Document Detail


Primary, nonsyndromic vesicoureteric reflux and nephropathy in sibling pairs: a United Kingdom cohort for a DNA bank.
MedLine Citation:
PMID:  21441121     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVES: Primary vesicoureteric reflux (VUR) can coexist with reflux nephropathy (RN) and impaired renal function. VUR appears to be an inherited condition and is reported in approximately one third of siblings of index cases. The objective was to establish a DNA collection and clinical database from U.K. families containing affected sibling pairs for future VUR genetics studies. The cohort's clinical characteristics have been described.
DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Most patients were identified from tertiary pediatric nephrology centers; each family had an index case with cystography-proven primary, nonsyndromic VUR. Affected siblings had radiologically proven VUR and/or radiographically proven RN.
RESULTS: One hundred eighty-nine index cases identified families with an additional 218 affected siblings. More than 90% were <20 years at the study's end. Blood was collected and leukocyte DNA extracted from all 407 patients and from 189 mothers and 183 fathers. Clinical presentation was established in 122; 92 had urinary tract infections and 16 had abnormal antenatal renal scans. RN was radiologically proven in 223 patients. Four patients had been transplanted; none were on dialysis. In 174 others aged >1 year, estimated GFR (eGFR) was calculated. Five had eGFR 15 to 59 and 48 had eGFR 60 to 89 ml/min per 1.73 m(2). Values were lower in bilateral RN patients than in those with either unilateral or absent RN.
CONCLUSIONS: The large DNA collection from families with VUR and associated RN constitutes a resource for researchers exploring the most likely complex, genetic components predisposing to VUR and RN.
Authors:
Heather J Lambert; Aisling Stewart; Ambrose M Gullett; Heather J Cordell; Sue Malcolm; Sally A Feather; Judith A Goodship; Timothy H J Goodship; Adrian S Woolf;
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-03-24
Journal Detail:
Title:  Clinical journal of the American Society of Nephrology : CJASN     Volume:  6     ISSN:  1555-905X     ISO Abbreviation:  Clin J Am Soc Nephrol     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-04-08     Completed Date:  2011-08-18     Revised Date:  2012-09-24    
Medline Journal Info:
Nlm Unique ID:  101271570     Medline TA:  Clin J Am Soc Nephrol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  760-6     Citation Subset:  IM    
Copyright Information:
© 2011 by the American Society of Nephrology
Affiliation:
Department of Paediatric Nephrology, Royal Victoria Infirmary, Newcastle NE1 4LP, UK. heather.lambert@ncl.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Blood Pressure
Child
Child, Preschool
Cohort Studies
Databases, Nucleic Acid
Female
Glomerular Filtration Rate
Great Britain
Humans
Infant
Kidney Diseases / genetics*
Male
Middle Aged
Proteinuria / genetics
Siblings
Vesico-Ureteral Reflux / ethnology,  genetics*
Grant Support
ID/Acronym/Agency:
066647//Wellcome Trust; G0600040//Medical Research Council
Investigator
Investigator/Affiliation:
R Sandford / ; S Hulton / ; D Milford / ; S Stephens / ; C M Taylor / ; J Dudley / ; C Inward / ; M McGraw / ; J Tizard / ; J Iqbal / ; J Storr / ; R Jones / ; G Haycock / ; C Reid / ; S Rigdon / ; A Watson / ; L Jadresic / ; P Cuckow / ; S Marks / ; L Rees / ; R Trompeter / ; K Tullus / ; W Van't Hoff / ; D Wilcox / ; A Woolf / ; S Sinha / ; M Coulthard / ; H Lambert / ; E Hunter / ; M Kier / ; N Moghal / ; M Ognanovic / ; S Vernon / ; M Fitzpatrick / ; S Feather / ; P Houtman / ; N Griffin / ; E Rfidah / ; M Savage / ; M O'Connor / ; M Convery / ; S Taheri / ; H Maxwell / ; J Beattie / ; D Hughes / ; C Jones / ; B Judd / ; M Lewis / ; N Webb / ; M Bradbury / ; N Plant / ; R Postlethwaite / ; J Dossetor / ; A Hughes / ; D J O'Donoghue / ; J Scanlan / ; D Hodes / ; A Kilby / ; I Verber / ; K Verrier-Jones / ; N Coad / ; J Jackson / ; M Jaswon /
Comments/Corrections

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