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Table 3 Summary of WT1-related glomerulopathy presenting an atypical hemolytic uremic syndrome or thrombotic microangiopathy phenotype

From: Immune-complex glomerulonephritis with a membranoproliferative pattern in Frasier syndrome: a case report and review of the literature

Literature

Clinical diagnosis

Phenotype /Karyotype

WT1 mutation

NS onset

(m)

ESRD

(age)

Renal histology

Tumor features

Initial diagnosis (age)

Follow-up

Other features

Alge JL (2017) [18]

DDS

Female, 46XX

p.Arg467Trp

8

NA

aHUS

 

CFH H3 allele

 

Sherbotie JR (2000) [19]

DDS

Male, 46XY

p.Thr475fs

13

2.5 yr

aHUS

no recurrence after Tx

 

Intralobar nephrogenic rest

 

DDS

Male, 46XY

p.Arg467Trp

16

5 yr

aHUS

no recurrence after Tx

HT

 

Manivel JC (1987) [20]

DDS

Male, 46XY

ND

26

32 m

MPGN +

chronic HUS

 

GB, HT

Nephrectomy and gonadectomy at age 32 m

  1. WT1 Wilms tumor suppressor gene, NS nephrotic syndrome, ESRD end-stage renal disease, DDS Denys-Drash syndrome, NA not applicable, aHUS atypical hemolytic uremic syndrome, CFH complement factor H, Tx treatment, HT hypertension, ND not determined, MPGN membranoproliferative glomerulonephritis, HUS hemolytic uremic syndrome, GB gonadoblastoma.
  2. The WT1 variants are shown based on the reference sequence of the longest isoform D transcript of WT1 (NM_024426.6) and the recommendation of variant nomenclature from the Human Genome Variation Society. The p.Arg467Trp variant was originally reported p.Arg394Trp and other alternate variant designations (e.q., c.1384C>T, 1180C>T, p.Arg462Trp). The p.Thr475fs was originally reported as p.Thr402fs