학술논문

HNF1B Mutations Are Associated With a Gitelman-like Tubulopathy That Develops During Childhood
Document Type
article
Source
Kidney International Reports, Vol 4, Iss 9, Pp 1304-1311 (2019)
Subject
Diseases of the genitourinary system. Urology
RC870-923
Language
English
ISSN
2468-0249
Abstract
Background: Mutations in the transcription factor hepatocyte nuclear factor 1B (HNF1B) are the most common inherited cause of renal malformations, yet also associated with renal tubular dysfunction, most prominently magnesium wasting with hypomagnesemia. The presence of hypomagnesemia has been proposed to help select appropriate patients for genetic testing. Yet, in a large cohort, hypomagnesemia was discriminatory only in adult, but not in pediatric patients. We therefore investigated whether hypomagnesemia and other biochemical changes develop with age. Methods: We performed a retrospective analysis of clinical, biochemical, and genetic results of pediatric patients with renal malformations tested for HNF1B mutations, separated into 4 age groups. Values were excluded if concurrent estimated glomerular filtration rate (eGFR) was