PMID- 36835576 OWN - NLM STAT- MEDLINE DCOM- 20230228 LR - 20230301 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 4 DP - 2023 Feb 19 TI - PAX2 and CAKUT Phenotypes: Report on Two New Variants and a Review of Mutations from the Leiden Open Variation Database. LID - 10.3390/ijms24044165 [doi] LID - 4165 AB - PAX2 is a transcription factor expressed during embryogenesis in the eye, ear, CNS, and genitourinary tract, and is one of the major regulators of kidney development. Mutations in this gene are associated with papillorenal syndrome (PAPRS), a genetic condition characterized by optic nerve dysplasia and renal hypo/dysplasia. In the last 28 years, many cohort studies and case reports highlighted PAX2's involvement in a large spectrum of kidney malformations and diseases, with or without eye abnormalities, defining the phenotypes associated with PAX2 variants as "PAX2-related disorders". Here, we reported two new sequence variations and reviewed PAX2 mutations annotated on the Leiden Open Variation Database 3.0. DNA was extracted from the peripheral blood of 53 pediatric patients with congenital abnormalities of the kidney and urinary tract (CAKUT). PAX2 gene-coding exonic and flanking intronic regions were sequenced with Sanger technology. Two unrelated patients and two twins carrying one known and two unknown PAX2 variations were observed. The frequency of PAX2-related disorders in this cohort was 5.8%, considering all CAKUT phenotypes (16.7% in the PAPRS phenotype and 2.5% in non-syndromic CAKUT). Although PAX2 mutations have a higher frequency in patients with PAPRS or non-syndromic renal hypoplasia, from the review of variants reported to date in LOVD3, PAX2-related disorders are detected in pediatric patients with other CAKUT phenotypes. In our study, only one patient had a CAKUT without an ocular phenotype, but his twin had both renal and ocular involvement, confirming the extreme inter- and intrafamilial phenotypic variability. FAU - Negrisolo, Susanna AU - Negrisolo S AUID- ORCID: 0000-0002-2229-1502 AD - Laboratory of Immunopathology and Molecular Biology of the Kidney, Department of Women's and Children's Health, University of Padova, 35127 Padua, Italy. AD - Pediatric Research Institute "IRP Citta della Speranza", 35127 Padua, Italy. FAU - Benetti, Elisa AU - Benetti E AUID- ORCID: 0000-0002-8939-6376 AD - Laboratory of Immunopathology and Molecular Biology of the Kidney, Department of Women's and Children's Health, University of Padova, 35127 Padua, Italy. AD - Pediatric Research Institute "IRP Citta della Speranza", 35127 Padua, Italy. AD - Pediatric Nephrology, Department of Women's and Children's Health, Padua University Hospital, 35128 Padua, Italy. LA - eng GR - ND/Il Sogno di Stefano Charity/ PT - Journal Article DEP - 20230219 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (PAX2 protein, human) RN - 0 (PAX2 Transcription Factor) RN - Allanson Pantzar McLeod syndrome RN - Cakut RN - Papillorenal syndrome SB - IM MH - Humans MH - Kidney/abnormalities MH - *Kidney Diseases/genetics MH - Mutation MH - *PAX2 Transcription Factor/genetics MH - Phenotype MH - *Urinary Tract MH - *Vesico-Ureteral Reflux/genetics PMC - PMC9962628 OTO - NOTNLM OT - CAKUT OT - LOVD OT - PAX2 gene OT - RHD OT - renal hypodysplasia COIS- The authors declare no conflict of interest. EDAT- 2023/02/26 06:00 MHDA- 2023/03/03 06:00 PMCR- 2023/02/19 CRDT- 2023/02/25 02:55 PHST- 2022/12/31 00:00 [received] PHST- 2023/02/13 00:00 [revised] PHST- 2023/02/15 00:00 [accepted] PHST- 2023/02/25 02:55 [entrez] PHST- 2023/02/26 06:00 [pubmed] PHST- 2023/03/03 06:00 [medline] PHST- 2023/02/19 00:00 [pmc-release] AID - ijms24044165 [pii] AID - ijms-24-04165 [pii] AID - 10.3390/ijms24044165 [doi] PST - epublish SO - Int J Mol Sci. 2023 Feb 19;24(4):4165. doi: 10.3390/ijms24044165.