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Table 6 Summary of inherited tubulopathy results in the present study

From: Prevalence of inherited changes of uric acid levels in kidney dysfunction including stage 5 D and T: a systematic review

Study results

ITIKD

iRHUC

Prevalence

40/65 (61.5%)

25/65 (38.4%)

Age (years)

 Mean age ± SD

25.29 ± 14.69

18.83 ± 10.59

 Male

21 ± 10.21

18.46 ± 10.36

 Female

29.17 ± 16.87

20.01± 11.22

 p-value:

0.07

0.78

Sex

 Male

47.5%

76%

 Female

52.5%

24%

Symptoms

 Not mentioned

50%

 

 Gouty attacks

20%

 

 Asymptomatic

15%

 

 Loin pain

 

36%

 EI-AKI

 

40%

 Abdominal pain

 

32%

 Vomiting

 

28%

 Decreased urine volume

 

12%

 Nausea

 

12%

 Stone passage

 

8%

Signs

 Not mentioned

37.5%

12%

 Normal physical examination

27.5%

12%

 Oliguria

 

8%

 Tophi with whitish discharge

5%

 

 Costovertebral angle tenderness

 

16%

Laboratory data

 sUA > 6 in male and > 7 mg/dl in female

77.5%

 

  Mean ± SD

  

  sUA ≥ 5.5 mg/dl

9.55 ± 2.55 mg/dl

 

  sUA< 2 mg/dl

 

0.91 ± 0.5 mg/dl

  SCr (mg/dl)

2.14 ± 1.77 mg/dl

3.58 ± 2.52 mg/dl

 eGFR

  Stage 0 & I

  

  Stage II

7.5%

4%

  Stage IIIa

7.5%

 

  Stage IIIb

2.5%

 

  Stage IV

5%

4%

 Hb (Mean±SD)

9.75 ± 1.45 g/dl

12.5 ± 0.29 g/dl

 FEUA (Mean±SD)

4.25 ± 1.47 %

87.22 ± 73.2 %

 Serum Bun (Mean±SD)

81.41 ± 47 mg/dl

79.7 ± 50.08 mg/dl

 Proteinuria (Mean±SD)

810.33 ± 356.8 mg/day 62.96 ±

702.15 ± 97.85 mg/day

Genetic testing

 UMOD

  Heterozygous

75%

 

  Homozygous

5%

 

  Compound HTZ

  

  Not mentioned

20%

 

 Mutation

  

  Missense

60%

 

  Nonsense

2.5%

 

 Deletion

  

 Exon region

  Exon 4

35%

 

  Exon 5

32.5%

 

  Exon 3

12.5%

 

 Race

  Italian

27.5%

 

  Hungary

10%

 

  Japanese

7.5%

 

  German

7.5%

 

 URAT1 (SLC22A12)

  

 Prevalence

 

16/25 (64%)

   Homozygous

 

8/16 (50%)

   HTZ

 

4/16 (25%)

   Compound HTZ

 

4/16 (25%)

 Mutation

  Missense

 

3/16 (18.7%)

  Deletion

 

3/16, (18.7%)

  Nonsense

 

2/16 (12.5%)

  ?Partial deletion

 

6.25%

  Male

 

13/16 (81.2%)

  Female

 

3/16 (18.7%)

 Exon region

  Exon 3, 7

 

12 %

  cExon 1, 4, 5

 

8 %

  Exon 8, 9, 11

 

4 %

  sUA< 1 mg/dl

 

4/16 (25%)

  EI-AKI

 

7/16 (43.7%)

  Nephrolithiasis

 

12.5%

 Race

  Czech Republic

 

4/16 (25%)

  Japanese

 

4/16 (25%)

  Korean

 

3/16 (18.7%)

 GLUT9 (SLC2A9)

  Prevalence

 

8/25 (32%)

   Homozygous

 

6/8 (75%)

   Heterozygous

 

1/8 (12.5%)

   Compound heterozygous

 

1/8 (12.5%)

 Mutation

 

-

  Missense

 

3/8 (37.5%)

  Nonsense

 

5/8 (25%)

 Exon region

  Exon 3

 

3/8 (37.5%)

  Exon 5

 

2/8 (25%)

  Exon 7,11

 

1/8 (12.5%)

 Race

  Czech

 

4/8 (50%)

  Chinese

 

1/8 (12.5%)

  Pakistani

 

1/8 (12.5%)

  Caucasian

 

1/8 (12.5%)

 Chromosomal analysis

  48 XXYY

 

1/25 (4%)

  Gene analysis

 

NA

 Imaging Renal US

  Small-sized

45%

 

  Nl-sized kidney

 

32%

  Renal cyst

30%

 

Pathology

  

 ATN

 

4%

 ATI

 

8%

 Paranchymal damage

2.5%

 

 Interstitial edema

 

8%

 Tubular atrophy

25%

 

 Interstitial fibrosis

30%

 

 Tubulointerstitial lesion (moderate)

 

4%

Treatment

 Allopurinol

30%

4%

 Benzbroamaron and colchicine

2.5%

 

 RRT

7.5%

 

sUA levels before & after treatment

 Mean±SD

6.19 ± 1.15 and 0.54 ± 0.23 mg/dl

 

SCr levels before and after (mg/dl)

 Mean±SD

2.25 ± 0.48 and 1.93 ± 2.33 mg/dl

 

Outcome

 ESKD

20%

4%

 TIF

30%

 

 TIL

2.5%

4%

 Proteinuria

  

 Nephrolithiasis

 

8.3%

Follow/UP

 Mean time of initial sUA after treatment

24.66 ± 22.89 months

15.25 ± 8.85 months

 Median

10 months

13 months

  1. ATI acute tubular injury, ATN acute tubular necrosis, eGFR estimated glomerular filtration rate, EI-AKI exercise-induced acute kidney injury, ESKD end-stage kidney disease, FEUA fractional excretion of uric acid, IRH idiopathic renal hypouricemia, ITIKD inherited tubulointerstitial kidney disease, NA, not available, RRT renal replacement therapy, SCr serum creatinine, SD standard deviation, TIF tubulointerstitial fibrosis, TIL tubulointerstitial lesion