PMID- 30368514 OWN - NLM STAT- MEDLINE DCOM- 20191002 LR - 20201113 IS - 2235-3186 (Electronic) IS - 1660-8151 (Linking) VI - 140 IP - 4 DP - 2018 TI - Co-Inheritance of Autosomal Dominant Polycystic Kidney Disease and Naevoid Basal Cell Carcinoma Syndrome: Effects on Renal Progression. PG - 282-288 LID - 10.1159/000490771 [doi] AB - The calcium signalling and hedgehog (HH) signalling pathways operate in the primary cilium. Abnormalities in these pathways cause autosomal dominant polycystic kidney disease (ADPKD) and naevoid basal cell carcinoma syndrome (NBCCS) respectively. Several reports have proposed that hyperactivation of the HH pathway in animal models of polycystic kidney disease affects normal renal development and renal cyst phenotype. A family with 2 cases (a proband and her sister) of ADPKD and NBCCS coinheritance led us to investigate whether interactions may be present in the 2 pathways. The effect of HH pathway hyperactivation (due to c.573C>G mutation on PTCH1 gene that cause NBCCS) on renal ADPKD progression in the proband was compared to 18 age- and sex-matched ADPKD patients in a 9-year, prospective, follow-up study. Blood pressure, total kidney volume, estimated glomerular filtration rate, plasma copeptin, urine excretion of albumin, total protein and monocyte chemoattractant protein-1 (MCP-1) were analysed. Data for the sibling was not available. In the ADPKD group, blood pressure and estimated glomerular filtration rate were within normal values, and total kidney volume and MCP-1 increased (p < 0.01) throughout the study. In comparison, during the 9-year follow-up, the proband showed persistent hypertension (from 125/85 to 140/95 mm Hg), low total kidney volume (75 and 61% of median ADPKD), and a ninefold increase in urine MCP-1. We found no differences in urine excretion of albumin or plasma copeptin values. These results suggest that HH hyperactivation may play a minimal role in ADPKD progression. These observations can help to clarify the clinical impact of affected pathways in renal development and cystogenesis in humans. CI - (c) 2018 S. Karger AG, Basel. FAU - Martinez, Maria Florencia AU - Martinez MF AD - Laboratorio de Nefrologia Experimental y Bioquimica Molecular, Instituto de Investigaciones Medicas Alfredo Lanari, Universidad de Buenos Aires, Buenos Aires, Argentina. FAU - Mazzuoccolo, Luis Daniel AU - Mazzuoccolo LD AD - Departamento de Dermatologia, Hospital Eva Peron, Gral., San Martin, Argentina. FAU - Oddo, Elisabet Monica AU - Oddo EM AD - Laboratorio de Nefrologia Experimental y Bioquimica Molecular, Instituto de Investigaciones Medicas Alfredo Lanari, Universidad de Buenos Aires, Buenos Aires, Argentina. FAU - Iscoff, Paula Virginia AU - Iscoff PV AD - Servicio de Nefrologia, Hospital Presidente Peron, Avellaneda, Argentina. FAU - Muchnik, Carolina AU - Muchnik C AD - Laboratorio de Nefrologia Experimental y Bioquimica Molecular, Instituto de Investigaciones Medicas Alfredo Lanari, Universidad de Buenos Aires, Buenos Aires, Argentina. FAU - Neumann, Hartmut P H AU - Neumann HPH AD - Department of Nephrology, Section of Preventive Medicine, Albert Ludwigs University, Freiburg, Germany. FAU - Martin, Rodolfo Santiago AU - Martin RS AD - Laboratorio de Nefrologia Experimental y Bioquimica Molecular, Instituto de Investigaciones Medicas Alfredo Lanari, Universidad de Buenos Aires, Buenos Aires, Argentina. AD - Consejo Nacional de Investigaciones Cientificas y Tecnicas (CONICET), Buenos Aires, Argentina. FAU - Fraga, Adriana Raquel AU - Fraga AR AD - Laboratorio de Nefrologia Experimental y Bioquimica Molecular, Instituto de Investigaciones Medicas Alfredo Lanari, Universidad de Buenos Aires, Buenos Aires, Argentina. AD - Consejo Nacional de Investigaciones Cientificas y Tecnicas (CONICET), Buenos Aires, Argentina. FAU - Azurmendi, Pablo Javier AU - Azurmendi PJ AD - Laboratorio de Nefrologia Experimental y Bioquimica Molecular, Instituto de Investigaciones Medicas Alfredo Lanari, Universidad de Buenos Aires, Buenos Aires, Argentinaazurmendi.pablo@lanari.fmed.uba.ar. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181026 PL - Switzerland TA - Nephron JT - Nephron JID - 0331777 RN - 0 (Hedgehog Proteins) RN - 0 (PTCH1 protein, human) RN - 0 (Patched-1 Receptor) SB - IM MH - Adult MH - Basal Cell Nevus Syndrome/*complications/*genetics MH - Blood Pressure MH - Disease Progression MH - Female MH - Follow-Up Studies MH - Hedgehog Proteins/genetics MH - Humans MH - Kidney Function Tests MH - Patched-1 Receptor/genetics MH - Pedigree MH - Polycystic Kidney, Autosomal Dominant/*complications/*genetics MH - Prospective Studies MH - Renal Dialysis MH - Signal Transduction/genetics OTO - NOTNLM OT - Autosomal dominant polycystic kidney disease OT - Co-inheritance OT - Hedgehog signalling OT - Naevoid basal cell carcinoma syndrome OT - PTCH1 gene mutation EDAT- 2018/10/29 06:00 MHDA- 2019/10/08 06:00 CRDT- 2018/10/29 06:00 PHST- 2018/03/08 00:00 [received] PHST- 2018/06/06 00:00 [accepted] PHST- 2018/10/29 06:00 [pubmed] PHST- 2019/10/08 06:00 [medline] PHST- 2018/10/29 06:00 [entrez] AID - 000490771 [pii] AID - 10.1159/000490771 [doi] PST - ppublish SO - Nephron. 2018;140(4):282-288. doi: 10.1159/000490771. Epub 2018 Oct 26.