From gene to disease; Dent's disease caused by abnormalities in the CLCN5 and OCRL1 genes
Levtchenko, E.N.; Monnens, L.A.H.; Bökenkamp, A.; Knoers, N.V.
Nederlands Tijdschrift Voor Geneeskunde 151(43): 2377-2380
2007
ISSN/ISBN: 0028-2162 PMID: 18019214 Document Number: 613036
Dent's disease is an X-linked disorder, characterized by generalized proximal tubular dysfunction, nephrolithiasis, nephrocalcinosis and the development ofend-stage renal disease, generally occurring after the age of thirty. In the majority of cases, the disease is caused by mutations in the CLCN5-gene. The pathogenesis of the disease has not yet been clarified. Defective recycling of multi-ligand proximal tubular receptors megalin and cubilin is considered responsible for the defective reabsorption of low molecular weight proteins, albumin, hormones and vitamins. Treatment with thiazide diuretics to diminish the hypercalciuria in combination with citrate supplements might prevent renal stone formation and deterioration of renal function. In the laboratory ofDNA diagnostics in the Radboud University Nijmegen Medical Centre, the molecular analysis of the CLCN5-gene in patients suspected with this disease is performed.