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10.1016/j.ajhg.2015.07.001

http://scihub22266oqcxt.onion/10.1016/j.ajhg.2015.07.001
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C4862256!4862256!26235987
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suck abstract from ncbi


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pmid26235987      Am+J+Hum+Genet 2015 ; 97 (2): 291-301
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  • Mutations in TBX18 Cause Dominant Urinary Tract Malformations via Transcriptional Dysregulation of Ureter Development #MMPMID26235987
  • Vivante A; Kleppa MJ; Schulz J; Kohl S; Sharma A; Chen J; Shril S; Hwang DY; Weiss AC; Kaminski M; Shukrun R; Kemper M; Lehnhardt A; Beetz R; Sanna-Cherchi S; Verbitsky M; Gharavi A; Stuart H; Feather S; Goodship J; Goodship T; Woolf A; Westra S; Doody D; Bauer S; Lee R; Adam R; Lu W; Reutter H; Kehinde E; Mancini E; Lifton R; Tasic V; Lienkamp S; Jüppner H; Kispert A; Hildebrandt F
  • Am J Hum Genet 2015[Aug]; 97 (2): 291-301 PMID26235987show ga
  • Congenital anomalies of the kidneys and urinary tract (CAKUT) are the most common cause of chronic kidney disease in the first three decades of life. Identification of single-gene mutations that cause CAKUT permits the first insights into related disease mechanisms. However, for most cases the underlying defect remains elusive. We identified a kindred with an autosomal-dominant form of CAKUT with predominant ureteropelvic junction obstruction. By whole exome sequencing, we identified a heterozygous truncating mutation (c.1010delG) of T-Box transcription factor 18 (TBX18) in seven affected members of the large kindred. A screen of additional families with CAKUT identified three families harboring two heterozygous TBX18 mutations (c.1570C>T and c.487A>G). TBX18 is essential for developmental specification of the ureteric mesenchyme and ureteric smooth muscle cells. We found that all three TBX18 altered proteins still dimerized with the wild-type protein but had prolonged protein half life and exhibited reduced transcriptional repression activity compared to wild-type TBX18. The p.Lys163Glu substitution altered an amino acid residue critical for TBX18-DNA interaction, resulting in impaired TBX18-DNA binding. These data indicate that dominant-negative TBX18 mutations cause human CAKUT by interference with TBX18 transcriptional repression, thus implicating ureter smooth muscle cell development in the pathogenesis of human CAKUT.
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