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Decreased numbers of nephrons

MedGen UID:
436031
Concept ID:
C2673888
Finding
Synonyms: Decreased number of nephrons; Oligonephronia
 
HPO: HP:0005563

Definition

A reduction in the count of nephrons per kidney. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDecreased numbers of nephrons

Conditions with this feature

Renal cysts and diabetes syndrome
MedGen UID:
96569
Concept ID:
C0431693
Disease or Syndrome
The 17q12 recurrent deletion syndrome is characterized by variable combinations of the three following findings: structural or functional abnormalities of the kidney and urinary tract, maturity-onset diabetes of the young type 5 (MODY5), and neurodevelopmental or neuropsychiatric disorders (e.g., developmental delay, intellectual disability, autism spectrum disorder, schizophrenia, anxiety, and bipolar disorder). Using a method of data analysis that avoids ascertainment bias, the authors determined that multicystic kidneys and other structural and functional kidney anomalies occur in 85% to 90% of affected individuals, MODY5 in approximately 40%, and some degree of developmental delay or learning disability in approximately 50%. MODY5 is most often diagnosed before age 25 years (range: age 10-50 years).
Congenital anomalies of kidney and urinary tract syndrome with or without hearing loss, abnormal ears, or developmental delay
MedGen UID:
1612119
Concept ID:
C4539968
Disease or Syndrome
CAKUTHED is an autosomal dominant highly pleiotropic developmental disorder characterized mainly by variable congenital anomalies of the kidney and urinary tract, sometimes resulting in renal dysfunction or failure, dysmorphic facial features, and abnormalities of the outer ear, often with hearing loss. Most patients have global developmental delay (summary by Heidet et al., 2017 and Slavotinek et al., 2017).

Professional guidelines

PubMed

Kalmár T, Turkevi-Nagy S, Bitó L, Kaiser L, Maróti Z, Jakab D, Letoha A, Légrády P, Iványi B
Int J Mol Sci 2023 Dec 14;24(24) doi: 10.3390/ijms242417489. PMID: 38139322Free PMC Article
Yu H, Tang H, Wang M, Xu Q, Yu J, Ge H, Qiang L, Tang W, Gu HF
Biomed Pharmacother 2023 Dec 31;169:115899. Epub 2023 Nov 18 doi: 10.1016/j.biopha.2023.115899. PMID: 37984306
Bichet DG
Eur J Endocrinol 2020 Aug;183(2):R29-R40. doi: 10.1530/EJE-20-0114. PMID: 32580146

Recent clinical studies

Etiology

Shankland SJ, Rule AD, Kutz JN, Pippin JW, Wessely O
Kidney360 2023 Dec 1;4(12):1784-1793. Epub 2023 Oct 31 doi: 10.34067/KID.0000000000000284. PMID: 37950369Free PMC Article
Kitai Y, Nangaku M, Yanagita M
Contrib Nephrol 2021;199:266-273. Epub 2021 Aug 3 doi: 10.1159/000517708. PMID: 34343996
Hommos MS, Glassock RJ, Rule AD
J Am Soc Nephrol 2017 Oct;28(10):2838-2844. Epub 2017 Aug 8 doi: 10.1681/ASN.2017040421. PMID: 28790143Free PMC Article
Glassock RJ, Rule AD
Nephron 2016;134(1):25-9. Epub 2016 Apr 7 doi: 10.1159/000445450. PMID: 27050529
Denic A, Glassock RJ, Rule AD
Adv Chronic Kidney Dis 2016 Jan;23(1):19-28. doi: 10.1053/j.ackd.2015.08.004. PMID: 26709059Free PMC Article

Diagnosis

Çaliskan S, Özsoy E, Kaba S, Koca O, Öztürk MI
Arch Iran Med 2016 Oct;19(10):712-714. PMID: 27743436
Glassock RJ, Rule AD
Nephron 2016;134(1):25-9. Epub 2016 Apr 7 doi: 10.1159/000445450. PMID: 27050529
Denic A, Glassock RJ, Rule AD
Adv Chronic Kidney Dis 2016 Jan;23(1):19-28. doi: 10.1053/j.ackd.2015.08.004. PMID: 26709059Free PMC Article
Patard JJ
Curr Opin Urol 2009 Sep;19(5):454-8. doi: 10.1097/MOU.0b013e32832f0ccd. PMID: 19571758
Becker A, Baum M
Early Hum Dev 2006 Jan;82(1):15-22. Epub 2006 Jan 10 doi: 10.1016/j.earlhumdev.2005.11.002. PMID: 16377104

Therapy

Haruhara K, Kanzaki G, Tsuboi N
Hypertens Res 2023 Feb;46(2):299-310. Epub 2022 Oct 12 doi: 10.1038/s41440-022-01061-5. PMID: 36224286Free PMC Article
Kim Y, Lim JH, Kim MY, Kim EN, Yoon HE, Shin SJ, Choi BS, Kim YS, Chang YS, Park CW
J Am Soc Nephrol 2018 Apr;29(4):1108-1127. Epub 2018 Jan 12 doi: 10.1681/ASN.2017060627. PMID: 29330340Free PMC Article
Schmitt R, Melk A
Kidney Int 2017 Sep;92(3):569-579. Epub 2017 Jul 18 doi: 10.1016/j.kint.2017.02.036. PMID: 28729036
Luft FC
Curr Opin Nephrol Hypertens 2004 Mar;13(2):147-54. doi: 10.1097/00041552-200403000-00002. PMID: 15202608
Fillastre JP, Raguenez-Viotte G
Toxicol Lett 1989 Mar;46(1-3):163-75. doi: 10.1016/0378-4274(89)90125-2. PMID: 2650023

Prognosis

Hoogenboom LA, Wolfs TGAM, Hütten MC, Peutz-Kootstra CJ, Schreuder MF
Pediatr Nephrol 2021 Jul;36(7):1673-1681. Epub 2020 Sep 3 doi: 10.1007/s00467-020-04712-2. PMID: 32880745Free PMC Article
Schutter R, Lantinga VA, Borra RJH, Moers C
MAGMA 2020 Feb;33(1):49-61. Epub 2019 Dec 26 doi: 10.1007/s10334-019-00813-8. PMID: 31879853
Ntrinias T, Papasotiriou M, Balta L, Kalavrizioti D, Vamvakas S, Papachristou E, Goumenos DS
Pril (Makedon Akad Nauk Umet Odd Med Nauki) 2019 Dec 1;40(3):27-39. doi: 10.2478/prilozi-2020-0002. PMID: 32109222
Glassock RJ, Rule AD
Nephron 2016;134(1):25-9. Epub 2016 Apr 7 doi: 10.1159/000445450. PMID: 27050529
Patard JJ
Curr Opin Urol 2009 Sep;19(5):454-8. doi: 10.1097/MOU.0b013e32832f0ccd. PMID: 19571758

Clinical prediction guides

Rao VS, Ivey-Miranda JB, Cox ZL, Moreno-Villagomez J, Maulion C, Bellumkonda L, Chang J, Field MP, Wiederin DR, Butler J, Collins SP, Turner JM, Wilson FP, Inzucchi SE, Wilcox CS, Ellison DH, Testani JM
J Am Soc Nephrol 2024 Feb 1;35(2):189-201. Epub 2023 Dec 11 doi: 10.1681/ASN.0000000000000269. PMID: 38073038Free PMC Article
Kitakado H, Horinouchi T, Masuda C, Kondo A, Nagai S, Aoto Y, Sakakibara N, Ninchoji T, Yoshikawa N, Nozu K
Pediatr Nephrol 2023 Mar;38(3):757-762. Epub 2022 Jul 21 doi: 10.1007/s00467-022-05687-y. PMID: 35861872
Kitai Y, Nangaku M, Yanagita M
Contrib Nephrol 2021;199:266-273. Epub 2021 Aug 3 doi: 10.1159/000517708. PMID: 34343996
Patard JJ
Curr Opin Urol 2009 Sep;19(5):454-8. doi: 10.1097/MOU.0b013e32832f0ccd. PMID: 19571758
Fillastre JP, Raguenez-Viotte G
Toxicol Lett 1989 Mar;46(1-3):163-75. doi: 10.1016/0378-4274(89)90125-2. PMID: 2650023

Recent systematic reviews

Stewart A, Brion LP, Ambrosio-Perez I
Cochrane Database Syst Rev 2011 Sep 7;2011(9):CD001817. doi: 10.1002/14651858.CD001817.pub2. PMID: 21901679Free PMC Article
Brion LP, Primhak RA, Ambrosio-Perez I
Cochrane Database Syst Rev 2002;(1):CD001817. doi: 10.1002/14651858.CD001817. PMID: 11869608
Brion LP, Primhak RA, Ambrosio-Perez I
Cochrane Database Syst Rev 2000;(3):CD001817. doi: 10.1002/14651858.CD001817. PMID: 10908511
Brion LP, Primhak RA, Ambrosio-Perez I
Cochrane Database Syst Rev 2000;(2):CD001817. doi: 10.1002/14651858.CD001817. PMID: 10796274

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