Genetic Diagnosis and Treatment of Inherited Renal Tubular Acidosis.

Kidney Dis (Basel)

Department of Nephrology, First Medical Center of Chinese PLA General Hospital, Chinese PLA Institute of Nephrology, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing, China.

Published: October 2023

AI Article Synopsis

  • Renal tubular acidosis (RTA) is a condition where the kidneys can't properly handle acid-base balance, leading to metabolic acidosis, and new genetic research is clarifying its hereditary aspects.
  • The paper reviews genetic factors, their effects on symptoms, and differences between types of inherited RTA, enhancing understanding for better diagnosis and treatment.
  • Key findings emphasize the importance of recognizing pathogenic genes and clinical manifestations to improve medical outcomes for individuals with inherited RTA.

Article Abstract

Background: Renal tubular acidosis (RTA) is caused by various disruptions to the secretion of H by distal renal tubules and/or dysfunctional reabsorption of HCO by proximal renal tubules, which causes renal acidification dysfunction, ultimately leading to a clinical syndrome characterized by hyperchloremic metabolic acidosis with a normal anion gap. With the development of molecular genetics and gene sequencing technology, inherited RTA has also attracted attention, and an increasing number of RTA-related pathogenic genes have been discovered and reported.

Summary: This paper focuses on the latest progress in the research of inherited RTA and systematically reviews the pathogenic genes, protein functions, clinical manifestations, internal relationship between genotypes and clinical phenotypes, diagnostic clues, differential diagnosis, and treatment strategies associated with inherited RTA. This paper aims to deepen the understanding of inherited RTA and reduce the missed diagnosis and misdiagnosis of RTA.

Key Messages: This review systematically summarizes the pathogenic genes, pathophysiological mechanisms, differential diagnosis, and treatment of different types of inherited RTA, which has good clinical value for guiding the diagnosis and treatment of inherited RTA.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601937PMC
http://dx.doi.org/10.1159/000531556DOI Listing

Publication Analysis

Top Keywords

inherited rta
24
diagnosis treatment
16
pathogenic genes
12
treatment inherited
8
renal tubular
8
tubular acidosis
8
renal tubules
8
differential diagnosis
8
inherited
7
rta
7

Similar Publications

Clinical management of liver cyst infections: an international, modified Delphi-based clinical decision framework.

Lancet Gastroenterol Hepatol

September 2024

European Reference Network RARE-LIVER, Hamburg, Germany; Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands; Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam, Netherlands. Electronic address:

Article Synopsis
  • - A study involving 24 medical specialists developed a clinical decision framework for managing liver cyst infections, which often require long-term hospitalization and can have serious consequences.
  • - The modified Delphi method involved three rounds of surveys and discussions to gather expert opinions on management strategies and define treatment outcomes, resulting in consensus on various aspects of the condition.
  • - The experts identified important indicators like fever and elevated C-reactive protein for treatment decisions, along with subclassifications of liver cyst infections, leading to 26 agreed-upon management statements and two treatment algorithms.
View Article and Find Full Text PDF

The absence of any organ of the facial region causes an asymmetrical appearance. This asymmetrical appearance can cause social dilemmas for the patient. The maxillofacial technician, the prosthodontist, and the patient must work closely together to fabricate an epithesis.

View Article and Find Full Text PDF

Refeeding syndrome is the potentially fatal shift in fluids and electrolytes that may occur in malnourished patients after receiving artificial refeeding. Its hallmark feature is hypophosphatemia, although other electrolytes might also be affected. Fanconi syndrome is a generalized dysfunction of the proximal tubule characterized by proximal renal tubular acidosis (RTA), phosphaturia, glycosuria, aminoaciduria, and proteinuria.

View Article and Find Full Text PDF

Genetic Diagnosis and Treatment of Inherited Renal Tubular Acidosis.

Kidney Dis (Basel)

October 2023

Department of Nephrology, First Medical Center of Chinese PLA General Hospital, Chinese PLA Institute of Nephrology, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing, China.

Article Synopsis
  • Renal tubular acidosis (RTA) is a condition where the kidneys can't properly handle acid-base balance, leading to metabolic acidosis, and new genetic research is clarifying its hereditary aspects.
  • The paper reviews genetic factors, their effects on symptoms, and differences between types of inherited RTA, enhancing understanding for better diagnosis and treatment.
  • Key findings emphasize the importance of recognizing pathogenic genes and clinical manifestations to improve medical outcomes for individuals with inherited RTA.
View Article and Find Full Text PDF

Distal renal tubular acidosis (RTA) is a common cause of renal stones and nephrocalcinosis in children. Distal RTA can be either acquired or congenital because of a genetic defect. Tuberous sclerosis complex is an autosomal dominant inherited neurocutaneous syndrome with variable renal involvement.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!