» Articles » PMID: 38606357

Review of Childhood Genetic Nephrolithiasis and Nephrocalcinosis

Overview
Journal Front Genet
Date 2024 Apr 12
PMID 38606357
Authors
Affiliations
Soon will be listed here.
Abstract

Nephrolithiasis (NL) is a common condition worldwide. The incidence of NL and nephrocalcinosis (NC) has been increasing, along with their associated morbidity and economic burden. The etiology of NL and NC is multifactorial and includes both environmental components and genetic components, with multiple studies showing high heritability. Causative gene variants have been detected in up to 32% of children with NL and NC. Children with NL and NC are genotypically heterogenous, but often phenotypically relatively homogenous, and there are subsequently little data on the predictors of genetic childhood NL and NC. Most genetic diseases associated with NL and NC are secondary to hypercalciuria, including those secondary to hypercalcemia, renal phosphate wasting, renal magnesium wasting, distal renal tubular acidosis (RTA), proximal tubulopathies, mixed or variable tubulopathies, Bartter syndrome, hyperaldosteronism and pseudohyperaldosteronism, and hyperparathyroidism and hypoparathyroidism. The remaining minority of genetic diseases associated with NL and NC are secondary to hyperoxaluria, cystinuria, hyperuricosuria, xanthinuria, other metabolic disorders, and multifactorial etiologies. Genome-wide association studies (GWAS) in adults have identified multiple polygenic traits associated with NL and NC, often involving genes that are involved in calcium, phosphorus, magnesium, and vitamin D homeostasis. Compared to adults, there is a relative paucity of studies in children with NL and NC. This review aims to focus on the genetic component of NL and NC in children.

Citing Articles

Opportunities in Primary and Enteric Hyperoxaluria at the Cross-Roads Between the Clinic and Laboratory.

Cellini B, Baum M, Frishberg Y, Groothoff J, Harris P, Hulton S Kidney Int Rep. 2024; 9(11):3083-3096.

PMID: 39534212 PMC: 11551133. DOI: 10.1016/j.ekir.2024.08.031.

References
1.
Hayes W, Sas D, Magen D, Shasha-Lavsky H, Michael M, Sellier-Leclerc A . Efficacy and safety of lumasiran for infants and young children with primary hyperoxaluria type 1: 12-month analysis of the phase 3 ILLUMINATE-B trial. Pediatr Nephrol. 2022; 38(4):1075-1086. PMC: 9925547. DOI: 10.1007/s00467-022-05684-1. View

2.
Knoll T, Zollner A, Wendt-Nordahl G, Michel M, Alken P . Cystinuria in childhood and adolescence: recommendations for diagnosis, treatment, and follow-up. Pediatr Nephrol. 2004; 20(1):19-24. DOI: 10.1007/s00467-004-1663-1. View

3.
Mabillard H, Sayer J . The Molecular Genetics of Gordon Syndrome. Genes (Basel). 2019; 10(12). PMC: 6947027. DOI: 10.3390/genes10120986. View

4.
Rhodes H, Yarram-Smith L, Rice S, Tabaksert A, Edwards N, Hartley A . Clinical and genetic analysis of patients with cystinuria in the United Kingdom. Clin J Am Soc Nephrol. 2015; 10(7):1235-45. PMC: 4491297. DOI: 10.2215/CJN.10981114. View

5.
Jayasinghe K, Stark Z, Kerr P, Gaff C, Martyn M, Whitlam J . Clinical impact of genomic testing in patients with suspected monogenic kidney disease. Genet Med. 2020; 23(1):183-191. PMC: 7790755. DOI: 10.1038/s41436-020-00963-4. View