PMID- 10976389 OWN - NLM STAT- MEDLINE DCOM- 20001228 LR - 20200825 IS - 0304-4602 (Print) IS - 0304-4602 (Linking) VI - 29 IP - 3 DP - 2000 May TI - Minimal change nephrotic syndrome--a complex genetic disorder. PG - 351-6 AB - INTRODUCTION: Minimal change nephrotic syndrome (MCNS) is the most common primary nephrotic syndrome in childhood. While the pathogenesis of this disease is still unknown, there is considerable evidence that it is an immune disease. This role of genetic susceptibility in this disease is the subject of this review. METHODS: Reported studies addressing potential genetic factors in MCNS were reviewed. These factors included human leukocyte antigen (HLA) associations, genes involved in the renin-angiotensin system and cytokines. RESULTS: Several authors have reported the presence of familial clustering, human leukocyte antigen (HLA) associations, and association with asthma and atopy, suggesting a genetic susceptibility to the disease. Moreover, recent studies on the role of the renin angiotensin system, cytokines and their respective receptors on the severity and clinical course of the disease, have lent further support to the immunogenetic basis of this disease. CONCLUSION: Knowledge of the genetic basis of MCNS may have important therapeutic implications in this disease, in particular, the role of cytokines and their respective receptors, including the influence of environmental factors on their expression. FAU - Gong, W K AU - Gong WK AD - Department of Paediatrics, National University of Singapore, Singapore. FAU - Cheung, W AU - Cheung W FAU - Yap, H K AU - Yap HK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Singapore TA - Ann Acad Med Singap JT - Annals of the Academy of Medicine, Singapore JID - 7503289 RN - 0 (Cytokines) SB - IM MH - Cytokines/genetics MH - Gene Expression MH - Genes, MHC Class I/genetics MH - Genes, MHC Class II/genetics MH - *Genetic Predisposition to Disease MH - Humans MH - Nephrosis, Lipoid/*genetics MH - Renin-Angiotensin System/genetics RF - 89 EDAT- 2000/09/08 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/09/08 11:00 PHST- 2000/09/08 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/09/08 11:00 [entrez] PST - ppublish SO - Ann Acad Med Singap. 2000 May;29(3):351-6.