Evidence map›Paper›PMID 30376835›Full record

ArticleBMC nephrology2018

Autosomal dominant tubulointerstitial kidney disease-UMOD is the most frequent non polycystic genetic kidney disease.

Christine Gast, Anthony Marinaki, Monica Arenas-Hernandez, Sara Campbell, Eleanor G Seaby, Reuben J Pengelly, Daniel P Gale, Thomas M Connor, David J Bunyan, Kateřina Hodaňová and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 66 citations in OpenAlex.

  1. Review
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  5. Fifty Shades of Risk: Population Studies and the Genetic Architecture of Kidney Diseases.Journal of the American Society of Nephrology : JASN · 2026
    Review
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  20. Genomics in the kidney clinic.Clinical medicine (London, England) · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 2 countries.

Christine GastWessex Kidney Centre, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Southwick Hill Road, Cosham, Portsmouth, PO6 3LY, UK. Christine.gast@doctors.org.uk.ORCID 0000-0003-0200-4913
Anthony MarinakiPurine Research Laboratory, Guys and St Thomas' NHS Foundation Trust, London, UK.
Monica Arenas-HernandezPurine Research Laboratory, Guys and St Thomas' NHS Foundation Trust, London, UK.
Sara CampbellWessex Kidney Centre, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Southwick Hill Road, Cosham, Portsmouth, PO6 3LY, UK.
Eleanor G SeabyHuman Genetics and Genomic Medicine, Faculty of Medicine, University of Southampton, Southampton, UK.
Reuben J PengellyHuman Genetics and Genomic Medicine, Faculty of Medicine, University of Southampton, Southampton, UK.
Daniel P GaleUCL Centre for Nephrology, Royal Free Hospital, London, UK.
Thomas M ConnorOxford Kidney Unit, Churchill Hospital, Oxford, UK.
David J BunyanWessex Regional Genetics Laboratory, Salisbury NHS Foundation Trust, Salisbury, UK.
Kateřina HodaňováResearch Unit for Rare Diseases, Department of Pediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University Prague, Prague, Czech Republic.
Martina ŽivnáResearch Unit for Rare Diseases, Department of Pediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University Prague, Prague, Czech Republic.
Stanislav KmochResearch Unit for Rare Diseases, Department of Pediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University Prague, Prague, Czech Republic.
Sarah EnnisHuman Genetics and Genomic Medicine, Faculty of Medicine, University of Southampton, Southampton, UK.
G Venkat-RamanWessex Kidney Centre, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Southwick Hill Road, Cosham, Portsmouth, PO6 3LY, UK.
Charles University · CZQueen Alexandra Hospital · GBUniversity of Southampton · GBGuy's and St Thomas' NHS Foundation Trust · GBChurchill Hospital · GBThe Royal Free Hospital · GBWessex Regional Genetics Laboratory · GB

Funding

Medical Research Council G0802266
6 · The paper itself

Abstract

backgroundAutosomal dominant tubulointerstitial kidney disease (ADTKD) caused by mutations in the UMOD gene (ADTKD-UMOD) is considered rare and often remains unrecognised. We aimed to establish the prevalence of genetic kidney diseases, ADTKD and ADTKD-UMOD in adult chronic kidney disease (CKD) patients, and to investigate characteristic features.

methodsWe sent questionnaires on family history to all patients with CKD stages 3-5 in our tertiary renal centre to identify patients with inherited renal disease. Details on clinical and family history were obtained from patient interviews and clinical records. Sanger sequencing of the UMOD gene was performed from blood or saliva samples.

results2027 of 3770 sent questionnaires were returned. 459 patients reported a family history, which was consistent with inherited kidney disease in 217 patients. 182 non-responders with inherited kidney diseases were identified through a database search. Of these 399 individuals, 252 had autosomal dominant polycystic kidney disease (ADPKD), 28 had ADTKD, 25 had Alports, and 44 were unknown, resulting in 11% of CKD 3-5 patients and 19% of end-stage renal disease patients with genetic kidney diseases. Of the unknown, 40 were genotyped, of whom 31 had findings consistent with ADTKD. 30% of unknowns and 39% of unknowns with ADTKD had UMOD mutations. Altogether, 35 individuals from 18 families were found to have ten distinct UMOD mutations (three novel), making up 1% of patients with CKD 3-5, 2% of patients with end-stage renal disease, 9% of inherited kidney diseases and 56% with ADTKD. ADTKD-UMOD was the most common genetic kidney disease after ADPKD with a population prevalence of 9 per million. Less proteinuria and haematuria, but not hyperuricaemia or gout were predictive of ADTKD-UMOD. The main limitations of the study are the single-centre design and a predominantly Caucasian population.

conclusionsThe prevalence of genetic kidney diseases and ADTKD-UMOD is significantly higher than previously described. Clinical features poorly predicted ADTKD-UMOD, highlighting the need for genetic testing guided by family history alone.

Indexed as

Surveys and QuestionnairesAgedFemaleGenetic TestingHumansMaleMiddle AgedNephritis, InterstitialPolycystic Kidney, Autosomal DominantRenal Insufficiency, ChronicUromodulinUMOD protein, humanUromodulinAutosomal dominant tubulointerstitial kidney diseaseGenetic kidney diseasePrevalenceUMOD

Identifiers

PMID30376835
PMCPMC6208030
OpenAlexW2899323937

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.