Polycystic Disease of the Kidney

A number of genetic diseases cause significant morbidity and mortality due to renal cyst development and result in renal failure. The disorders range in severity from those causing neonatal death to mild cystic disease in old age.

Keywords: autosomal dominant polycystic kidney disease; autosomal recessive polycystic kidney disease; genetic disease; cyst; renal disease pathogenesis

Figure 1. Kidney from a patient with end-stage autosomal dominant polycystic kidney disease showing multiple fluid-filled cysts of varying sizes. The size marker is approximately the length of a normal adult kidney.
Figure 2. Diagram of the autosomal dominant polycystic kidney disease proteins, polycystin-1 and polycystin-2. See key for details of functional domains. PKD, polycystic kidney disease.
Figure 3. Section of neonatal kidney from a patient with autosomal recessive polycystic kidney disease. Several cysts can be seen lined with normal collecting duct epithelium. A number of normal tubules and a glomerulus can also be seen.
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 References
    European Polycystic Kidney Disease Consortium (1994) The polycystic kidney disease 1 gene encodes a 14 kb transcript and lies within a duplicated region on chromosome 16. Cell 77: 881–894.
    Hildebrandt F, Otto E, Rensing C et al. (1997) A novel gene encoding an SH3 domain protein is mutated in nephronophthisis type 1. Nature Genetics 17: 149–153.
    Hughes J, Ward CJ, Peral B et al. (1995) The polycystic kidney disease 1 (PKD1) gene encodes a novel protein with multiple cell recognition domains. Nature Genetics 10: 151–160.
    Lu W, Peissel B, Babakhanlou H et al. (1997) Perinatal lethality with kidney and pancreas defects in mice with a targetted Pkd1mutation. Nature Genetics 17: 179–181.
    Mochizuki T, Wu G, Hayashi T et al. (1996) PKD2, a gene for polycystic kidney disease that encodes an integral membrane protein. Science 272: 1339–1342.
    Qian F, Watnick TJ, Onuchic LF and Germino GG (1996) The molecular basis of focal cyst formation in human autosomal dominant polycystic kidney disease type 1. Cell 87: 979–987.
    Sampson JR, Maheshwar MM, Aspinwall R et al. (1997) Renal cystic disease in tuberous sclerosis: the role of the polycystic kidney disease 1 gene. American Journal of Human Genetics 61: 843–851.
    Ward CJ, Turley H, Ong ACM et al. (1996) Polycystin, the polycystic kidney disease 1 protein, is expressed by epithelial cells in fetal, adult and polycystic kidney. Proceedings of the National Academy of Sciences of the USA 93: 1524–1528.
    Wu G, D’Agati V, Cai Y et al. (1998) Somatic inactivation of Pkd2results in polycystic kidney disease. Cell 93: 177–188.
    Zerres K, Mücher G, Bachner L et al. (1994) Mapping of the gene for autosomal recessive polycystic kidney disease (ARPKD) to chromosome 6p21-cen. Nature Genetics 7: 429–432
 Further Reading
    Brook-Carter PT, Peral B, Ward CJ et al. (1994) Deletion of the TSC2and PKD1genes associated with severe infantile polycystic kidney disease – a contiguous gene syndrome. Nature Genetics 8: 328–332.
    Carone FA, Bacallao R and Kanwar YS (1994) Biology of polycystic kidney disease. Laboratory Investigations 70: 437–448.
    Dalgaard OZ (1957) Bilateral polycystic disease of the kidneys: a follow-up of two hundred and eighty-four patients and their families. Acta Medica Scandinavica 328: 1–251.
    book Davison AM, Cameron JS, Grünfeld J-P et al.(eds) (1998) Oxford Textbook of Clinical Nephrology, 2nd edn. Oxford: Oxford University Press.
    Fick GM and Gabow PA (1994) Hereditary and acquired cystic disease of the kidney. Kidney International 46: 951–964.
    Gabow PA (1990) Autosomal dominant polycystic kidney disease – more than a renal disease. American Journal of Kidney Disease 16: 403–413.
    Grantham JJ, Geiser JL and Evan AP (1987) Cyst formation and growth in autosomal dominant polycystic kidney disease. Kidney International 31: 1145–1152.
    Harris PC (1997) Autosomal dominant polycystic kidney disease: a genetic perspective. Nephrology 3: 387–395.
    book Watson ML and Torres VE (eds) (1996) Polycystic Kidney Disease. Oxford: Oxford University Press.
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Harris, PC(Apr 2001) Polycystic Disease of the Kidney. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0002124]