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ANKS6 Variants Underlie Polycystic Kidneys in Prenatal and Neonatal Cases

Lookup NU author(s): Dr Holly MabillardORCiD, Professor John SayerORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2024 by the authors. Background: Nephronophthisis (NPHP) is an autosomal recessive genetic disorder that can cause early-onset kidney failure. ANKS6 plays an important role in early kidney development and encodes a protein that interacts with other proteins within the primary cilium. ANKS6 mutations are known to cause nephronophthisis 16 (NPHP-16). Little is known regarding fetal ultrasound imaging and the antenatal diagnosis of fetuses with ANKS6-associated kidney disease. Here, we report the detection of ANKS6 variants in consanguineous families with polycystic kidney antenatally and in the early stages of life. Methods: Three unrelated Saudi Arabian patients (two prenatal patients and one neonate) were investigated. These cases were referred to the hospital due to the presence of echogenic kidneys on antenatal scanning. After clinical and phenotypic evaluation, whole-exome sequencing (WES) was performed on the cord and peripheral blood to identify the molecular genetic causes associated with the echogenic kidney phenotypes. Results: Two homozygous sequence variants were detected in ANKS6. The homozygous missense novel variant ANKS6: c.1159A>C was detected in Families 1 and 2. In the third family, the known homozygous loss-of-function variant ANKS6: c.907+2T>A was detected. Conclusions: We identified homozygous ANKS6 variants in three families presenting with antenatal polycystic kidney disease. The findings provide an expanded clinical presentation of ANKS6 and emphasize the utility of WES in the diagnosis of echogenic kidneys in prenatal settings.


Publication metadata

Author(s): Almohlesy LS, Imtiaz F, Tulbah M, Alhashem A, Alhajooj M, Alhashem A, Mabillard H, Sayer JA, Alharbi KK, Al-Hamed MH

Publication type: Article

Publication status: Published

Journal: Genes

Year: 2024

Volume: 15

Issue: 11

Online publication date: 25/10/2024

Acceptance date: 21/10/2024

Date deposited: 09/12/2024

ISSN (electronic): 2073-4425

Publisher: MDPI

URL: https://doi.org/10.3390/genes15111374

DOI: 10.3390/genes15111374

Data Access Statement: All data generated during this study are included in this published article.


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Funding

Funder referenceFunder name
MR/V028723/1
MRC
MR/Y007808/1
Saudi NIH (SNIHRO-HRT01-2301-35369146)

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