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Nephrotic syndrome, type 12(NPHS12)

MedGen UID:
904365
Concept ID:
C4225166
Disease or Syndrome
Synonym: NPHS12
 
Gene (location): NUP93 (16q13)
 
Monarch Initiative: MONDO:0014817
OMIM®: 616892

Definition

Nephrotic syndrome type 12 (NPHS12) is an autosomal recessive renal disorder caused by defects in the renal glomerular filter. Affected individuals have onset of progressive renal failure in the first years of life. Renal biopsy typically shows focal segmental glomerulosclerosis (FSGS) (summary by Braun et al., 2016). For a general phenotypic description and a discussion of genetic heterogeneity of nephrotic syndrome, see NPHS1 (256300). [from OMIM]

Clinical features

From HPO
Focal segmental glomerulosclerosis
MedGen UID:
4904
Concept ID:
C0017668
Disease or Syndrome
Segmental accumulation of scar tissue in individual (but not all) glomeruli.
Hematuria
MedGen UID:
5488
Concept ID:
C0018965
Disease or Syndrome
The presence of blood in the urine. Hematuria may be gross hematuria (visible to the naked eye) or microscopic hematuria (detected by dipstick or microscopic examination of the urine).
Diffuse mesangial sclerosis
MedGen UID:
78698
Concept ID:
C0268747
Disease or Syndrome
Diffuse sclerosis of the mesangium, as manifestated by diffuse mesangial matrix expansion.
Steroid-resistant nephrotic syndrome
MedGen UID:
588369
Concept ID:
C0403397
Disease or Syndrome
A form of nephrotic syndrome that does not respond to treatment with steroid medication, defined as persistent proteinuria despite 60mg/m2 or 2mg/kg for 8 weeks, after insuring no infection or non-adherence to medication.
Stage 5 chronic kidney disease
MedGen UID:
384526
Concept ID:
C2316810
Disease or Syndrome
A degree of kidney failure severe enough to require dialysis or kidney transplantation for survival characterized by a severe reduction in glomerular filtration rate (less than 15 ml/min/1.73 m2) and other manifestations including increased serum creatinine.

Professional guidelines

PubMed

Di Paolo S, Fiorentino M, De Nicola L, Reboldi G, Gesualdo L, Barutta F, Natali A, Penno G, Fioretto P, Pugliese G; Italian Society of Nephrology and the Italian Diabetes Society
Nutr Metab Cardiovasc Dis 2020 Nov 27;30(12):2123-2132. Epub 2020 Sep 19 doi: 10.1016/j.numecd.2020.09.013. PMID: 33239162
Hölttä T, Jalanko H
Pediatr Nephrol 2020 Oct;35(10):1985-1990. Epub 2020 May 6 doi: 10.1007/s00467-020-04578-4. PMID: 32377865Free PMC Article
Fabrizi F, Martin P, Cacoub P, Messa P, Donato FM
Expert Opin Pharmacother 2015;16(12):1815-27. Epub 2015 Jul 10 doi: 10.1517/14656566.2015.1066333. PMID: 26161511

Recent clinical studies

Etiology

Sethi S, Madden B, Debiec H, Morelle J, Charlesworth MC, Gross L, Negron V, Buob D, Chaudhry S, Jadoul M, Fervenza FC, Ronco P
J Am Soc Nephrol 2021 May 3;32(5):1249-1261. Epub 2021 Apr 8 doi: 10.1681/ASN.2020081165. PMID: 33833079Free PMC Article
Hölttä T, Jalanko H
Pediatr Nephrol 2020 Oct;35(10):1985-1990. Epub 2020 May 6 doi: 10.1007/s00467-020-04578-4. PMID: 32377865Free PMC Article
Morales E, Alonso M, Gutiérrez E
Med Clin (Barc) 2019 May 3;152(9):361-367. Epub 2018 Dec 13 doi: 10.1016/j.medcli.2018.10.021. PMID: 30554809
Holmberg C, Jalanko H
Pediatr Nephrol 2014 Dec;29(12):2309-17. Epub 2014 Mar 29 doi: 10.1007/s00467-014-2781-z. PMID: 24682440Free PMC Article
Gigante A, Barbano B, Sardo L, Martina P, Gasperini ML, Labbadia R, Liberatori M, Amoroso A, Cianci R
Curr Vasc Pharmacol 2014 May;12(3):512-7. doi: 10.2174/157016111203140518172048. PMID: 22724465

Diagnosis

Gertz MA, Dispenzieri A
JAMA 2020 Jul 7;324(1):79-89. doi: 10.1001/jama.2020.5493. PMID: 32633805
AlYousef A, AlSahow A, AlHelal B, Alqallaf A, Abdallah E, Abdellatif M, Nawar H, Elmahalawy R
BMC Nephrol 2020 May 18;21(1):186. doi: 10.1186/s12882-020-01836-3. PMID: 32423387Free PMC Article
Hölttä T, Jalanko H
Pediatr Nephrol 2020 Oct;35(10):1985-1990. Epub 2020 May 6 doi: 10.1007/s00467-020-04578-4. PMID: 32377865Free PMC Article
Morales E, Alonso M, Gutiérrez E
Med Clin (Barc) 2019 May 3;152(9):361-367. Epub 2018 Dec 13 doi: 10.1016/j.medcli.2018.10.021. PMID: 30554809
Olowu WA, Ademola A, Ajite AB, Saad YM
Paediatr Int Child Health 2017 Nov;37(4):259-268. Epub 2017 Sep 26 doi: 10.1080/20469047.2017.1374002. PMID: 28949280

Therapy

Gertz MA, Dispenzieri A
JAMA 2020 Jul 7;324(1):79-89. doi: 10.1001/jama.2020.5493. PMID: 32633805
Hölttä T, Jalanko H
Pediatr Nephrol 2020 Oct;35(10):1985-1990. Epub 2020 May 6 doi: 10.1007/s00467-020-04578-4. PMID: 32377865Free PMC Article
Fabrizi F, Martin P, Cacoub P, Messa P, Donato FM
Expert Opin Pharmacother 2015;16(12):1815-27. Epub 2015 Jul 10 doi: 10.1517/14656566.2015.1066333. PMID: 26161511
Gigante A, Barbano B, Sardo L, Martina P, Gasperini ML, Labbadia R, Liberatori M, Amoroso A, Cianci R
Curr Vasc Pharmacol 2014 May;12(3):512-7. doi: 10.2174/157016111203140518172048. PMID: 22724465
Morales JM, Kamar N, Rostaing L
Contrib Nephrol 2012;176:10-23. Epub 2012 Jan 30 doi: 10.1159/000333772. PMID: 22310777

Prognosis

Gertz MA, Dispenzieri A
JAMA 2020 Jul 7;324(1):79-89. doi: 10.1001/jama.2020.5493. PMID: 32633805
AlYousef A, AlSahow A, AlHelal B, Alqallaf A, Abdallah E, Abdellatif M, Nawar H, Elmahalawy R
BMC Nephrol 2020 May 18;21(1):186. doi: 10.1186/s12882-020-01836-3. PMID: 32423387Free PMC Article
Morales E, Alonso M, Gutiérrez E
Med Clin (Barc) 2019 May 3;152(9):361-367. Epub 2018 Dec 13 doi: 10.1016/j.medcli.2018.10.021. PMID: 30554809
Olowu WA, Ademola A, Ajite AB, Saad YM
Paediatr Int Child Health 2017 Nov;37(4):259-268. Epub 2017 Sep 26 doi: 10.1080/20469047.2017.1374002. PMID: 28949280
Gigante A, Barbano B, Sardo L, Martina P, Gasperini ML, Labbadia R, Liberatori M, Amoroso A, Cianci R
Curr Vasc Pharmacol 2014 May;12(3):512-7. doi: 10.2174/157016111203140518172048. PMID: 22724465

Clinical prediction guides

Qi Z, Yuan S, Wei J, Xia S, Huang Y, Chen X, Han Y, Li Z, Xiao Y, Peng F, Fu X, Sun L, Liu H, Zhu X
J Med Virol 2023 Oct;95(10):e29196. doi: 10.1002/jmv.29196. PMID: 37881096
Nada T, Sato M, Yoshikawa T, Ogura M, Kamei K
Pediatr Nephrol 2021 Nov;36(11):3795-3798. Epub 2021 Aug 12 doi: 10.1007/s00467-021-05225-2. PMID: 34383124
AlYousef A, AlSahow A, AlHelal B, Alqallaf A, Abdallah E, Abdellatif M, Nawar H, Elmahalawy R
BMC Nephrol 2020 May 18;21(1):186. doi: 10.1186/s12882-020-01836-3. PMID: 32423387Free PMC Article
Han SS, Xu YQ, Lu Y, Gu XC, Wang Y
Medicine (Baltimore) 2017 Jun;96(24):e7191. doi: 10.1097/MD.0000000000007191. PMID: 28614261Free PMC Article
Gigante A, Barbano B, Sardo L, Martina P, Gasperini ML, Labbadia R, Liberatori M, Amoroso A, Cianci R
Curr Vasc Pharmacol 2014 May;12(3):512-7. doi: 10.2174/157016111203140518172048. PMID: 22724465

Recent systematic reviews

Gertz MA, Dispenzieri A
JAMA 2020 Jul 7;324(1):79-89. doi: 10.1001/jama.2020.5493. PMID: 32633805
Liu ID, Willis NS, Craig JC, Hodson EM
Cochrane Database Syst Rev 2019 Nov 21;2019(11) doi: 10.1002/14651858.CD003594.pub6. PMID: 31749142Free PMC Article
Wu S, Kim C, Baer L, Zhu X
J Am Soc Nephrol 2010 Aug;21(8):1381-9. Epub 2010 Jun 10 doi: 10.1681/ASN.2010020167. PMID: 20538785Free PMC Article
Durkan A, Hodson E, Willis N, Craig J
Cochrane Database Syst Rev 2001;(4):CD002290. doi: 10.1002/14651858.CD002290. PMID: 11687155
Durkan AM, Hodson EM, Willis NS, Craig JC
Kidney Int 2001 May;59(5):1919-27. doi: 10.1046/j.1523-1755.2001.0590051919.x. PMID: 11318964

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