Presence of De Novo Mutations in Autosomal Dominant Polycystic Kidney Disease Patients Without Family History

Berenice Reed, Kim McFann, William J. Kimberling, York Pei, Patricia A. Gabow, Karen Christopher, Eric Petersen, Catherine Kelleher, Pamela R. Fain, Ann Johnson, Robert W. Schrier

Research output: Contribution to journalArticlepeer-review

57 Scopus citations


Background: At the University of Colorado Health Sciences Center, on detailed questioning, approximately 10% of patients with autosomal dominant polycystic kidney disease (ADPKD) gave no family history of ADPKD. There are several explanations for this observation, including occurrence of a de novo pathogenic sequence variant or extreme phenotypic variability. To confirm de novo sequence variants, we have undertaken clinical and genetic screening of affected offspring and their parents. Study Design: Case series. Setting & Participants: 24 patients with a well-documented ADPKD phenotype and no family history of polycystic kidney disease (PKD) and both parents of each patient. Outcome: Presence or absence of PKD1 or PKD2 pathogenic sequence variants in parents of affected offspring. Measurements: Abdominal ultrasound of affected offspring and their parents for ADPKD diagnosis. Parentage testing by genotyping. Complete screening of PKD1 and PKD2 genes by using genomic DNA from affected offspring; analysis of genomic DNA from both parents to confirm the absence or presence of all DNA variants found. Results: A positive diagnosis of ADPKD by means of ultrasound or genetic screening was made in 1 parent of 4 patients (17%). No PKD1 or PKD2 pathogenic sequence variants were identified in 10 patients (42%), whereas possible pathological DNA variants were identified in 4 patients (17%) and 1 of their respective parents. Parentage was confirmed in the remaining 6 patients (25%), and de novo sequence variants were documented. Limitations: Size of patient group. No direct examination of RNA. Conclusion: Causes other than de novo pathogenic sequence variants may explain the negative family history of ADPKD in certain families.

Original languageEnglish (US)
Pages (from-to)1042-1050
Number of pages9
JournalAmerican Journal of Kidney Diseases
Issue number6
StatePublished - Dec 2008
Externally publishedYes


  • Polycystic kidney disease
  • gene
  • genetics
  • sequence variant

ASJC Scopus subject areas

  • Nephrology


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