Frasier Syndrome
Gonadoblastoma
WT1 Proteins
Gonadal Dysgenesis
Genes, Wilms Tumor
Denys-Drash Syndrome
Glomerulosclerosis, Focal Segmental
Variants in the Wilms' tumor gene are associated with focal segmental glomerulosclerosis in the African American population. (1/11)
Wilms' tumor gene (WT1) is important for nephrogenesis and gonadal growth. WT1 mutations cause Denys-Drash and Frasier syndromes, which are characterized by glomerular scarring. To test whether genetic variations in WT1 and WIT1 (gene immediately 5' to WT1) associate with focal segmental glomerulosclerosis (FSGS), patients with biopsy-proven idiopathic and HIV-1-associated FSGS were enrolled in a multicenter study. We genotyped SNP rs6508 located in WIT1 exon 1, three SNPs (rs2301250, rs2301252, rs2301254) in the promoter shared by WT1 and WIT1, rs2234590 in exon 6, rs2234591 in intron 6, rs16754 in exon 7, and rs1799937 in intron 9 of WT1. Cases (n = 218) and controls (n = 281) were compared in the African American population. Stratification by HIV-1 infection status showed that SNPs rs6508, rs2301254, and rs1799937 were significantly associated with FSGS [rs6508 odds ratio (OR) 1.82, P = 0.006; rs2301254 OR 1.65, P = 0.049; rs1799937 OR 1.91, P = 0.005] in the non-HIV-1 group and rs2234591 (OR 0.234, P = 0.011) in the HIV-1 group. Haplotype analyses in the population revealed that seven SNPs were associated with FSGS; five SNPs had the highest contingency score [-log10(P value) = 13.57] in the HIV-1 group. This association could not be explained by population substructure. We conclude that SNPs in WT1 and WIT1 genes are significantly associated with FSGS, suggesting that variants in these genes may mediate pathogenesis by altering WT1 function. Furthermore, HIV-1 infection status interacts with genetic variations in both genes to influence this phenotype. We speculate that nephropathy liability alleles in WT1 pathway genes cause podocyte dysfunction and glomerular scarring. (+info)Lack of puberty despite elevated estradiol in a 46,XY phenotypic female with Frasier syndrome. (2/11)
Frasier syndrome is characterized by slowly progressive nephropathy, male pseudohermaphroditism, streak gonad, and high risk of gonadoblastoma development. Here we report a case of a 46,XY phenotypic female with Frasier syndrome, who was under hemodialysis. While her serum estradiol level was gradually increasing annually, gonadotropin level was constantly extremely high, and her appearance was still prepubertal. She was heterozygous for a novel guanine>adenine point mutation at position +1 of the splice donor site within intron 9 (IVS 9 + 1G>A) of the Wilms' tumor 1 gene. The possibility of this disease should be taken into consideration whenever we encounter a patient with steroid-resistant nephrotic syndrome and delayed puberty. (+info)Frasier syndrome: a rare cause of delayed puberty. (3/11)
We report on a post-renal transplant patient who presented with delayed pubertal development at the age of 15 years. She had a normal female phenotype. Blood analysis showed hypergonadotropic hypogonadism. Her karyotype was 46,XY. DNA analysis showed a heterozygous mutation in the WT1 gene (C to T mutation at position +4 of the splice donor site within intron 9). A diagnosis of Frasier syndrome was made and she underwent laparoscopic gonadectomy. This case illustrates that, while delayed puberty is common in children with chronic illness, clinicians should be particularly aware of the possibility of Frasier syndrome in those with progressive glomerulopathy and delayed puberty. DNA analysis is a useful means of confirming the diagnosis. (+info)New insights into the function of the Wilms tumor suppressor gene WT1 in podocytes. (4/11)
(+info)Clinical and genetic findings of five patients with WT1-related disorders. (5/11)
(+info)Genetic analysis of fin development in zebrafish identifies furin and hemicentin1 as potential novel fraser syndrome disease genes. (6/11)
(+info)Genotype/phenotype correlation in nephrotic syndrome caused by WT1 mutations. (7/11)
(+info)Alternative splicing and its role in pathologies of the endocrine system. (8/11)
Alternative splicing of pre-mRNA is a process in which noncoding regions of primary transcript are removed and coding regions are joined in different manners to produce mRNA molecules of different sequences. Alternative splicing affects nearly all human genes and is a key source of diversity of proteins coded by a relatively small number of genes. Since alternative splicing is of crucial importance for the proper functioning of cells, including those involved in hormonal signalling, aberrations of alternative splicing can lead to disruption of cellular mechanisms and in consequence result in serious endocrine pathologies. Disturbances of alternative splicing include mutations of consensus splice regulatory sites and improprieties in the action of splicing factors, the proteins involved in regulating the process. In consequence of disturbed alternative splicing, improperly spliced mRNA and protein isoforms can be produced which can lead to disruption of function of their wild type counterparts. This review aims to discuss the role of alternative splicing in pathologies of the endocrine system and gives examples that highlight the importance of this process in the proper functioning of hormones, hormone receptors and other factors involved in hormonal regulation. The examples given include endocrine-related tumours (pituitary tumours, cancers of the thyroid, prostate, ovary and breast, and insulinoma), isolated growth hormone deficiency, and Frasier syndrome. Non-endocrine pathologies in which aberrant alternative splicing of transcripts of genes involved in hormonal signalling have been detected are also described. Finally, we discuss future perspectives on the possible usage of alternative splicing in diagnostics and therapy. (+info)I'm sorry for any confusion, but "Frasier Syndrome" is not a recognized medical condition or syndrome in the standard medical literature. It seems like it might be a term that is specific to a certain context or fictional work. In popular culture, "Frasier" is a television show about a character named Frasier Crane, and it's possible that "Frasier Syndrome" could refer to something within the realm of that fiction. However, without more specific information about where you encountered this term, I cannot provide an accurate definition.
Gonadoblastoma is a rare, typically benign, slow-growing tumor that primarily affects the gonads (ovaries or testes). It most commonly occurs in individuals with disorders of sexual development, particularly those with gonadal dysgenesis and a 46,XY karyotype. The tumor is composed of germ cells and sex cord stromal cells, which differentiate into various cell types found within the gonads.
Gonadoblastomas are usually asymptomatic and are often discovered incidentally during imaging studies or surgical procedures for other conditions. In some cases, they may produce hormones leading to precocious puberty or virilization. Although typically benign, there is a risk of malignant transformation into germ cell tumors such as dysgerminoma, seminoma, or teratoma. Regular follow-up and monitoring are essential for early detection and management of potential complications. Treatment usually involves surgical removal of the affected gonad.
Wilms' Tumor 1 (WT1) proteins are a group of transcription factors that play crucial roles in the development of the human body, particularly in the formation of the urinary and reproductive systems. The WT1 gene encodes these proteins, and mutations in this gene have been associated with several diseases, most notably Wilms' tumor, a type of kidney cancer in children.
WT1 proteins contain four domains: an N-terminal transcriptional activation domain, a zinc finger domain that binds to DNA, a nuclear localization signal, and a C-terminal transcriptional repression domain. These proteins regulate the expression of various target genes involved in cell growth, differentiation, and apoptosis (programmed cell death).
Abnormalities in WT1 protein function or expression have been linked to several developmental disorders, including Denys-Drash syndrome, Frasier syndrome, and Wilms' tumor. These conditions are characterized by genitourinary abnormalities, such as kidney dysplasia, ambiguous genitalia, and an increased risk of developing Wilms' tumor.
Gonadal dysgenesis is a condition characterized by the abnormal development of the gonads, which are the reproductive organs that produce sex hormones and gametes (sperm or eggs). In individuals with gonadal dysgenesis, the gonads may be underdeveloped, structurally abnormal, or completely absent. This condition can affect people of any gender and is often associated with other genetic disorders, such as Turner or Klinefelter syndromes.
The clinical presentation of gonadal dysgenesis varies widely depending on the severity of the disorder and the presence of other associated conditions. Some individuals may have normal sexual development and fertility, while others may experience delayed puberty, infertility, or ambiguous genitalia. Gonadal dysgenesis can also increase the risk of developing gonadal tumors, particularly in individuals with complete or partial absence of the gonads.
The diagnosis of gonadal dysgenesis is typically made through a combination of clinical evaluation, imaging studies, and genetic testing. Treatment may include hormone replacement therapy to support sexual development and prevent complications associated with hormonal imbalances. In some cases, surgical removal of the gonads may be recommended to reduce the risk of tumor development.
Wilms tumor (WT) genes, also known as WT1 and WT2, are tumor suppressor genes that play crucial roles in the normal development of the kidneys. Mutations or alterations in these genes can lead to the development of Wilms tumor, which is a type of kidney cancer that primarily affects children.
WT1 gene is located on chromosome 11p13 and encodes a transcription factor that regulates the expression of various genes involved in kidney development. Mutations in WT1 can lead to Wilms tumor, as well as other genetic disorders such as Denys-Drash syndrome and Frasier syndrome.
WT2 gene is located on chromosome 11p15 and encodes a zinc finger transcription factor that also plays a role in kidney development. Mutations in WT2 have been associated with an increased risk of Wilms tumor, as well as other genetic disorders such as Beckwith-Wiedemann syndrome.
It's worth noting that not all Wilms tumors are caused by mutations in WT1 or WT2 genes, and that other genetic and environmental factors may also contribute to the development of this type of cancer.
Denys-Drash Syndrome is a rare genetic disorder that affects the kidneys and genitalia. It is characterized by the development of Wilms' tumor, a type of kidney cancer, and abnormal genital development in males. The syndrome is caused by mutations in the WT1 gene, which plays a crucial role in the development of the kidneys and genitalia.
Individuals with Denys-Drash Syndrome typically have underdeveloped or absent male genitalia, and some may be born with ambiguous genitalia. They are also at an increased risk of developing Wilms' tumor, often during the first two years of life. In addition, many individuals with the syndrome develop kidney disease, which can progress to end-stage renal failure.
The management of Denys-Drash Syndrome typically involves close monitoring for the development of Wilms' tumor and kidney disease, as well as treatment with chemotherapy or radiation therapy if necessary. Kidney transplantation may also be required in cases of end-stage renal failure.
A syndrome, in medical terms, is a set of symptoms that collectively indicate or characterize a disease, disorder, or underlying pathological process. It's essentially a collection of signs and/or symptoms that frequently occur together and can suggest a particular cause or condition, even though the exact physiological mechanisms might not be fully understood.
For example, Down syndrome is characterized by specific physical features, cognitive delays, and other developmental issues resulting from an extra copy of chromosome 21. Similarly, metabolic syndromes like diabetes mellitus type 2 involve a group of risk factors such as obesity, high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that collectively increase the risk of heart disease, stroke, and diabetes.
It's important to note that a syndrome is not a specific diagnosis; rather, it's a pattern of symptoms that can help guide further diagnostic evaluation and management.
Focal segmental glomerulosclerosis (FSGS) is a pattern of kidney injury that involves scarring or sclerosis in some (segmental) areas of some (focal) glomeruli. Glomeruli are the tiny blood vessel clusters within the kidneys that filter waste and excess fluids from the blood.
In FSGS, the scarring occurs due to damage to the glomerular basement membrane, which can be caused by various factors such as genetic mutations, viral infections, or immune system disorders. The damage leads to the accumulation of extracellular matrix proteins and the formation of scar tissue, impairing the kidney's ability to filter blood effectively.
FSGS is characterized by proteinuria (protein in the urine), hematuria (blood in the urine), hypertension (high blood pressure), and declining kidney function, which can lead to end-stage renal disease if left untreated. The focal and segmental nature of the scarring means that not all glomeruli are affected, and only some areas of each affected glomerulus are damaged, making FSGS a highly variable condition with different clinical presentations and outcomes.