2021, Number 2
<< Back Next >>
Rev Nefrol Dial Traspl 2021; 41 (2)
Frasier syndrome: ambiguous genitalia and end-stage chronic kidney disease in childhood. Case report
Aralde A, Montanari D, Fernández SA, Barros MI, Gargiulo C
Language: Spanish
References: 15
Page: 130-134
PDF size: 449.27 Kb.
ABSTRACT
We report the case of a patient with
Frasier syndrome: nephropathy,
gonadal dysgenesis and progressive
and severe kidney damage during
childhood. Frasier syndrome is a
rare disorder that causes end-stage
chronic kidney disease, usually
in young adults, second or third
decades of life. Nephropathy
presents with proteinuria, beginning
during childhood, occasionally with
nephrotic syndrome; its characteristic
histological lesion is a focal segmental
glomerulosclerosis, resistant to
treatment with corticosteroids and/
or immunosuppressants. Frasier
syndrome is caused by mutations in
the Wilms’ tumor suppressor gene, or
WT1 gene, located on the short arm
of chromosome 11: Cr11p23.
REFERENCES
Barbaux S, Niaudet P, Gubler MC, Grünfeld JP,Jaubert F, Kuttenn F, et al. Donor splice-site mutationsin WT1 are responsible for Frasier syndrome. NatGenet. 1997;17(4):467-70. doi: 10.1038/ng1297-467.
Frasier SD, Bashore RA, Mosier HD. Gonadoblastomaassociated with pure gonadal dysgenesis in monozygoustwins. J Pediatr. 1964;64:740-5. doi: 10.1016/s0022-3476(64)80622-3.
Berta P, Morin D, Poulat F, Taviaux S, LobaccaroJM, Sultan C, et al. Molecular analysis of thesex-determining region from the Y chromosomein two patients with Frasier syndrome. Horm Res.1992;37(3):103-6. doi: 10.1159/000182291.
Blanchet P, Daloze P, Lesage R, Papas S,Van Campenhout J. XY gonadal dysgenesiswith gonadoblastoma discovered after kidneytransplantation. Am J Obstet Gynecol. 1977;129(2):221-2. doi: 10.1016/0002-9378(77)90751-7.
Klamt B, Koziell A, Poulat F, Wieacker P, Scambler P,Berta P, et al. Frasier syndrome is caused by defectivealternative splicing of WT1 leading to an altered ratioof WT1 +/-KTS splice isoforms. Hum Mol Genet.1998;7(4):709-14. doi: 10.1093/hmg/7.4.709.
Hernández Fernández RA. El tumor de Wilms. Unparadigma de heterogeneidad genética. Rev HabanCienc Méd. 2011;10(2):213-23.
Moorthy AV, Chesney RW, Lubinsky M. Chronicrenal failure and XY gonadal dysgenesis: “Frasier”síndrome. A commentary on reported cases. Am JMed Genet Suppl. 1987;3:297-302. doi: 10.1002/ajmg.1320280535.
Melo KF, Martin RM, Costa EM, Carvalho FM, JorgeAA, Arnhold IJ, et al. An unusual phenotype of Frasiersyndrome due to IVS9 +4C>T mutation in the WT1gene: predominantly male ambiguous genitalia andabsence of gonadal dysgenesis. J Clin Endocrinol Metab.2002;87(6):2500-5. doi: 10.1210/jcem.87.6.8521.
Pelletier J, Bruening W, Kashtan CE, Mauer SM,Manivel JC, Striegel JE, et al. Germline mutations inthe Wilms’ tumor suppressor gene are associated withabnormal urogenital development in Denys-Drashsyndrome. Cell. 1991;67(2):437-47. doi: 10.1016/0092-8674(91)90194-4.
Poulat F, Morin D, König A, Brun P, Giltay J, SultanC, et al. Distinct molecular origins for Denys-Drashand Frasier syndromes. Hum Genet. 1993;91(3):285-6.doi: 10.1007/BF00218274.
Comité de Nefrología, Sociedad Argentina de Pediatría.Consenso de tratamiento del síndrome nefrótico en lainfancia. Arch Argent Pediatr. 2014;112(3):277-84. doi:10.5546/aap.2014.277.
Kidney Disease: improvement global outcome(KDIGO), the 15th Congress of the InternationalPediatric Nephrology Association (IPNA), held onAugust 29–September 2, 2010, NY, USA.
De la Hoz Mendoza IR, Santana Fontalvo MM.Síndrome nefrótico resistente a corticoides en pediatría,actualización. Biociencias. 2016;11(2):17-28.
Bache M, Dheu C, Doray B, Fothergill H, Soskin S,Paris F, et al. Frasier syndrome, a potential cause ofend-stage renal failure in childhood. Pediatr Nephrol.2010;25(3):549-52. doi: 10.1007/s00467-009-1343-2.
Buzi F, Mella P, Pilotta A, Felappi B, Camerino G,Notarangelo LD. Frasier syndrome with childhoodonsetrenal failure. Horm Res. 2001;55(2):77-80. doi:10.1159/000049974.