Monogenic causes of chronic kidney disease in adults.

TitleMonogenic causes of chronic kidney disease in adults.
Publication TypeJournal Article
Year of Publication2019
AuthorsConnaughton, DM, Kennedy, C, Shril, S, Mann, N, Murray, SL, Williams, PA, Conlon, E, Nakayama, M, van der Ven, AT, Ityel, H, Kause, F, Kolvenbach, CM, Dai, R, Vivante, A, Braun, DA, Schneider, R, Kitzler, TM, Moloney, B, Moran, CP, Smyth, JS, Kennedy, A, Benson, K, Stapleton, C, Denton, M, Magee, C, O'Seaghdha, CM, Plant, WD, Griffin, MD, Awan, A, Sweeney, C, Mane, SM, Lifton, RP, Griffin, B, Leavey, S, Casserly, L, de Freitas, DG, Holian, J, Dorman, A, Doyle, B, Lavin, PJ, Little, MA, Conlon, PJ, Hildebrandt, F
JournalKidney Int
Date Published2019 Apr

Approximately 500 monogenic causes of chronic kidney disease (CKD) have been identified, mainly in pediatric populations. The frequency of monogenic causes among adults with CKD has been less extensively studied. To determine the likelihood of detecting monogenic causes of CKD in adults presenting to nephrology services in Ireland, we conducted whole exome sequencing (WES) in a multi-centre cohort of 114 families including 138 affected individuals with CKD. Affected adults were recruited from 78 families with a positive family history, 16 families with extra-renal features, and 20 families with neither a family history nor extra-renal features. We detected a pathogenic mutation in a known CKD gene in 42 of 114 families (37%). A monogenic cause was identified in 36% of affected families with a positive family history of CKD, 69% of those with extra-renal features, and only 15% of those without a family history or extra-renal features. There was no difference in the rate of genetic diagnosis in individuals with childhood versus adult onset CKD. Among the 42 families in whom a monogenic cause was identified, WES confirmed the clinical diagnosis in 17 (40%), corrected the clinical diagnosis in 9 (22%), and established a diagnosis for the first time in 16 families referred with CKD of unknown etiology (38%). In this multi-centre study of adults with CKD, a molecular genetic diagnosis was established in over one-third of families. In the evolving era of precision medicine, WES may be an important tool to identify the cause of CKD in adults.

Alternate JournalKidney Int.
PubMed ID30773290
PubMed Central IDPMC6431580
Grant ListR01 DK088767 / DK / NIDDK NIH HHS / United States
R01 DK076683 / DK / NIDDK NIH HHS / United States
U54 HG006504 / HG / NHGRI NIH HHS / United States
R01 DK068306 / DK / NIDDK NIH HHS / United States
T32 DK007726 / DK / NIDDK NIH HHS / United States