Renal Mitochondrial Cytopathies

Renal diseases in mitochondrial cytopathies are a group of rare diseases that are characterized by frequent multisystemic involvement and extreme variability of phenotype. Most frequently patients present a tubular defect that is consistent with complete De Toni-Debré-Fanconi syndrome in most severe...

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Main Authors: Francesco Emma, Giovanni Montini, Leonardo Salviati, Carlo Dionisi-Vici
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.4061/2011/609213
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author Francesco Emma
Giovanni Montini
Leonardo Salviati
Carlo Dionisi-Vici
author_facet Francesco Emma
Giovanni Montini
Leonardo Salviati
Carlo Dionisi-Vici
author_sort Francesco Emma
collection DOAJ
description Renal diseases in mitochondrial cytopathies are a group of rare diseases that are characterized by frequent multisystemic involvement and extreme variability of phenotype. Most frequently patients present a tubular defect that is consistent with complete De Toni-Debré-Fanconi syndrome in most severe forms. More rarely, patients present with chronic tubulointerstitial nephritis, cystic renal diseases, or primary glomerular involvement. In recent years, two clearly defined entities, namely 3243 A > G tRNALEU mutations and coenzyme Q10 biosynthesis defects, have been described. The latter group is particularly important because it represents the only treatable renal mitochondrial defect. In this paper, the physiopathologic bases of mitochondrial cytopathies, the diagnostic approaches, and main characteristics of related renal diseases are summarized.
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spelling doaj-art-c50e8786d6664b4fa0a32d4eeb88fbd92025-08-20T03:23:04ZengWileyInternational Journal of Nephrology2090-214X2090-21582011-01-01201110.4061/2011/609213609213Renal Mitochondrial CytopathiesFrancesco Emma0Giovanni Montini1Leonardo Salviati2Carlo Dionisi-Vici3Division of Nephrology and Dialysis, Department of Nephrology and Urology, Bambino Gesù Children's Hospital and Research Institute, piazza Sant'Onofrio 4, 00165 Rome, ItalyNephrology and Dialysis Unit, Pediatric Department, Azienda Ospedaliera di Bologna, 40138 Bologna, ItalyClinical Genetics Unit, Department of Pediatrics, University of Padova, 35128 Padova, ItalyDivision of Metabolic Diseases, Department of Pediatric Medicine, Bambino Gesù Children's Hospital and Research Institute, 00165 Rome, ItalyRenal diseases in mitochondrial cytopathies are a group of rare diseases that are characterized by frequent multisystemic involvement and extreme variability of phenotype. Most frequently patients present a tubular defect that is consistent with complete De Toni-Debré-Fanconi syndrome in most severe forms. More rarely, patients present with chronic tubulointerstitial nephritis, cystic renal diseases, or primary glomerular involvement. In recent years, two clearly defined entities, namely 3243 A > G tRNALEU mutations and coenzyme Q10 biosynthesis defects, have been described. The latter group is particularly important because it represents the only treatable renal mitochondrial defect. In this paper, the physiopathologic bases of mitochondrial cytopathies, the diagnostic approaches, and main characteristics of related renal diseases are summarized.http://dx.doi.org/10.4061/2011/609213
spellingShingle Francesco Emma
Giovanni Montini
Leonardo Salviati
Carlo Dionisi-Vici
Renal Mitochondrial Cytopathies
International Journal of Nephrology
title Renal Mitochondrial Cytopathies
title_full Renal Mitochondrial Cytopathies
title_fullStr Renal Mitochondrial Cytopathies
title_full_unstemmed Renal Mitochondrial Cytopathies
title_short Renal Mitochondrial Cytopathies
title_sort renal mitochondrial cytopathies
url http://dx.doi.org/10.4061/2011/609213
work_keys_str_mv AT francescoemma renalmitochondrialcytopathies
AT giovannimontini renalmitochondrialcytopathies
AT leonardosalviati renalmitochondrialcytopathies
AT carlodionisivici renalmitochondrialcytopathies