Table 2.

Nonsyndromic Genetic SRNS: Genes and Distinguishing Clinical Features

Gene 1MOI% of All
Nonsyndromic
SRNS
Typical Age at Onset of SRNSReference
ACTN4 AD~1%Usually late (adult)OMIM 603278
ANKFY1 <1%ChildhoodOMIM 607927
ANLN AD<1%Mainly late (adult)OMIM 616032
APOL1 Risk alleleNo data 2↑ susceptibility in African Americans, Hispanic Americans, & persons of African descentOMIM 612551
ARHGAP24 AR<1%Mainly late (adult)OMIM 610586
CD2AP AD/AR<1%Childhood & adultOMIM 607832
COL4A3 3
COL4A4 3
COL4A5 3
XL
AR
AD
Digenic
~10%-30% (esp if onset in/after 2nd decade)Mainly late (adolescent & adult) Gast et al [2016]
COQ8B 3
(ADCK4)
AR3%-5%Childhood & adultOMIM 615573
CRB2 3AR<1%ChildhoodOMIM 609720
GAPVD1 AR<1%ChildhoodOMIM 611714
INF2 3AD3%Mainly late (adolescent & adult)OMIM 613237
LAMA5 AR<1%ChildhoodOMIM 601033
LMX1B 3AD3%-5% (esp if onset in/after 2nd decade)Mainly late (adolescent & adult)OMIM 256020
MYO1E AR<1%ChildhoodOMIM 614131
NPHS1 AR10%-20% (≤50% in CNS)CNS (Finnish type) or childhood SRNSOMIM 602716
NPHS2 AR20%-30% (≤40% in CNS)CNS or childhood & adult SRNSOMIM 600995
NUP133 4AR<1%ChildhoodOMIM 607613
NUP160 4AR<1%ChildhoodOMIM 618178
NUP93 4, 5AR<1%ChildhoodOMIM 616892
PLCE1 AR3%CNS or childhood SNRSOMIM 610725
PTPRO AR<1%ChildhoodOMIM 614196
TBC1D8B XL<1%ChildhoodOMIM 301028
TRPC6 AD3%Childhood & adultOMIM 603965
TTC21B AR<1%Childhood & adult Nephronophthisis
WT1 3AD10%-20%CNS or childhood & adult SRNS WT1 Disorder
XPO5 AR<1%ChildhoodOMIM 607845

AD = autosomal dominant; AR = autosomal recessive; CNS = congenital nephrotic syndrome; MOI = mode of inheritance; SRNS = steroid-resistant nephrotic syndrome; XL = X-linked

1.

Genes are listed alphabetically

2.

13% of African Americans have the APOL1 high-risk genotype (2 risk alleles) and these individuals have a 3- to 30-fold increased risk of various forms of kidney disease; the frequency in individuals of European ancestry is unknown [Friedman & Pollak 2020].

3.

Also associated with syndromic genetic SRNS.

4.
5.

Preliminary data suggest that NUP93 may also be associated with syndromic genetic SRNS [Author, unpublished data].

From: Genetic Steroid-Resistant Nephrotic Syndrome Overview

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