KEGG   DISEASE: Alport syndrome
Entry
H00581                      Disease                                
Name
Alport syndrome
Description
Alport syndrome (ATS) is a hereditary hematuric nephropathy with frequent hearing loss and ocular anomalies. Defects of basement membranes arise from mutations in alpha 3, alpha 4, and alpha 5 type IV collagen chains. The mode of inheritance is either X-linked or autosomal recessive, although autosomal dominant form has been observed in a few families. Male patients with X-linked Alport syndrome suffer from severe renal symptoms that progress to end-stage renal disease associated with deafness which starts during the first decade of life, and ocular lesions including anterior lenticonus. Autosomal recessive Alport syndrome is usually severe, showing progressive nephritis and hearing impairment.
Category
Congenital malformation
Brite
Human diseases in ICD-11 classification [BR:br08403]
 20 Developmental anomalies
  Multiple developmental anomalies or syndromes
   LD2H  Syndromic genetic deafness
    H00581  Alport syndrome
Pathway-based classification of diseases [BR:br08402]
 Cellular process
  nt06539  Cytoskeleton in muscle cells
   H00581  Alport syndrome
Pathway
hsa04820  Cytoskeleton in muscle cells
hsa04510  Focal adhesion
hsa04512  ECM-receptor interaction
hsa04151  PI3K-Akt signaling pathway
Network
nt06539 Cytoskeleton in muscle cells
Gene
(ATS1) COL4A5 [HSA:1287] [KO:K06237]
(ATS2) COL4A4 [HSA:1286] [KO:K06237]
(ATS3A_3B) COL4A3 [HSA:1285] [KO:K06237]
Other DBs
ICD-11: LD2H.Y
ICD-10: Q87.8
MeSH: D009394
OMIM: 301050 203780 104200 620536
Reference
  Authors
Kashtan CE, Segal Y
  Title
Genetic disorders of glomerular basement membranes.
  Journal
Nephron Clin Pract 118:c9-c18 (2011)
DOI:10.1159/000320876
Reference
  Authors
Heidet L, Gubler MC
  Title
The renal lesions of Alport syndrome.
  Journal
J Am Soc Nephrol 20:1210-5 (2009)
DOI:10.1681/ASN.2008090984
Reference
PMID:2349482 (ATS1)
  Authors
Barker DF, Hostikka SL, Zhou J, Chow LT, Oliphant AR, Gerken SC, Gregory MC, Skolnick MH, Atkin CL, Tryggvason K
  Title
Identification of mutations in the COL4A5 collagen gene in Alport syndrome.
  Journal
Science 248:1224-7 (1990)
DOI:10.1126/science.2349482
Reference
PMID:7987396 (ATS2 ATS3B)
  Authors
Mochizuki T, Lemmink HH, Mariyama M, Antignac C, Gubler MC, Pirson Y, Verellen-Dumoulin C, Chan B, Schroder CH, Smeets HJ, et al.
  Title
Identification of mutations in the alpha 3(IV) and alpha 4(IV) collagen genes in autosomal recessive Alport syndrome.
  Journal
Nat Genet 8:77-81 (1994)
DOI:10.1038/ng0994-77
Reference
PMID:11044206 (ATS3A)
  Authors
van der Loop FT, Heidet L, Timmer ED, van den Bosch BJ, Leinonen A, Antignac C, Jefferson JA, Maxwell AP, Monnens LA, Schroder CH, Smeets HJ
  Title
Autosomal dominant Alport syndrome caused by a COL4A3 splice site mutation.
  Journal
Kidney Int 58:1870-5 (2000)
DOI:10.1111/j.1523-1755.2000.00358.x

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