23274426/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23274426&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=23274426[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1681/ASN.2012090903&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23274426">Ozaltin et al. (2013)</a> was consistent with autosomal recessive inheritance. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23274426" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>The transmission pattern of AHUS7 in the families reported by <a href="#1" class="mim-tip-reference" title="Lemaire, M., Fremeaux-Bacchi, V., Schaefer, F., Choi, M., Tang, W. H., Le Quintrec, M., Fakhouri, F., Taque, S., Nobili, F., Martinez, F., Ji, W., Overton, J. D., and 18 others. &lt;strong&gt;Recessive mutations in DGKE cause atypical hemolytic-uremic syndrome.&lt;/strong&gt; Nature Genet. 45: 531-536, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23542698/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23542698&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=23542698[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2590&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23542698">Lemaire et al. (2013)</a> was consistent with autosomal recessive inheritance. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23542698" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>Molecular Genetics</strong>
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<p>By homozygosity mapping combined with whole-exome analysis of a consanguineous family with early-onset nephrotic syndrome and MPGN, <a href="#2" class="mim-tip-reference" title="Ozaltin, F., Li, B., Rauhauser, A., An, S.-W., Soylemezoglu, O., Gonul, I. I., Taskiran, E. Z., Ibsirlioglu, T., Korkmaz, E., Bilginer, Y., Duzova, A., Ozen, S., and 21 others. &lt;strong&gt;DGKE variants cause a glomerular microangiopathy that mimics membranoproliferative GN.&lt;/strong&gt; J. Am. Soc. Nephrol. 24: 377-384, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23274426/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23274426&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=23274426[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1681/ASN.2012090903&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23274426">Ozaltin et al. (2013)</a> identified a homozygous truncating mutation in the DGKE gene (Q43X; <a href="/entry/601440#0001">601440.0001</a>). Sequencing of this gene in 142 unrelated patients with a similar disorder identified 2 more consanguineous families with different homozygous truncating mutations (<a href="/entry/601440#0002">601440.0002</a> and <a href="/entry/601440#0003">601440.0003</a>). DGKE metabolizes and decreases intracellular DAG levels, thus contributing to the regulation of DAG levels. TRPC6 (<a href="/entry/603652">603652</a>) is a calcium-permeable cation channel expressed in the foot processes of podocytes and is known to be directly activated by DAG. In vitro functional expression studies in HEK293 cells showed that the DGKE mutants did not cause a decrease in TRPC6 current, as was observed with wildtype DGKE, consistent with a loss of DGKE function. The findings indicated that DGKE controls the intracellular concentration of DAG, which is a component of the phosphatidylinositol cycle that participates in multiple cellular functions and in lipid-mediated intracellular signaling. Perturbation of this pathway in podocytes may underlie the disorder. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23274426" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In 13 patients from 9 families with early-onset atypical hemolytic-uremic syndrome, <a href="#1" class="mim-tip-reference" title="Lemaire, M., Fremeaux-Bacchi, V., Schaefer, F., Choi, M., Tang, W. H., Le Quintrec, M., Fakhouri, F., Taque, S., Nobili, F., Martinez, F., Ji, W., Overton, J. D., and 18 others. &lt;strong&gt;Recessive mutations in DGKE cause atypical hemolytic-uremic syndrome.&lt;/strong&gt; Nature Genet. 45: 531-536, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23542698/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23542698&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=23542698[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2590&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23542698">Lemaire et al. (2013)</a> identified homozygous or compound heterozygous mutations in the DGKE gene (see, e.g., <a href="/entry/601440#0004">601440.0004</a>-<a href="/entry/601440#0008">601440.0008</a>). The first mutations in 4 patients from 2 families were found by exome sequencing. Sequencing the DGKE gene in 47 additional unrelated probands with pediatric-onset aHUS and 36 adult-onset aHUS probands, in whom there was no mutation in known aHUS-associated genes or CFH antibodies, identified 6 additional pediatric index cases carrying rare homozygous or compound heterozygous DGKE variants. Another family with 3 affected individuals was identified independently. The mutations included 3 premature termination codons, 2 frameshift mutations, 1 splice site mutation, and 2 missense mutations that altered conserved residues. DGKE was a frequent cause of aHUS in the first year of life (13 (27%) of 49 cases with aHUS) and accounted for 50% of familial disease in this age group (3 of 6 kindreds). This uniformly early age of onset defined a distinct subgroup of aHUS. Renal biopsy of 1 patient showed no DGKE expression, suggesting that loss of DGKE function is the underlying mechanism. <a href="#1" class="mim-tip-reference" title="Lemaire, M., Fremeaux-Bacchi, V., Schaefer, F., Choi, M., Tang, W. H., Le Quintrec, M., Fakhouri, F., Taque, S., Nobili, F., Martinez, F., Ji, W., Overton, J. D., and 18 others. &lt;strong&gt;Recessive mutations in DGKE cause atypical hemolytic-uremic syndrome.&lt;/strong&gt; Nature Genet. 45: 531-536, 2013.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/23542698/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;23542698&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=23542698[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/ng.2590&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="23542698">Lemaire et al. (2013)</a> noted that DGKE phosphorylates and inactivates arachidonic acid-containing diacylglycerol (AA-DAG) to the corresponding phosphatidic acid. AA-DAG is the major signaling molecule that activates protein kinase C (PKC). PKC, in turn, increases the production of various prothrombotic factors in endothelial cells. Thus, loss of DGKE may result in sustained AA-DAG signaling, causing a prothrombotic state. In addition, DAGs modify slit diaphragm function in podocytes, a disturbance of which is consistent with renal-specific effects. The findings were important because this was the first genetic cause of aHUS not related to defects in genes encoding proteins in the complement cascade pathway. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23542698" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>REFERENCES</strong>
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<a id="1" class="mim-anchor"></a>
<a id="Lemaire2013" class="mim-anchor"></a>
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Lemaire, M., Fremeaux-Bacchi, V., Schaefer, F., Choi, M., Tang, W. H., Le Quintrec, M., Fakhouri, F., Taque, S., Nobili, F., Martinez, F., Ji, W., Overton, J. D., and 18 others.
<strong>Recessive mutations in DGKE cause atypical hemolytic-uremic syndrome.</strong>
Nature Genet. 45: 531-536, 2013.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/23542698/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">23542698</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=23542698[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23542698" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1038/ng.2590" target="_blank">Full Text</a>]
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<a id="Ozaltin2013" class="mim-anchor"></a>
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Ozaltin, F., Li, B., Rauhauser, A., An, S.-W., Soylemezoglu, O., Gonul, I. I., Taskiran, E. Z., Ibsirlioglu, T., Korkmaz, E., Bilginer, Y., Duzova, A., Ozen, S., and 21 others.
<strong>DGKE variants cause a glomerular microangiopathy that mimics membranoproliferative GN.</strong>
J. Am. Soc. Nephrol. 24: 377-384, 2013.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/23274426/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">23274426</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=23274426[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=23274426" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1681/ASN.2012090903" target="_blank">Full Text</a>]
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Contributors:
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Cassandra L. Kniffin - updated : 5/31/2013
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Cassandra L. Kniffin : 1/8/2013
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carol : 08/19/2024
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carol : 05/05/2016<br>carol : 6/3/2013<br>ckniffin : 5/31/2013<br>carol : 5/23/2013<br>carol : 3/14/2013<br>carol : 1/9/2013<br>ckniffin : 1/9/2013
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<strong>#</strong> 615008
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NEPHROTIC SYNDROME, TYPE 7; NPHS7
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<em>Alternative titles; symbols</em>
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NEPHROTIC SYNDROME, TYPE 7, WITH MEMBRANOPROLIFERATIVE GLOMERULONEPHRITIS
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Other entities represented in this entry:
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HEMOLYTIC UREMIC SYNDROME, ATYPICAL, SUSCEPTIBILITY TO, 7, INCLUDED; AHUS7, INCLUDED
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AHUS, SUSCEPTIBILITY TO, 7, INCLUDED
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<strong>ORPHA:</strong> 2134, 329903, 357008, 54370, 544472; &nbsp;
<strong>DO:</strong> 0080388; &nbsp;
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<strong>Phenotype-Gene Relationships</strong>
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Location
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Phenotype
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Phenotype <br /> MIM number
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Inheritance
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Phenotype <br /> mapping key
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Gene/Locus
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Gene/Locus <br /> MIM number
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17q22
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Nephrotic syndrome, type 7
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615008
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Autosomal recessive
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3
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DGKE
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601440
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17q22
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{Hemolytic uremic syndrome, atypical, susceptibility to, 7}
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615008
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Autosomal recessive
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3
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DGKE
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601440
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<strong>TEXT</strong>
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<p>A number sign (#) is used with this entry because nephrotic syndrome type 7 (NPHS7) and susceptibility to atypical hemolytic uremic syndrome-7 (AHUS7) are caused by homozygous or compound heterozygous mutation in the DGKE gene (601440) on chromosome 17q22.</p>
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<strong>Description</strong>
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<p>Nephrotic syndrome type 7 (NPHS7) is an autosomal recessive renal disease characterized by onset of nephrotic syndrome with proteinuria usually in the first decade of life. The disorder is progressive, and some patients develop end-stage renal disease within several years. Renal biopsy typically shows membranoproliferative glomerulonephritis. Some patients may benefit from immunosuppressive therapy (summary by Ozaltin et al., 2013). </p><p>Atypical hemolytic uremic syndrome-7 (AHUS7) is characterized by acute onset in the first year of life of microangiopathic hemolytic anemia, thrombocytopenia, and renal failure. After the acute episode, most patients develop chronic renal insufficiency. Unlike other genetic forms of aHUS, AHUS7 is not related to abnormal activation of the complement system (summary by Lemaire et al., 2013). </p><p>For a general phenotypic description and a discussion of genetic heterogeneity of nephrotic syndrome, see NPHS1 (256300).</p><p>For a general phenotypic description and a discussion of genetic heterogeneity of aHUS, see AHUS1 (235400).</p>
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<strong>Clinical Features</strong>
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<p>Ozaltin et al. (2013) reported 9 patients from 3 unrelated consanguineous families with onset of progressive clinical nephrotic syndrome in early childhood. Renal biopsy in all cases showed glomerular injury with membranoproliferative glomerulonephritis (MPGN). Most had onset in the first 5 years of life, although 2 sibs in 1 family presented at ages 8 and 17 years. At onset, all had proteinuria and most had low serum albumin. In 1 family, the proband presented with nephrotic syndrome and renal insufficiency at age 2 years and died of meningitis a year later. His brother was the most severely affected patient: he developed end-stage renal failure at age 8 years and underwent renal transplant at age 20. Another affected sib developed end-stage renal disease at age 19 years, and the fourth had no end-stage renal disease at age 30. Treatment with immunosuppressive agents failed to induce remission in the patients in this family. Two sibs from a second family showed the mildest phenotype. The sisters developed nephrotic syndrome at ages 8 and 17 years. One developed end-stage renal failure at age 23 despite immunosuppressive treatment, whereas the other responded to immunosuppressive treatment and ACE inhibitors and did not have renal failure at age 19. In the third family, 3 sibs, including a pair of twins, presented with nephrotic syndrome at age 1.5 years, but none developed end-stage renal failure by ages 2 or 12 years. These 3 patients showed partial remission in response to immunosuppressive treatment. Renal biopsies in all patients were consistent with MPGN based on the findings of hypertrophic and hypercellular glomeruli, thickening of the basement membrane with focal capillary obliteration, endothelial cell swelling, splitting of the basement membrane, effacement of podocyte foot processes, and subendothelial deposits. There was some deposition of IgM and IgG, but no C3 (120700) deposition. Renal biopsy in the patient who presented at age 17 years showed some evidence of focal and segmental glomerulosclerosis (FSGS), a nonspecific finding in advanced glomerulopathy. Serum complement components C3 and C4 (see 120810) were normal in all individuals; serum CFH (134370) was not measured. </p><p>Lemaire et al. (2013) reported 13 patients from 9 unrelated families with onset of atypical hemolytic uremic syndrome within the first year of life. The infants presented with microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure. Renal biopsies showed chronic thrombotic microangiopathy with glomerular hypercellularity, split basement membranes, and endothelial cell swelling without electron-dense deposits. Capillary lumens were narrowed, and there was evidence of effaced podocytes. The clinical course was characterized by relapsing episodes of aHUS before age 5 years. None of the patients had abnormalities of the complement system, and 2 patients treated with anticomplement therapy had relapses while on treatment. During follow-up, most patients developed chronic hypertension, microhematuria, and proteinuria, and 3 developed full nephrotic syndrome. Three patients received kidney transplant, none of whom had recurrence of aHUS. Twenty-two percent of sibs of index cases had aHUS, consistent with recessive transmission and high penetrance. </p>
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<strong>Inheritance</strong>
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<p>The transmission pattern of NPHS7 in the families reported by Ozaltin et al. (2013) was consistent with autosomal recessive inheritance. </p><p>The transmission pattern of AHUS7 in the families reported by Lemaire et al. (2013) was consistent with autosomal recessive inheritance. </p>
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<strong>Molecular Genetics</strong>
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<p>By homozygosity mapping combined with whole-exome analysis of a consanguineous family with early-onset nephrotic syndrome and MPGN, Ozaltin et al. (2013) identified a homozygous truncating mutation in the DGKE gene (Q43X; 601440.0001). Sequencing of this gene in 142 unrelated patients with a similar disorder identified 2 more consanguineous families with different homozygous truncating mutations (601440.0002 and 601440.0003). DGKE metabolizes and decreases intracellular DAG levels, thus contributing to the regulation of DAG levels. TRPC6 (603652) is a calcium-permeable cation channel expressed in the foot processes of podocytes and is known to be directly activated by DAG. In vitro functional expression studies in HEK293 cells showed that the DGKE mutants did not cause a decrease in TRPC6 current, as was observed with wildtype DGKE, consistent with a loss of DGKE function. The findings indicated that DGKE controls the intracellular concentration of DAG, which is a component of the phosphatidylinositol cycle that participates in multiple cellular functions and in lipid-mediated intracellular signaling. Perturbation of this pathway in podocytes may underlie the disorder. </p><p>In 13 patients from 9 families with early-onset atypical hemolytic-uremic syndrome, Lemaire et al. (2013) identified homozygous or compound heterozygous mutations in the DGKE gene (see, e.g., 601440.0004-601440.0008). The first mutations in 4 patients from 2 families were found by exome sequencing. Sequencing the DGKE gene in 47 additional unrelated probands with pediatric-onset aHUS and 36 adult-onset aHUS probands, in whom there was no mutation in known aHUS-associated genes or CFH antibodies, identified 6 additional pediatric index cases carrying rare homozygous or compound heterozygous DGKE variants. Another family with 3 affected individuals was identified independently. The mutations included 3 premature termination codons, 2 frameshift mutations, 1 splice site mutation, and 2 missense mutations that altered conserved residues. DGKE was a frequent cause of aHUS in the first year of life (13 (27%) of 49 cases with aHUS) and accounted for 50% of familial disease in this age group (3 of 6 kindreds). This uniformly early age of onset defined a distinct subgroup of aHUS. Renal biopsy of 1 patient showed no DGKE expression, suggesting that loss of DGKE function is the underlying mechanism. Lemaire et al. (2013) noted that DGKE phosphorylates and inactivates arachidonic acid-containing diacylglycerol (AA-DAG) to the corresponding phosphatidic acid. AA-DAG is the major signaling molecule that activates protein kinase C (PKC). PKC, in turn, increases the production of various prothrombotic factors in endothelial cells. Thus, loss of DGKE may result in sustained AA-DAG signaling, causing a prothrombotic state. In addition, DAGs modify slit diaphragm function in podocytes, a disturbance of which is consistent with renal-specific effects. The findings were important because this was the first genetic cause of aHUS not related to defects in genes encoding proteins in the complement cascade pathway. </p>
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<strong>REFERENCES</strong>
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Lemaire, M., Fremeaux-Bacchi, V., Schaefer, F., Choi, M., Tang, W. H., Le Quintrec, M., Fakhouri, F., Taque, S., Nobili, F., Martinez, F., Ji, W., Overton, J. D., and 18 others.
<strong>Recessive mutations in DGKE cause atypical hemolytic-uremic syndrome.</strong>
Nature Genet. 45: 531-536, 2013.
[PubMed: 23542698]
[Full Text: https://doi.org/10.1038/ng.2590]
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Ozaltin, F., Li, B., Rauhauser, A., An, S.-W., Soylemezoglu, O., Gonul, I. I., Taskiran, E. Z., Ibsirlioglu, T., Korkmaz, E., Bilginer, Y., Duzova, A., Ozen, S., and 21 others.
<strong>DGKE variants cause a glomerular microangiopathy that mimics membranoproliferative GN.</strong>
J. Am. Soc. Nephrol. 24: 377-384, 2013.
[PubMed: 23274426]
[Full Text: https://doi.org/10.1681/ASN.2012090903]
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Cassandra L. Kniffin - updated : 5/31/2013
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carol : 08/19/2024<br>carol : 05/05/2016<br>carol : 6/3/2013<br>ckniffin : 5/31/2013<br>carol : 5/23/2013<br>carol : 3/14/2013<br>carol : 1/9/2013<br>ckniffin : 1/9/2013
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