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Noninvasive Immunohistochemical Diagnosis and Novel MUC1 Mutations Causing Autosomal Dominant Tubulointerstitial Kidney Disease
M. Živná, K. Kidd, A. Přistoupilová, V. Barešová, M. DeFelice, B. Blumenstiel, M. Harden, P. Conlon, P. Lavin, DM. Connaughton, H. Hartmannová, K. Hodaňová, V. Stránecký, A. Vrbacká, P. Vyleťal, J. Živný, M. Votruba, J. Sovová, H. Hůlková, V....
Language English Country United States
Document type Journal Article, Multicenter Study, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't
Grant support
NV17-29786A
MZ0
CEP Register
Digital library NLK
Full text - Article
NLK
Free Medical Journals
from 1990 to 1 year ago
PubMed Central
from 2008 to 1 year ago
Europe PubMed Central
from 2008 to 1 year ago
Open Access Digital Library
from 1990-07-01
- MeSH
- Genetic Predisposition to Disease epidemiology MeSH
- Risk Assessment MeSH
- Immunohistochemistry MeSH
- Incidence MeSH
- Biopsy, Needle MeSH
- Humans MeSH
- Mucin-1 genetics MeSH
- Mutation genetics MeSH
- Polycystic Kidney, Autosomal Dominant genetics mortality pathology MeSH
- Prognosis MeSH
- Registries MeSH
- Retrospective Studies MeSH
- Pedigree MeSH
- Case-Control Studies MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Research Support, Non-U.S. Gov't MeSH
- Research Support, N.I.H., Extramural MeSH
BACKGROUND: Autosomal dominant tubulointerstitial kidney disease caused by mucin-1 gene (MUC1) mutations (ADTKD-MUC1) is characterized by progressive kidney failure. Genetic evaluation for ADTKD-MUC1 specifically tests for a cytosine duplication that creates a unique frameshift protein (MUC1fs). Our goal was to develop immunohistochemical methods to detect the MUC1fs created by the cytosine duplication and, possibly, by other similar frameshift mutations and to identify novel MUC1 mutations in individuals with positive immunohistochemical staining for the MUC1fs protein. METHODS: We performed MUC1fs immunostaining on urinary cell smears and various tissues from ADTKD-MUC1-positive and -negative controls as well as in individuals from 37 ADTKD families that were negative for mutations in known ADTKD genes. We used novel analytic methods to identify MUC1 frameshift mutations. RESULTS: After technique refinement, the sensitivity and specificity for MUC1fs immunostaining of urinary cell smears were 94.2% and 88.6%, respectively. Further genetic testing on 17 families with positive MUC1fs immunostaining revealed six families with five novel MUC1 frameshift mutations that all predict production of the identical MUC1fs protein. CONCLUSIONS: We developed a noninvasive immunohistochemical method to detect MUC1fs that, after further validation, may be useful in the future for diagnostic testing. Production of the MUC1fs protein may be central to the pathogenesis of ADTKD-MUC1.
Broad Institute of Harvard and Massachusetts Institute of Technology Cambridge Massachusetts
Department of Medicine Harvard Medical School Boston Massachusetts
Department of Nephrology Beaumont Hospital Dublin Ireland Royal College of Surgeons Dublin Ireland
Department of Paediatrics 2nd Faculty of Medicine Charles University Prague Czech Republic
Institute of Pathophysiology 1st Faculty of Medicine
Nephrology Department Institute for Clinical and Experimental Medicine Prague Czech Republic
Section on Nephrology Wake Forest School of Medicine Winston Salem North Carolina
Trinity Health Kidney Centre Tallaght Hospital Dublin Ireland
References provided by Crossref.org
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