1
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Cassart M, Garel C, Ulinski T, Freddy Avni E. Reversed cortico-medullary differentiation in the fetal and neonatal kidneys: an indicator of poor prognosis? Pediatr Radiol 2024; 54:285-292. [PMID: 38150104 DOI: 10.1007/s00247-023-05833-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 12/05/2023] [Accepted: 12/06/2023] [Indexed: 12/28/2023]
Abstract
BACKGROUND Bilateral reversed cortico-medullary differentiation is rarely observed on fetal or neonatal renal ultrasound and is therefore a diagnostic challenge. OBJECTIVE Our purpose was to widen the differential diagnoses of fetal and neonatal nephropathies introducing reversed cortico-medullary differentiation as a clue either on obstetric US or during follow-up of hyperechoic kidneys in order to improve the management of such rare clinical situations. MATERIALS AND METHODS We retrospectively reviewed the US images of 11 patients showing bilateral reversed cortico-medullary differentiation on prenatal examination or in which this pattern developed postnatally in the follow-up of fetal hyperechoic kidneys. For each patient, a precise diagnosis was established either on clinical assessment or, when available, on histological or genetic findings. RESULTS Six fetuses displayed bilateral reversed cortico-medullary differentiation on obstetric examination, and the pattern persisted throughout pregnancy. In the five other fetuses, the kidneys appeared initially homogeneously hyperechoic; this evolved into reversed cortico-medullary differentiation during the third trimester in two cases and shortly after birth in three cases. Two pregnancies were terminated because of estimated poor prognosis. In the nine surviving neonates, four died of renal failure in the post-natal period. The clinical evolution was more favorable in the remaining five newborns. CONCLUSIONS Six different diagnoses were established in patients presenting with a reversed cortico-medullary differentiation renal pattern. This finding was associated with poor outcome in six cases. An acute prenatal diagnosis of reversed cortico-medullary differentiation improves pre- and postnatal work-up and guides counseling and genetic testing.
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Affiliation(s)
- Marie Cassart
- Department of Radiology and Fetal Medicine, Iris Hospitals South, 63 Rue J. Paquot, 1050, Brussels, Belgium.
| | - Catherine Garel
- Department of Radiology, Armand-Trousseau Hospital, APHP, Sorbonne University, Paris, France
| | - Tim Ulinski
- Pediatric Nephrology Unit, Armand-Trousseau Hospital, APHP, Sorbonne University, Paris, France
| | - E Freddy Avni
- Department of Medical Imaging, Marie Curie Civil Hospital, Charleroi, Belgium
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2
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Arora E, Fuks A, Meyer J, Chervenak J. Prenatal diagnosis of Bardet Biedl Syndrome: A case report. Radiol Case Rep 2023; 18:326-330. [DOI: 10.1016/j.radcr.2022.10.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Revised: 10/10/2022] [Accepted: 10/13/2022] [Indexed: 11/16/2022] Open
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3
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Deng L, Liu Y, Yuan M, Meng M, Yang Y, Sun L. Prenatal diagnosis and outcome of fetal hyperechogenic kidneys in the era of antenatal next-generation sequencing. Clin Chim Acta 2022; 528:16-28. [DOI: 10.1016/j.cca.2022.01.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Revised: 12/22/2021] [Accepted: 01/18/2022] [Indexed: 01/19/2023]
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4
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Meyer JR, Krentz AD, Berg RL, Richardson JG, Pomeroy J, Hebbring SJ, Haws RM. Kidney Failure in Bardet-Biedl Syndrome. Clin Genet 2022; 101:429-441. [PMID: 35112343 PMCID: PMC9311438 DOI: 10.1111/cge.14119] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 01/29/2022] [Accepted: 01/30/2022] [Indexed: 11/29/2022]
Abstract
The aim of this study was to explore kidney failure (KF) in Bardet–Biedl syndrome (BBS), focusing on high‐risk gene variants, demographics, and morbidity. We employed the Clinical Registry Investigating BBS (CRIBBS) to identify 44 (7.2%) individuals with KF out of 607 subjects. Molecularly confirmed BBS was identified in 37 KF subjects and 364 CRIBBS registrants. KF was concomitant with recessive causal variants in 12 genes, with BBS10 the most predominant causal gene (26.6%), while disease penetrance was highest in SDCCAG8 (100%). Two truncating variants were present in 67.6% of KF cases. KF incidence was increased in genes not belonging to the BBSome or chaperonin‐like genes (p < 0.001), including TTC21B, a new candidate BBS gene. Median age of KF was 12.5 years, with the vast majority of KF occurring by 30 years (86.3%). Females were disproportionately affected (77.3%). Diverse uropathies were identified, but were not more common in the KF group (p = 0.672). Kidney failure was evident in 11 of 15 (73.3%) deaths outside infancy. We conclude that KF poses a significant risk for premature morbidity in BBS. Risk factors for KF include female sex, truncating variants, and genes other than BBSome/chaperonin‐like genes highlighting the value of comprehensive genetic investigation.
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Affiliation(s)
- Jennifer R Meyer
- University of Wisconsin, School of Medicine and Public Health, Madison, WI, USA
| | | | - Richard L Berg
- Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA
| | | | - Jeremy Pomeroy
- Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA
| | - Scott J Hebbring
- Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA
| | - Robert M Haws
- Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA.,Marshfield Clinic Health System, Marshfield, Wisconsin, USA
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5
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Mary L, Chennen K, Stoetzel C, Antin M, Leuvrey A, Nourisson E, Alanio-Detton E, Antal MC, Attié-Bitach T, Bouvagnet P, Bouvier R, Buenerd A, Clémenson A, Devisme L, Gasser B, Gilbert-Dussardier B, Guimiot F, Khau Van Kien P, Leroy B, Loget P, Martinovic J, Pelluard F, Perez MJ, Petit F, Pinson L, Rooryck-Thambo C, Poch O, Dollfus H, Schaefer E, Muller J. Bardet-Biedl syndrome: Antenatal presentation of forty-five fetuses with biallelic pathogenic variants in known Bardet-Biedl syndrome genes. Clin Genet 2020; 95:384-397. [PMID: 30614526 DOI: 10.1111/cge.13500] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 12/20/2018] [Accepted: 12/29/2018] [Indexed: 02/06/2023]
Abstract
Bardet-Biedl syndrome (BBS) is an emblematic ciliopathy associated with retinal dystrophy, obesity, postaxial polydactyly, learning disabilities, hypogonadism and renal dysfunction. Before birth, enlarged/cystic kidneys as well as polydactyly are the hallmark signs of BBS to consider in absence of familial history. However, these findings are not specific to BBS, raising the problem of differential diagnoses and prognosis. Molecular diagnosis during pregnancies remains a timely challenge for this heterogeneous disease (22 known genes). We report here the largest cohort of BBS fetuses to better characterize the antenatal presentation. Prenatal ultrasound (US) and/or autopsy data from 74 fetuses with putative BBS diagnosis were collected out of which molecular diagnosis was established in 51 cases, mainly in BBS genes (45 cases) following the classical gene distribution, but also in other ciliopathy genes (6 cases). Based on this, an updated diagnostic decision tree is proposed. No genotype/phenotype correlation could be established but postaxial polydactyly (82%) and renal cysts (78%) were the most prevalent symptoms. However, autopsy revealed polydactyly that was missed by prenatal US in 55% of the cases. Polydactyly must be carefully looked for in pregnancies with apparently isolated renal anomalies in fetuses.
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Affiliation(s)
- Laura Mary
- Laboratoire de Diagnostic Génétique, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.,Laboratoire de Génétique Médicale, UMR_S INSERM U1112, IGMA, Faculté de Médecine FMTS, Université de Strasbourg, Strasbourg, France
| | - Kirsley Chennen
- Laboratoire de Génétique Médicale, UMR_S INSERM U1112, IGMA, Faculté de Médecine FMTS, Université de Strasbourg, Strasbourg, France.,Complex Systems and Translational Bioinformatics, ICube, University of Strasbourg, CNRS, Illkirch, France
| | - Corinne Stoetzel
- Laboratoire de Génétique Médicale, UMR_S INSERM U1112, IGMA, Faculté de Médecine FMTS, Université de Strasbourg, Strasbourg, France
| | - Manuela Antin
- Laboratoire de Diagnostic Génétique, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Anne Leuvrey
- Laboratoire de Diagnostic Génétique, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Elsa Nourisson
- Laboratoire de Diagnostic Génétique, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Elisabeth Alanio-Detton
- Gynécologie-obstétrique, Centre de Dépistage Anténatal, Hôpital Maison-Blanche, Reims, France
| | - Maria C Antal
- Institut d'Histologie, Icube, Université de Strasbourg, Strasbourg, France.,Service de Pathologie, UF6349 Fœtopathologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Tania Attié-Bitach
- INSERM U1163, Institut IMAGINE, Université Paris Descartes, Paris, France.,Service d'Histologie-Embryologie-Cytogénétique, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Patrice Bouvagnet
- Laboratoire de Cardiogénétique, Malformations Cardiaques Congénitale, Hôpitaux Civils de Lyon, France
| | - Raymonde Bouvier
- Département de Pathologie, Centre Hospitalier Est, Hôpitaux Civils de Lyon, Lyon, France
| | - Annie Buenerd
- Département de Pathologie, Centre Hospitalier Est, Hôpitaux Civils de Lyon, Lyon, France
| | - Alix Clémenson
- Service d'Anatomie et Cytologie Pathologiques, CHU de Saint-Etienne, Saint-Étienne, France
| | - Louise Devisme
- Institut d'Anatomo-Pathologie, Centre de Biologie Pathologie, Centre Hospitalier Universitaire de Lille, Lille, France
| | - Bernard Gasser
- Laboratoire de Pathologie, GHR Mulhouse-Sud Alsace, Mulhouse, France
| | - Brigitte Gilbert-Dussardier
- Service de Génétique Médicale, Centre Hospitalier Universitaire de Poitiers, Poitiers, France.,EA3808 - NEUVACOD, Université de Poitiers, Poitiers, France
| | - Fabien Guimiot
- Unité Fonctionnelle de Fœtopathologie, Département de Génétique, Hôpital Robert Debré, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Philippe Khau Van Kien
- Unité de Génétique Médicale et Cytogénétique, Centre Hospitalier Universitaire de Nîmes, Nîmes, France
| | - Brigitte Leroy
- Service d'Anatomie Pathologique, CHI Poissy Saint Germain-en-Laye, Poissy, France
| | - Philippe Loget
- Service d'Anatomie Pathologique, Hôpital Pontchaillou, Université Rennes 1, Rennes, France
| | - Jelena Martinovic
- Unité de Fœtopathologie, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris, Clamart, France
| | - Fanny Pelluard
- Service d'Anatomie-Cytologie Pathologique, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.,INSERM UMR1053, Bordeaux Research in Translational Oncology, BaRITOn, Université de Bordeaux, Bordeaux, France
| | - Marie-Josée Perez
- Unité de Fœtopathologie, Service de Génétique Médicale, Centre Hospitalier Universitaire, Montpellier, France
| | - Florence Petit
- Clinique de Génétique Guy Fontaine, Centre Hospitalier Universitaire de Lille, Lille, France
| | - Lucile Pinson
- Département de Génétique Médicale, Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
| | - Caroline Rooryck-Thambo
- Université Bordeaux, MRGM INSERM U1211, CHU de Bordeaux, Service de Génétique Médicale, Bordeaux, France
| | - Olivier Poch
- Complex Systems and Translational Bioinformatics, ICube, University of Strasbourg, CNRS, Illkirch, France
| | - Hélène Dollfus
- Laboratoire de Génétique Médicale, UMR_S INSERM U1112, IGMA, Faculté de Médecine FMTS, Université de Strasbourg, Strasbourg, France.,Service de Génétique Médicale, IGMA, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.,Centre des Affections Rares en Génétique Ophtalmologique, FSMR SENSGENE, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Elise Schaefer
- Laboratoire de Génétique Médicale, UMR_S INSERM U1112, IGMA, Faculté de Médecine FMTS, Université de Strasbourg, Strasbourg, France.,Service de Génétique Médicale, IGMA, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Jean Muller
- Laboratoire de Diagnostic Génétique, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.,Laboratoire de Génétique Médicale, UMR_S INSERM U1112, IGMA, Faculté de Médecine FMTS, Université de Strasbourg, Strasbourg, France
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6
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Gimpel C, Bergmann C, Brinkert F, Cetiner M, Gembruch U, Haffner D, Kemper M, König J, Liebau M, Maier RF, Oh J, Pape L, Riechardt S, Rolle U, Rossi R, Stegmann J, Vester U, Kaisenberg CV, Weber S, Schaefer F. [Kidney Cysts and Cystic Nephropathies in Children - A Consensus Guideline by 10 German Medical Societies]. KLINISCHE PADIATRIE 2020; 232:228-248. [PMID: 32659844 DOI: 10.1055/a-1179-0728] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
This consensus-based guideline was developed by all relevant German pediatric medical societies. Ultrasound is the standard imaging modality for pre- and postnatal kidney cysts and should also exclude extrarenal manifestations in the abdomen and internal genital organs. MRI has selected indications. Suspicion of a cystic kidney disease should prompt consultation of a pediatric nephrologist. Prenatal management must be tailored to very different degrees of disease severity. After renal oligohydramnios, we recommend delivery in a perinatal center. Neonates should not be denied renal replacement therapy solely because of their age. Children with unilateral multicystic dysplastic kidney do not require routine further imaging or nephrectomy, but long-term nephrology follow-up (as do children with uni- or bilateral kidney hypo-/dysplasia with cysts). ARPKD (autosomal recessive polycystic kidney disease), nephronophthisis, Bardet-Biedl syndrome and HNF1B mutations cause relevant extrarenal disease and genetic testing is advisable. Children with tuberous sclerosis complex, tumor predisposition (e. g. von Hippel Lindau syndrome) or high risk of acquired kidney cysts should have regular ultrasounds. Even asymptomatic children of parents with ADPKD (autosomal dominant PKD) should be monitored for hypertension and proteinuria. Presymptomatic diagnostic ultrasound or genetic examination for ADPKD in minors should only be done after thorough counselling. Simple cysts are very rare in children and ADPKD in a parent should be excluded. Complex renal cysts require further investigation.
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Affiliation(s)
- Charlotte Gimpel
- Department of Internal Medicine IV, Medical Center - University of Freiburg, Freiburg.,Faculty of Medicine, University of Freiburg, Freiburg im Breisgau
| | - Carsten Bergmann
- Department of Internal Medicine IV, Medical Center - University of Freiburg, Freiburg.,Faculty of Medicine, University of Freiburg, Freiburg im Breisgau.,Medizinische Genetik Mainz, Limbach Genetics, Mainz
| | - Florian Brinkert
- Department of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg
| | - Metin Cetiner
- Department of Pediatrics II, University Hospital Essen, Essen
| | - Ulrich Gembruch
- Department of Obstetrics and Prenatal Medicine, University Hospital of Bonn, Bonn
| | - Dieter Haffner
- Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover
| | - Markus Kemper
- Department of Pediatrics, Asklepios Kliniken Hamburg GmbH, Asklepios Klinik Nord, Standort Heidberg, Hamburg
| | - Jens König
- Department of General Pediatrics, University Children's Hospital Münster, Münster
| | - Max Liebau
- Department of Pediatrics, University Hospital Cologne, Cologne.,Center for Molecular Medicine, University of Cologne, Cologne
| | - Rolf Felix Maier
- Department of Pediatrics, University Hospital of Giessen and Marburg, Campus Marburg, Marburg
| | - Jun Oh
- Department of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg
| | - Lars Pape
- Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover
| | - Silke Riechardt
- Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg
| | - Udo Rolle
- Department of Pediatric Surgery, Hospital of the Goethe University Frankfurt, Frankfurt am Main
| | - Rainer Rossi
- Department of Pediatrics, Vivantes Klinikum Neukölln, Berlin
| | - Joachim Stegmann
- Department of Radiology, Catholic Children's Hospital Wilhelmstift, Hamburg
| | - Udo Vester
- Department of Pediatrics, HELIOS Hospital Duisburg, Duisburg
| | - Constantin von Kaisenberg
- Department of Obstetrics and Gynaecology, Center for Perinatal Medicine, Hannover Medical School, Hannover
| | - Stefanie Weber
- Department of Pediatrics, University Hospital of Giessen and Marburg, Campus Marburg, Marburg
| | - Franz Schaefer
- Center for Pediatrics and Adolescent Medicine, Division of Pediatric Nephrology, University Hospital Heidelberg, Heidelberg
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7
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Li QY, Huang LY, Li DZ. Early prenatal detection of Bardet-Biedl syndrome in a case with postaxial polydactyly and hyperechoic kidneys confirmed by next generation sequencing. Congenit Anom (Kyoto) 2019; 59:142-144. [PMID: 30073714 DOI: 10.1111/cga.12306] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Revised: 07/30/2018] [Accepted: 07/31/2018] [Indexed: 12/16/2022]
Affiliation(s)
- Qiao-Yi Li
- Prenatal Diagnostic Center, Dongguan Maternal and Children Health Hospital, Dongguan, China
| | - Lv-Ying Huang
- Guangzhou Women and Children's Medical Center affiliated to Guangzhou Medical University, Guangzhou, China
| | - Dong-Zhi Li
- Guangzhou Women and Children's Medical Center affiliated to Guangzhou Medical University, Guangzhou, China
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8
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Shelmerdine SC, Singh M, Simcock IC, Calder AD, Ashworth M, Beleza A, Sebire NJ, Arthurs OJ. Characterization of Bardet-Biedl syndrome by postmortem microfocus computed tomography (micro-CT). ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2019; 53:132-134. [PMID: 30079607 DOI: 10.1002/uog.19190] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Accepted: 07/27/2018] [Indexed: 06/08/2023]
Affiliation(s)
- S C Shelmerdine
- Department of Radiology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
- UCL Great Ormond Street Institute of Child Health, London, UK
| | - M Singh
- Department of Radiology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - I C Simcock
- Department of Radiology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
- UCL Great Ormond Street Institute of Child Health, London, UK
| | - A D Calder
- Department of Radiology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - M Ashworth
- Department of Histopathology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - A Beleza
- Centre for Craniofacial & Regenerative Biology, King's College London, London, UK
- Department of Clinical Genetics, Guy's Hospital, London, UK
| | - N J Sebire
- UCL Great Ormond Street Institute of Child Health, London, UK
- Department of Histopathology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - O J Arthurs
- Department of Radiology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
- UCL Great Ormond Street Institute of Child Health, London, UK
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9
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Gimpel C, Avni EF, Breysem L, Burgmaier K, Caroli A, Cetiner M, Haffner D, Hartung EA, Franke D, König J, Liebau MC, Mekahli D, Ong ACM, Pape L, Titieni A, Torra R, Winyard PJD, Schaefer F. Imaging of Kidney Cysts and Cystic Kidney Diseases in Children: An International Working Group Consensus Statement. Radiology 2019; 290:769-782. [PMID: 30599104 DOI: 10.1148/radiol.2018181243] [Citation(s) in RCA: 47] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Kidney cysts can manifest as focal disease (simple and complex kidney cysts), affect a whole kidney (eg, multicystic dysplastic kidney or cystic dysplasia), or manifest as bilateral cystic disease (eg, autosomal recessive polycystic kidney disease [ARPKD] or autosomal dominant polycystic kidney disease [ADPKD]). In children, as opposed to adults, a larger proportion of kidney cysts are due to genetic diseases (eg, HNF1B nephropathy, various ciliopathies, and tuberous sclerosis complex), and fewer patients have simple cysts or acquired cystic kidney disease. The purpose of this consensus statement is to provide clinical guidance on standardization of imaging tests to evaluate kidney cysts in children. A committee of international experts in pediatric nephrology, pediatric radiology, pediatric US, and adult nephrology prepared systematic literature reviews and formulated recommendations at a consensus meeting. The final statement was endorsed by the European Society of Pediatric Radiology, the European Federation of Societies for Ultrasound in Medicine and Biology, the European Society of Pediatric Nephrology, and reviewed by the European Reference Network for Rare Kidney Diseases. Main recommendations are as follows: US is the method of choice when assessing pediatric kidney cysts, with selected indications for MRI and contrast-enhanced US. CT should be avoided whenever possible because of ionizing radiation. Renal US yields essential diagnostic information in many cases. In patients with ARPKD or other ciliopathies, abdominal US is needed for diagnosis and screening of portal hypertension. US is usually sufficient for follow-up kidney imaging, but MRI can be valuable for clinical trials in patients with ADPKD or in older children with tuberous sclerosis complex to evaluate both kidney cysts and angiomyolipomas.
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Affiliation(s)
- Charlotte Gimpel
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - E Fred Avni
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Luc Breysem
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Kathrin Burgmaier
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Anna Caroli
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Metin Cetiner
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Dieter Haffner
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Erum A Hartung
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Doris Franke
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Jens König
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Max C Liebau
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Djalila Mekahli
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Albert C M Ong
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Lars Pape
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Andrea Titieni
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Roser Torra
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Paul J D Winyard
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
| | - Franz Schaefer
- From the Department of General Pediatrics, Adolescent Medicine and Neonatology, Center for Pediatrics, Medical Center-University of Freiburg, Mathildenstr 1, 79106 Freiburg, Germany (C.G.); Department of Pediatric Radiology, Jeanne de Flandre Mother and Child Hospital, University of Lille, Lille, France (E.F.A.); Department of Pediatric Radiology, University Hospital of Leuven, Leuven, Belgium (L.B.); Department of Pediatrics, University Hospital of Cologne, Cologne, Germany (K.B.); Department of Bioengineering, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy (A.C.); Department of Pediatrics II, University Hospital Essen, Essen, Germany (M.C.); Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany (D.H., D.F., L.P.); Division of Nephrology, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pa (E.A.H.); Department of General Pediatrics, University Children's Hospital, Münster, Germany (J.K., A.T.); Department of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany (M.C.L.); Department of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium (D.M.); PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, GPURE, KU Leuven, Leuven, Belgium (D.M.); PKD Research Group, Department of Development and Regeneration, Catholic University Leuven (KU Leuven), Leuven, Belgium (D.M.); Academic Nephrology Unit, Department of Infection Immunity & Cardiovascular Disease, University of Sheffield, Sheffield, England (A.C.M.O.); Department of Nephrology, Fundació Puigvert, Autonomous University of Barcelona, IIB Sant Pau, REDINREN, Barcelona, Spain (R.T.); University College London Great Ormond Street, Institute of Child Health, London, England (P.J.D.W.); and Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany (F.S.)
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Chandrasekar SP, Namboothiri S, Sen P, Sarangapani S. Screening for mutation hotspots in Bardet-Biedl syndrome patients from India. Indian J Med Res 2018; 147:177-182. [PMID: 29806606 PMCID: PMC5991121 DOI: 10.4103/ijmr.ijmr_1822_15] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Background & objectives: Bardet–Biedl syndrome (BBS) is a genetically heterogeneous autosomal recessive disorder characterized by multiple organ defects involving retina, kidney, liver and brain. Disease-causing mutations in BBS genes narrowed down by homozygosity mapping in small consanguineous and non-consanguineous pedigrees were reported in 80 per cent of the study population. This study was aimed to screen these genes (BBS3, BBS10) and specific exons of BBS genes (BBS1, BBS5, MKKS, BBS9, BBS11 and BBS12) for recurrent mutations in a selected sample of BBS patients. Methods: The recurrent mutations in BBS genes were screened in the BBS affected individuals by PCR based direct sequencing. The pathogenicity of the observed mutations were confirmed by co-segregation analysis, screening of healthy unrelated controls and in silico analysis. Results: In the 64 BBS patients (44 males, 20 females) were studied, mutations were predominant in BBS10 and ARL6 genes; the c.272T>C; p.(I91T) mutation in ARL6 gene was a recurrent mutation. One novel non-sense mutation c.425T>G; p(L142*) was obtained in BBS5 gene (family BSI-31). Interpretation & conclusions: BBS10 gene mutations clustered in exon 2 of the gene suggesting the exon as a probable hotspot for mutations in Indian population. A cost- and time-effective strategy for the molecular diagnosis of BBS was designed based on these results.
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Affiliation(s)
- Sathya Priya Chandrasekar
- SN ONGC Department of Genetics & Molecular Biology, Vision Research Foundation, Chennai; School of Chemical & Biotechnology, SASTRA University, Thanjavur, India
| | - Sheela Namboothiri
- Department of Paediatric Genetics, Amrita Institute of Medical Sciences & Research Centre, Kochi, India
| | - Parveen Sen
- Department of Vitreo Retina Clinic, Medical Research Foundation, Chennai, India
| | - Sripriya Sarangapani
- SN ONGC Department of Genetics & Molecular Biology, Vision Research Foundation, Chennai, India
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11
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Abstract
PURPOSE OF REVIEW To review disorders that are associated with renal cystic disease during prenatal life and to highlight the strong association between renal cystic disease and ciliopathies. RECENT FINDINGS There are numerous causative genes for ciliopathies that can present with cystic kidney disease. In the group of single gene ciliopathies, autosomal dominant polycystic kidney disease is by far the most prevalent one. Other examples are autosomal recessive polycystic kidney disease, nephronophthisis, Bardet-Biedl syndrome, Meckel-Gruber syndrome, Joubert syndrome and related disorders as well as X-linked orofaciodigital syndrome type 1, respectively. The prevalence of these inherited disorders sums up to about in 1 : 2000 people. These disorders with their hepatorenal fibrocystic character should be classified as multisystem diseases. SUMMARY Understanding of the origin of renal cystic disease and associated disorders is important to make the appropriate prenatal diagnosis and for counseling affected parents. In the future, understanding of the pathophysiology may help to develop new treatment strategies.
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12
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Priya S, Nampoothiri S, Sen P, Sripriya S. Bardet-Biedl syndrome: Genetics, molecular pathophysiology, and disease management. Indian J Ophthalmol 2017; 64:620-627. [PMID: 27853007 PMCID: PMC5151149 DOI: 10.4103/0301-4738.194328] [Citation(s) in RCA: 60] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Primary cilia play a key role in sensory perception and various signaling pathways. Any defect in them leads to group of disorders called ciliopathies, and Bardet–Biedl syndrome (BBS, OMIM 209900) is one among them. The disorder is clinically and genetically heterogeneous, with various primary and secondary clinical manifestations, and shows autosomal recessive inheritance and highly prevalent in inbred/consanguineous populations. The disease mapped to at least twenty different genes (BBS1-BBS20), follow oligogenic inheritance pattern. BBS proteins localizes to the centerosome and regulates the biogenesis and functions of the cilia. In BBS, the functioning of various systemic organs (with ciliated cells) gets deranged and results in systemic manifestations. Certain components of the disease (such as obesity, diabetes, and renal problems) when noticed earlier offer a disease management benefit to the patients. However, the awareness of the disease is comparatively low and most often noticed only after severe vision loss in patients, which is usually in the first decade of the patient's age. In the current review, we have provided the recent updates retrieved from various types of scientific literature through journals, on the genetics, its molecular relevance, and the clinical outcome in BBS. The review in nutshell would provide the basic awareness of the disease that will have an impact in disease management and counseling benefits to the patients and their families.
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Affiliation(s)
- Sathya Priya
- SNONGC Department of Genetics and Molecular Biology, Kamal Nayan Institute for Research in Vision and Ophthalmology, Vision Research Foundation, Chennai, Tamil Nadu; School of Chemical and Biotechnology, SASTRA University, Thanjavur, Tamil Nadu, India
| | - Sheela Nampoothiri
- Department of Pediatric Genetics, Amrita Institute of Medical Sciences and Research Center, Cochin, Kerala, India
| | - Parveen Sen
- Department of Vitreoretina Clinic, Medical Research Foundation, Chennai, Tamil Nadu, India
| | - S Sripriya
- SNONGC Department of Genetics and Molecular Biology, Kamal Nayan Institute for Research in Vision and Ophthalmology, Vision Research Foundation, Chennai, Tamil Nadu, India
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13
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Abstract
OBJECTIVE The purpose of this study is to present a clinical report of a patient with Bardet-Biedl syndrome, aiming to help the dentist to identify the general aspects, systemic changes, alterations. CLINICAL REPORT Bardet-Biedl syndrome is defined as a genetic disorder of autosomal recessive condition; this case is a male patient, 20 years old. The general features presented by the patient were strabismus, polydactyly, hypogonadism, obesity, cognitive impairment, and autistic behavior. Dentally, this patient presents with hypotonic face, high-arched palate, dental crowding, unilateral crossbite, and difficulty in cleaning but with good-quality oral health. CONCLUSIONS Many patients with this syndrome have compromised oral hygiene, difficulty in addressing dental cases, developmental delay, and autistic behavior. Thus, it is important to pay attention to these early children from an early age and encourage preventive approach.
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14
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Diagnosis of bardet-biedl syndrome in consecutive pregnancies affected with echogenic kidneys and polydactyly in a consanguineous couple. Case Rep Genet 2013; 2013:159143. [PMID: 23533844 PMCID: PMC3603615 DOI: 10.1155/2013/159143] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Accepted: 02/03/2013] [Indexed: 11/18/2022] Open
Abstract
Bardet-Biedl syndrome (BBS) is an autosomal recessive ciliopathic human genetic disorder with variable expression that is difficult to diagnose in pregnancy without known risk factors. Homozygosity testing has been shown to be a useful tool in identifying BBS mutations and candidate genes in affected individuals. We present the first case of prenatal diagnosis of BBS in consecutive pregnancies aided by homozygosity testing via SNP microarray analysis. This case demonstrates a novel approach to the evaluation of recurrent echogenic kidneys in consanguineous couple with no significant family history.
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15
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Abstract
Bardet-Biedl syndrome (BBS) is a rare autosomal recessive ciliopathy characterised by retinal dystrophy, obesity, post-axial polydactyly, renal dysfunction, learning difficulties and hypogonadism. Many associated minor features can be helpful in making a diagnosis and are important in the clinical management of BBS. The diagnosis is based on clinical findings and can be confirmed by sequencing of known disease-causing genes in 80% of patients. BBS genes encode proteins that localise to the cilia and basal body and are involved in cilia biogenesis and function. Mutations lead to defective cilia accounting in part for the pleiotropic effects observed in BBS. We provide an overview of BBS including the clinical findings, current understanding of cilia biology, and a practical approach to diagnosis, genetic counselling and up-to-date management.
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Affiliation(s)
- Elizabeth Forsythe
- Molecular Medicine Unit, Institute of Child Health, University College London, London, UK
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16
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17
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Putoux A, Attie-Bitach T, Martinovic J, Gubler MC. Phenotypic variability of Bardet-Biedl syndrome: focusing on the kidney. Pediatr Nephrol 2012; 27:7-15. [PMID: 21246219 DOI: 10.1007/s00467-010-1751-3] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2010] [Revised: 11/26/2010] [Accepted: 11/30/2010] [Indexed: 12/12/2022]
Abstract
Bardet-Biedl syndrome (BBS) is a multisystemic developmental disorder diagnosed on the basis of the presence of obesity, retinal defects, polydactyly, hypogonadism, renal dysfunction, and learning disabilities. The syndrome is genetically heterogeneous with 14 BBS genes identified to date. Since the cloning of the first gene in 2000, a combination of genetic, in vitro, and in vivo studies have highlighted ciliary dysfunction as a primary cause of BBS pathology. Pleiotropy of ciliopathy phenotypes and complex genetic interactions between causal and modifying alleles of ciliary genes contribute to phenotypic variability. In particular, kidney disease in BBS is clinically heterogeneous, but is now recognized as a cardinal feature and a major cause of mortality in BBS.
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Affiliation(s)
- Audrey Putoux
- INSERM U-781, Hôpital Necker-Enfants Malades, Paris, France
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18
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Emmanuelli V, Lahoche-Manucci A, Holder-Espinasse M, Devisme L, Vaast P, Dieux-Coeslier A, Dehennault M, Petit S, Besson R, Houfflin-Debarge V. Diagnostic anténatal des reins hyperéchogènes : à propos de 17 cas. ACTA ACUST UNITED AC 2010; 39:637-46. [DOI: 10.1016/j.jgyn.2010.07.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2010] [Revised: 07/09/2010] [Accepted: 07/28/2010] [Indexed: 11/25/2022]
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Avni FE, Hall M. Renal cystic diseases in children: new concepts. Pediatr Radiol 2010; 40:939-46. [PMID: 20432012 DOI: 10.1007/s00247-010-1599-5] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2010] [Accepted: 01/31/2010] [Indexed: 12/19/2022]
Abstract
This review highlights the changes that have occurred in the general approach to cystic renal diseases in children. For instance, genetic mutations at the level of the primary cilia are considered as the origin of many renal cystic diseases. Furthermore, these diseases are now included in the spectrum of the hepato-renal fibrocystic diseases. Imaging plays an important role as it helps to detect and characterize many of the cystic diseases based on a detailed sonographic analysis. The diagnosis can be achieved during fetal life or after birth. Hyperechoic kidneys and/or renal cysts are the main sonographic signs leading to such diagnosis. US is able to differentiate between recessive and dominant polycystic kidney diseases, hepatocyte nuclear factor 1 Beta mutation, glomerulocystic kidneys and nephronophtisis. MR imaging can, in selected cases, provide additional information including the progressive associated hepatic changes.
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Affiliation(s)
- Fred E Avni
- Departments of Medical Imaging and Pediatric Nephrology, University Clinics of Brussels-Erasme Hospital, 808 Route de Lennik, 1070 Brussels, Belgium.
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20
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Abstract
Abnormalities in the central nervous system and renal function are seen together in a variety of congenital syndromes. This Review examines the clinical presentation and the genetic basis of several such syndromes. The X-linked oculocerebrorenal syndrome of Lowe is characterized by developmental delay, blindness, renal tubular dysfunction, and progressive renal failure. This syndrome results from mutations in the OCRL gene, which encodes a phosphatase involved in endosomal trafficking. Mutations in OCRL also occur in Dent disease, which has a milder disease phenotype than Lowe syndrome. Patients with Joubert syndrome have cerebellar ataxia, pigmentary retinopathy, and nephronophthisis. Joubert syndrome is a genetically heterogeneous condition associated with mutations in at least five genes that encode ciliary proteins. Bardet-Biedl syndrome is a clinically variable condition associated with learning disabilities, progressive visual loss, obesity, polydactyly, hypogonadism, and cystic and fibrotic renal changes that can lead to renal failure. Most of the 12 genes mutated in Bardet-Biedl syndrome are also involved in ciliary function, as are the genes implicated in other 'ciliopathies' with similar phenotypes, including Meckel syndrome.
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Affiliation(s)
- Scott J Schurman
- Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY 13210, USA
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21
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Rooryck C, Lacombe D. [Bardet-Biedl syndrome]. ANNALES D'ENDOCRINOLOGIE 2008; 69:463-71. [PMID: 19019343 DOI: 10.1016/j.ando.2008.10.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2008] [Indexed: 10/21/2022]
Abstract
Bardet-Biedl syndrome (BBS) is a ciliopathy causing multivisceral abnormalities. Its prevalence in Europe is from 1/125,000 to 1/175,000. This disorder is defined by a combination of clinical signs: obesity, pigmentary retinopathy, post-axial polydactyly, polycystic kidneys, hypogenitalism, and learning disabilities, many of which appearing after several years of evolution. Individual clinical phenotype is highly variable. Most signs are present in a majority of patients but only pigmentary retinopathy is constant after infancy. There are many other associated minor clinical signs including diabetes, blood hypertension, congenital cardiopathy or Hirschsprung disease. This broad clinical spectrum is associated to a great genetic heterogeneity, with mainly an autosomal recessive transmission and, sometimes cases of oligogenism. To date, mutations in 12 different genes (BBS1 to BBS12) are responsible for this phenotype. These genes code for proteins involved in the development and function of primary cilia. Absent or non functional BBS proteins affect cilia in certain organs such as kidney or eye. However, some symptoms are still not clearly related to cilia dysfunction. BB syndrome has to be recognized because a molecular diagnosis is possible and will lead to familial genetic counseling and possibly prenatal diagnosis. Patients with BBS will need a multidisciplinary medical care. The renal abnormalities are the main life-threatening features because they can lead to end-stage renal failure and renal transplantation. Retinal dystrophy leading to progressive vision loss, moderate mental retardation, and obesity will affect social life of these patients.
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Affiliation(s)
- C Rooryck
- Laboratoire de Génétique Humaine, Université Victor-Segalen, Bordeaux cedex, France.
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22
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Ciliary syndromes and treatment. Pathol Res Pract 2008; 204:77-88. [PMID: 18312782 DOI: 10.1016/j.prp.2007.10.013] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2006] [Revised: 10/26/2007] [Accepted: 10/30/2007] [Indexed: 12/21/2022]
Abstract
Abnormal visceral patterning has been known for centuries. However, it has not been associated with ciliary dysfunction until recently. Overlapping clinical entities including situs inversus, certain infertility disorders, as well as chronic respiratory infections have their roots in abnormal ciliary function. Current research focuses on causative factors and genes involved in signal transduction pathways that define ciliary function and structure, as well as treatment. In this review, attempts are made to outline selected, yet key topics related to ciliary function in health and disease.
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23
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Abstract
The Bardet-Biedl syndrome (BBS) is a significant genetic cause of chronic and end-stage renal failure in children. Despite being a relatively rare recessive condition, BBS has come to prominence during the past few years owing to revelations of primary cilia dysfunction underlying pathogenesis. The study of this multi-system disorder, which includes obesity, cognitive impairment, genito-urinary tract malformations and limb deformities, is beginning to reveal insights into several aspects of mammalian development and organogenesis. Involvement of BBS proteins in disparate pathways such as the non-canonical Wnt and Sonic Hedgehog pathways is highlighting their interplay in disease pathogenesis. Here we review the recent developments in this emerging field, with the emphasis on the renal component of the syndrome and potential future directions.
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Affiliation(s)
- Jonathan L. Tobin
- Molecular Medicine Unit, UCL Institute of Child Health, 30 Guilford Street, London, WC1N 1EH UK
| | - Philip L. Beales
- Molecular Medicine Unit, UCL Institute of Child Health, 30 Guilford Street, London, WC1N 1EH UK
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24
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Chaumoitre K, Brun M, Cassart M, Maugey-Laulom B, Eurin D, Didier F, Avni EF. Differential diagnosis of fetal hyperechogenic cystic kidneys unrelated to renal tract anomalies: A multicenter study. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2006; 28:911-7. [PMID: 17094077 DOI: 10.1002/uog.3856] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
OBJECTIVES To identify important factors in the differential diagnosis of renal cysts associated with hyperechogenic kidneys. METHODS This was a retrospective multicenter study. We identified 93 fetuses presenting between 1990 and 2002 with hyperechogenic kidneys and which had a diagnosis of nephropathy confirmed later. We analyzed retrospectively the prenatal ultrasound findings of those fetuses which were found sonographically to have renal cysts. RESULTS Of the 93 fetuses presenting with hyperechogenic kidneys and with a later diagnosis of nephropathy, there were 28 with autosomal dominant polycystic kidney disease (ADPKD), 31 with autosomal recessive polycystic kidney disease (ARPKD), 11 with Bardet-Biedl syndrome, nine with Meckel-Gruber syndrome, six with Ivemark II syndrome, one with Jarcho-Levin syndrome, one with Beemer syndrome and one with Meckel-like syndrome. One third of the fetuses (30/93) had renal cysts. Cystic characteristics (size, location, number) were not very useful for diagnosis; more useful was diagnosis of an associated malformation. Three (11%) of the fetuses with ADPKD had cysts, as did nine (29%) of those with ARPKD, three (27%) of those with Bardet-Biedl syndrome, all (100%) of those with Meckel-Gruber syndrome, three (50%) of those with Ivemark II syndrome, and each of the three cases with other syndromes (Jarcho-Levin, Beemer and Meckel-like syndromes). None of the cases with trisomy 13 had cysts. There were no associated malformations in the 12 cases with renal cysts and polycystic kidney disease; the other 18 cases with renal cysts were associated with malformations that were often specific, such as polydactyly in Bardet-Biedl and Beemer syndromes, occipital defect and Dandy-Walker malformation in Meckel-Gruber or Meckel-Gruber-like syndromes, and thoracic and/or vertebral abnormalities in Jarcho-Levin and Beemer syndromes. CONCLUSION Renal cysts associated with hyperechogenic kidneys are not rare. The clue to diagnosis is the demonstration of an associated malformation. If no malformation is found, the main diagnosis remains polycystic kidney disease, i.e. ARPKD or ADPKD.
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Affiliation(s)
- K Chaumoitre
- Department of Medical Imaging, Hôpital Nord, CHU Marseille, France.
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25
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Affiliation(s)
- F E Avni
- Département d'imagerie médicale, cliniques universitaires de Bruxelles, hôpital Erasme, route de Lennik 808, 1070 Bruxelles, Belgique.
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Avni FE, Garel L, Cassart M, Massez A, Eurin D, Didier F, Hall M, Teele RL. Perinatal assessment of hereditary cystic renal diseases: the contribution of sonography. Pediatr Radiol 2006; 36:405-14. [PMID: 16463027 DOI: 10.1007/s00247-005-0075-0] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2005] [Revised: 11/08/2005] [Accepted: 11/12/2005] [Indexed: 12/14/2022]
Abstract
The aims of this review article were to clarify the steps that may lead to a proper diagnosis of fetal and neonatal renal cystic diseases. All the hereditary cystic diseases are reviewed and a classification is proposed. The various sonographic patterns that can be used to ascertain the diagnosis are also reviewed. Finally, tables with differential diagnoses are presented to help the reader in the work-up of such pathologies.
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Affiliation(s)
- Fred E Avni
- Department of Medical Imaging, Erasme Hospital, Route de Lennik 808, 1070, Brussels, Belgium.
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27
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Karmous-Benailly H, Martinovic J, Gubler MC, Sirot Y, Clech L, Ozilou C, Augé J, Brahimi N, Etchevers H, Detrait E, Esculpavit C, Audollent S, Goudefroye G, Gonzales M, Tantau J, Loget P, Joubert M, Gaillard D, Jeanne-Pasquier C, Delezoide AL, Peter MO, Plessis G, Simon-Bouy B, Dollfus H, Le Merrer M, Munnich A, Encha-Razavi F, Vekemans M, Attié-Bitach T. Antenatal presentation of Bardet-Biedl syndrome may mimic Meckel syndrome. Am J Hum Genet 2005; 76:493-504. [PMID: 15666242 PMCID: PMC1196400 DOI: 10.1086/428679] [Citation(s) in RCA: 94] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2004] [Accepted: 01/07/2005] [Indexed: 11/04/2022] Open
Abstract
Bardet-Biedl syndrome (BBS) is a multisystemic disorder characterized by postaxial polydactyly, progressive retinal dystrophy, obesity, hypogonadism, renal dysfunction, and learning difficulty. Other manifestations include diabetes mellitus, heart disease, hepatic fibrosis, and neurological features. The condition is genetically heterogeneous, and eight genes (BBS1-BBS8) have been identified to date. A mutation of the BBS1 gene on chromosome 11q13 is observed in 30%-40% of BBS cases. In addition, a complex triallelic inheritance has been established in this disorder--that is, in some families, three mutations at two BBS loci are necessary for the disease to be expressed. The clinical features of BBS that can be observed at birth are polydactyly, kidney anomaly, hepatic fibrosis, and genital and heart malformations. Interestingly, polydactyly, cystic kidneys, and liver anomalies (hepatic fibrosis with bile-duct proliferation) are also observed in Meckel syndrome, along with occipital encephalocele. Therefore, we decided to sequence the eight BBS genes in a series of 13 antenatal cases presenting with cystic kidneys and polydactyly and/or hepatic fibrosis but no encephalocele. These fetuses were mostly diagnosed as having Meckel or "Meckel-like" syndrome. In six cases, we identified a recessive mutation in a BBS gene (three in BBS2, two in BBS4, and one in BBS6). We found a heterozygous BBS6 mutation in three additional cases. No BBS1, BBS3, BBS5, BBS7, or BBS8 mutations were identified in our series. These results suggest that the antenatal presentation of BBS may mimic Meckel syndrome.
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Affiliation(s)
- Houda Karmous-Benailly
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Jelena Martinovic
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Marie-Claire Gubler
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Yoann Sirot
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Laure Clech
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Catherine Ozilou
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Joëlle Augé
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Nora Brahimi
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Heather Etchevers
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Eric Detrait
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Chantal Esculpavit
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Sophie Audollent
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Géraldine Goudefroye
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Marie Gonzales
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Julia Tantau
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Philippe Loget
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Madeleine Joubert
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Dominique Gaillard
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Corinne Jeanne-Pasquier
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Anne-Lise Delezoide
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Marie-Odile Peter
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Ghislaine Plessis
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Brigitte Simon-Bouy
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Hélène Dollfus
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Martine Le Merrer
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Arnold Munnich
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Férechté Encha-Razavi
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Michel Vekemans
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Tania Attié-Bitach
- Département de Génétique et Unité INSERM U-393 and Unité INSERM U-574, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris (AP-HP), Laboratoire d’Embryologie Pathologique, Hôpital Saint Antoine, AP-HP, and Service de Biologie du Développement, Hôpital Robert Debré, AP-HP, Paris; Cabinet d’Anatomie et Cytologie Pathologiques Richier, Rennes, France; Anatomie Pathologique, Centre Hospitalier Universitaire (CHU) de Nantes, Nantes, France; Laboratoire Pol Bouin, Hôpital de la Maison Blanche, Reims, France; Service d’Anatomie Pathologique, CHU Côte de Nacre, and Service de Génétique, CHU de Caen, Caen, France; Service de Pédiatrie, Centre Hospitalier de Mulhouse, Mulhouse, France; Centre d’Étude de Biologie Prénatale, Laboratoire de Cytogénétique, Université de Versailles, Versailles; and Fédération de Génétique Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
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Current awareness in prenatal diagnosis. Prenat Diagn 2004; 24:937-42. [PMID: 15587482 DOI: 10.1002/pd.783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Roume J, Ville Y. Prenatal diagnosis of genetic renal diseases: breaking the code. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2004; 24:10-18. [PMID: 15229910 DOI: 10.1002/uog.1109] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Affiliation(s)
- J Roume
- Department of Medical Genetics, Université UVSQ-Paris Ouest, CHI Poissy, France
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