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2014 ; 21
(5
): 422-5
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Familial FSGS
#MMPMID25168831
Pollak MR
Adv Chronic Kidney Dis
2014[Sep]; 21
(5
): 422-5
PMID25168831
show ga
Focal segmental glomerulosclerosis (FSGS) and nephrotic syndrome can be caused by
rare highly penetrant mutations in number of genes. FSGS can follow both
recessive and dominant inheritance patterns. In general, recessive forms present
early, whereas the autosomal dominant forms present in adolescence or adulthood.
Many of the genes found to be mutated in FSGS and nephrotic syndrome patients
encode proteins essential for normal podocyte structure and/or function. An
exception appears to be APOL1, which harbors common variants responsible for the
high rate of FSGS and other nephropathies in people of recent African ancestry.
Familial FSGS should be regarded as part of a spectrum of inherited
glomerulopathies where the precise histologic presentation may depend on the age
of onset, function of the responsible gene and gene products, and other factors.