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
hsa04510  Focal adhesion
hsa04512  ECM-receptor interaction
hsa04151  PI3K-Akt signaling pathway
Gene
(ATS1) COL4A5 [HSA:1287] [KO:K06237]
(ATS2) COL4A4 [HSA:1286] [KO:K06237]
(ATS2_3) COL4A3 [HSA:1285] [KO:K06237]
Other DBs
ICD-11: LD2H.Y
ICD-10: Q87.8
MeSH: D009394
OMIM: 301050 203780 104200
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:20378821 (ATS1)
  Authors
Bekheirnia MR, Reed B, Gregory MC, McFann K, Shamshirsaz AA, Masoumi A, Schrier RW
  Title
Genotype-phenotype correlation in X-linked Alport syndrome.
  Journal
J Am Soc Nephrol 21:876-83 (2010)
DOI:10.1681/ASN.2009070784
Reference
PMID:24052634 (ATS2)
  Authors
Storey H, Savige J, Sivakumar V, Abbs S, Flinter FA
  Title
COL4A3/COL4A4 mutations and features in individuals with autosomal recessive Alport syndrome.
  Journal
J Am Soc Nephrol 24:1945-54 (2013)
DOI:10.1681/ASN.2012100985
Reference
PMID:11044206 (ATS3)
  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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