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URAT1 and GLUT9 mutations in Spanish patients with renal hypouricemia
F. Claverie-Martin, J. Trujillo-Suarez, H. Gonzalez-Acosta, C. Aparicio, ML. Justa Roldan, B. Stiburkova, K. Ichida, MA. Martín-Gomez, M. Herrero Goñi, M. Carrasco Hidalgo-Barquero, V. Iñigo, R. Enriquez, E. Cordoba-Lanus, VM. Garcia-Nieto, . ,
Language English Country Netherlands
Document type Journal Article
Grant support
NV15-26693A
MZ0
CEP Register
- MeSH
- Child MeSH
- Adult MeSH
- Infant MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Urinary Calculi genetics MeSH
- Mutation * MeSH
- Child, Preschool MeSH
- Organic Anion Transporters genetics MeSH
- Organic Cation Transport Proteins genetics MeSH
- Glucose Transport Proteins, Facilitative genetics MeSH
- Pedigree MeSH
- Aged MeSH
- Renal Tubular Transport, Inborn Errors genetics MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Infant MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Child, Preschool MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Spain MeSH
BACKGROUND: Renal hypouricemia (RHUC), a rare inherited disorder characterized by impaired uric acid (UA) reabsorption in the proximal tubule, is caused by mutations in SLC22A12 or SLC2A9. Most mutations have been identified in Japanese patients, and only a few have been detected in Europeans. METHODS: We report clinical, biochemical and genetics findings of fourteen Spanish patients, six Caucasians and eight of Roma ethnia, diagnosed with idiopathic RHUC. Two of the patients presented exercise-induced acute renal failure and another one had several episodes of nephrolithiasis and four of them had progressive deterioration of renal function, while the rest were asymptomatic. RESULTS: Molecular analysis revealed SLC22A12 mutations in ten of the patients, and SLC2A9 mutations in the other four. A new heterozygous SLC22A12 missense mutation, c.1427C>A (p.A476D), was identified in two affected members of the same family. The rest of the patients presented homozygous, heterozygous or compound heterozygous mutations that have been previously identified in patients with RHUC; SLC22A12 p.T467M and p.L415_G417del, and SLC2A9 p.T125M. Expression studies in Xenopus oocytes revealed that c.1427C>A reduced UA transport but did not alter the location of URAT1 protein on the plasma membrane. CONCLUSIONS: The biochemical and clinical features of our patients together with the genetic analysis results confirmed the diagnosis of RHUC. This is the first report describing SLC22A12 and SLC2A9 mutations in Spanish patients.
Department of Pathophysiology Tokyo University of Pharmacy and Life Sciences Tokyo Japan
Institute of Rheumatology Prague Czech Republic
Nefrología Pediátrica Hospital de Cruces Baracaldo Spain
Nefrología Pediátrica Hospital Infantil Niño Jesús Madrid Spain
Servicio de Nefrología Hospital General de Elche Spain
Servicio de Pediatría Hospital Infantil Miguel Servet Zaragoza Spain
Unidad de Investigación Hospital Nuestra Señora de Candelaria Santa Cruz de Tenerife Spain
Unidad de Nefrología Hemodialisis Hospital de Poniente Almeria Spain
Unidad de Nefrología Hospital Son Llàtzer Palma de Mallorca Spain
Unidad de Nefrología Pediátrica Hospital Materno Infantil Badajoz Spain
Unidad de Nefrología Pediatrica Hospital Nuestra Señora de Candelaria Santa Cruz de Tenerife Spain
References provided by Crossref.org
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- $a BACKGROUND: Renal hypouricemia (RHUC), a rare inherited disorder characterized by impaired uric acid (UA) reabsorption in the proximal tubule, is caused by mutations in SLC22A12 or SLC2A9. Most mutations have been identified in Japanese patients, and only a few have been detected in Europeans. METHODS: We report clinical, biochemical and genetics findings of fourteen Spanish patients, six Caucasians and eight of Roma ethnia, diagnosed with idiopathic RHUC. Two of the patients presented exercise-induced acute renal failure and another one had several episodes of nephrolithiasis and four of them had progressive deterioration of renal function, while the rest were asymptomatic. RESULTS: Molecular analysis revealed SLC22A12 mutations in ten of the patients, and SLC2A9 mutations in the other four. A new heterozygous SLC22A12 missense mutation, c.1427C>A (p.A476D), was identified in two affected members of the same family. The rest of the patients presented homozygous, heterozygous or compound heterozygous mutations that have been previously identified in patients with RHUC; SLC22A12 p.T467M and p.L415_G417del, and SLC2A9 p.T125M. Expression studies in Xenopus oocytes revealed that c.1427C>A reduced UA transport but did not alter the location of URAT1 protein on the plasma membrane. CONCLUSIONS: The biochemical and clinical features of our patients together with the genetic analysis results confirmed the diagnosis of RHUC. This is the first report describing SLC22A12 and SLC2A9 mutations in Spanish patients.
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