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Human Genetics
Article
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Human Genetics
Article . 2015 . Peer-reviewed
License: Springer TDM
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Human Genetics
Article . 2015
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Mutations of the SLIT2–ROBO2 pathway genes SLIT2 and SRGAP1 confer risk for congenital anomalies of the kidney and urinary tract

Authors: Gabriel C. Dworschak; Gabriel C. Dworschak; Velibor Tasic; Stefanie Chan; Albertien M. van Eerde; Xueping Fan; Radovan Bogdanovic; +23 Authors

Mutations of the SLIT2–ROBO2 pathway genes SLIT2 and SRGAP1 confer risk for congenital anomalies of the kidney and urinary tract

Abstract

Congenital anomalies of the kidney and urinary tract (CAKUT) account for 40-50% of chronic kidney disease that manifests in the first two decades of life. Thus far, 31 monogenic causes of isolated CAKUT have been described, explaining ~12% of cases. To identify additional CAKUT-causing genes, we performed whole-exome sequencing followed by a genetic burden analysis in 26 genetically unsolved families with CAKUT. We identified two heterozygous mutations in SRGAP1 in 2 unrelated families. SRGAP1 is a small GTPase-activating protein in the SLIT2-ROBO2 signaling pathway, which is essential for development of the metanephric kidney. We then examined the pathway-derived candidate gene SLIT2 for mutations in cohort of 749 individuals with CAKUT and we identified 3 unrelated individuals with heterozygous mutations. The clinical phenotypes of individuals with mutations in SLIT2 or SRGAP1 were cystic dysplastic kidneys, unilateral renal agenesis, and duplicated collecting system. We show that SRGAP1 is expressed in early mouse nephrogenic mesenchyme and that it is coexpressed with ROBO2 in SIX2-positive nephron progenitor cells of the cap mesenchyme in developing rat kidney. We demonstrate that the newly identified mutations in SRGAP1 lead to an augmented inhibition of RAC1 in cultured human embryonic kidney cells and that the SLIT2 mutations compromise the ability of the SLIT2 ligand to inhibit cell migration. Thus, we report on two novel candidate genes for causing monogenic isolated CAKUT in humans.

Keywords

Immunologic*/genetics, Mutation*, GTPase-Activating Proteins*/genetics, MCDK, Mesoderm, Mice, Risk Factors, Receptors, GTPase-Activating Proteins*/biosynthesis, Genetics(clinical), Exome, Receptors, Immunologic, Urogenital Abnormalities*/genetics, Research Support, Non-U.S. Gov't, SLIT2, GTPase-Activating Proteins, Nerve Tissue Proteins*/biosynthesis, ROBO2, 600, Vesico-Ureteral Reflux*/embryology, Clinical Trial, Immunologic*/biosynthesis, Multicenter Study, Intercellular Signaling Peptides and Proteins, Signal Transduction, Immunologic*/metabolism, Urogenital Abnormalities*/embryology, 610, Nerve Tissue Proteins, Slit Homolog 2 Protein, Signal Transduction/genetics*, Research Support, N.I.H., Extramural, Genetics, Journal Article, Animals, Humans, CAKUT, Nerve Tissue Proteins*/metabolism, Vesico-Ureteral Reflux, Intercellular Signaling Peptides and Proteins*/biosynthesis, Mesoderm/metabolism, Vesico-Ureteral Reflux*/genetics, vesicoureteral reflux, VUR, Rats, Intercellular Signaling Peptides and Proteins*/metabolism, multicystic dysplastic kidneys, HEK293 Cells, Urogenital Abnormalities, Mutation, SRGAP1

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
61
Top 10%
Top 10%
Top 10%
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