Abstract
Familial glomerular hematuria syndromes result from variants that affect the genes that encode type IV collagen, the major collagenous constituent of glomerular basement membranes (GBM): Alport syndrome (AS) and hereditary angiopathy with nephropathy, aneurysms and cramps (HANAC) syndrome. Persistent hematuria is a cardinal feature of each of these disorders. Pathogenic variants in any of three type IV collagen genes, COL4A3, COL4A4 or COL4A5, can cause AS, which is characterized by progressive deterioration of kidney function, with associated hearing and ocular involvement in many affected individuals. Heterozygous variants in these genes are also significant and link to a wider spectrum of kidney disease. Variants in COL4A3, COL4A4 or COL4A5 account for about 30-50% of children with isolated glomerular hematuria seen in pediatric nephrology clinics. HANAC syndrome arises from variants in COL4A1.
| Original language | English (US) |
|---|---|
| Title of host publication | Pediatric Kidney Disease |
| Publisher | Springer International Publishing |
| Pages | 493-507 |
| Number of pages | 15 |
| ISBN (Electronic) | 9783031116650 |
| ISBN (Print) | 9783031116643 |
| DOIs | |
| State | Published - Jan 1 2023 |
Bibliographical note
Publisher Copyright:© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2008, 2016, 2023.
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Alport syndrome
- Familial nephritis
- Focal segmental glomerulosclerosis
- Sensorineural hearing loss
- Type IV collagen
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