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Epilepsy, Ataxia, Sensorineural Deafness, Tubulopathy, and KCNJ10 Mutations
Ist Teil von
The New England journal of medicine, 2009-05, Vol.360 (19), p.1960-1970
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2009
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Whole-genome linkage analysis in children with normotensive hypokalemic metabolic alkalosis, epilepsy, ataxia, sensorineural deafness, and tubulopathy identified a single relevant locus on chromosome 1q23.2 containing
KCNJ10,
which encodes a potassium channel expressed in the brain, inner ear, and kidney. The findings suggest that
KCNJ10
plays an important role in renal salt handling and perhaps also in the maintenance and regulation of blood pressure.
Whole-genome linkage analysis in children with normotensive hypokalemic metabolic alkalosis, epilepsy, ataxia, sensorineural deafness, and tubulopathy identified a single relevant locus on chromosome 1q23.2 containing
KCNJ10,
which encodes a potassium channel expressed in the brain, inner ear, and kidney.
The study of molecular defects in rare inherited renal tubular diseases has substantially advanced both our understanding of renal salt and water handling and the management of common disorders such as systemic hypertension.
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Two well-known disorders of renal tubular salt handling, Bartter's syndrome and the Gitelman syndrome, are characterized by polyuria and normotensive hypokalemic metabolic alkalosis. We describe five children with similar clinical findings, as well as infantile-onset seizures, ataxia, and sensorineural deafness. We determined the genetic basis of this disease and the pathophysiological mechanism accounting for its seemingly divergent clinical manifestations.
Methods
Genotyping and Linkage Analysis
Genetic studies . . .