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Polycystic kidney disease

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435:, an immotile, hair-like cellular organelle present on the surface of most cells in the body, anchored in the cell body by the basal body. In the kidney, primary cilia have been found to be present on most cells of the nephron, projecting from the apical surface of the renal epithelium into the tubule lumen. The cilia were believed to bend in the urine flow, leading to changes in signalling, however this has since been shown to be an experimental error (the bending of cilia was an artifact of focal plane compensation, and also the actual effect on micturition by severe hypertension and cardiac arrest) and that bending of cilia does not contribute to alterations in Ca flux. While it is not known how defects in the primary cilium lead to cyst development, it is thought to possibly be related to disruption of one of the many signaling pathways regulated by the primary cilium, including intracellular calcium, Wnt/β-catenin, cyclic adenosine monophosphate (cAMP), or planar cell polarity (PCP). Function of the primary cilium is impaired, resulting in disruption of a number of intracellular signaling cascades which produce differentiation of cystic epithelium, increased cell division, increased apoptosis, and loss of resorptive capacity. 495:) was introduced as the first FDA-approved treatment for PKD. In a recent long-term study, patients using Tolvaptan had a 6.4% higher kidney function after 5 years compared to standard of care. In 2019, a team of researchers at UCSB found that a ketogenic diet might be able to halt, or even reverse progression in mice, and the results of a first human case series study are showing potential benefit. The results of a 3-month randomized, prospective dietary intervention clinical trial are pending. In addition, recent research indicates that mild to moderate calorie restriction or time-restricted feeding slow the progression of 298: 51: 290: 484: 2382: 499:(ADPKD) in mice Patient communities have been combining both ketogenic diets and time-restricted feeding with a low-oxalate diet to prevent the formation of stones and early reports show an average of 17% increase in kidney function after approximately one year on a ketogenic, time-restricted dietary regimen. If and when the disease progresses enough in a given case, the 404: 518:, which can be done at least two different ways at varying frequencies and durations (whether it is done at home or in the clinic depends on the method used and the patient's stability and training) and eventually, if they are eligible because of the nature and severity of their condition and if a suitable match can be found, unilateral or bilateral 282: 427:
The disease is characterized by a ‘second hit’ phenomenon, in which a mutated dominant allele is inherited from a parent, with cyst formation occurring only after the normal, wild-type gene sustains a subsequent second genetic ‘hit’, resulting in renal tubular cyst formation and disease progression.
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proteins appear to be involved in both autosomal dominant and recessive polycystic kidney disease due to defects in both proteins. Both proteins have communication with calcium channel proteins, and causes reduction in resting (intracellular) calcium and endoplasmic reticulum storage of calcium.
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within the kidney. These cysts may begin to develop in utero, in infancy, in childhood, or in adulthood. Cysts are non-functioning tubules filled with fluid pumped into them, which range in size from microscopic to enormous, crushing adjacent normal tubules and eventually rendering them
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PKD is one of the most common hereditary diseases in the United States, affecting more than 600,000 people. It is the cause of nearly 10% of all end-stage renal disease. It equally affects men, women, and all races. PKD occurs in some animals as well as humans.
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PKD is caused by abnormal genes that produce a specific abnormal protein; this protein has an adverse effect on tubule development. PKD is a general term for two types, each having their own pathology and genetic cause:
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PKD is caused by abnormal genes which produce a specific abnormal protein which has an adverse effect on tubule development. PKD is a general term for two types, each having their own pathology and genetic cause:
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Diagnosis may be suspected from one, some, or all of the following: new onset flank pain or red urine; a positive family history; palpation of enlarged kidneys on physical exam; an incidental finding on abdominal
387:(ARPKD) (OMIM #263200) is the less common of the two types of PKD, with an incidence of 1:20,000 live births and is typically identified in the first few weeks after birth. Unfortunately, the kidneys are often 827: 768: 2042: 1277:
Kimberling WJ, Kumar S, Gabow PA, Kenyon JB, Connolly CJ, Somlo S (December 1993). "Autosomal dominant polycystic kidney disease: localization of the second gene to chromosome 4q13-q23".
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Kumar S, Kimberling WJ, Gabow PA, Kenyon JB (June 1991). "Genetic linkage studies of autosomal dominant polycystic kidney disease: search for the second gene in a large Sicilian family".
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Mochizuki T, Wu G, Hayashi T, Xenophontos SL, Veldhuisen B, Saris JJ, et al. (May 1996). "PKD2, a gene for polycystic kidney disease that encodes an integral membrane protein".
2414: 367:, although fewer than 5% of nephrons are thought to be involved. As the cysts accumulate fluid, they enlarge, separate from the nephron, compress the neighboring kidney 1603:"Ketogenic dietary interventions in autosomal dominant polycystic kidney disease-a retrospective case series study: first insights into feasibility, safety and effects" 334: 3314: 345:
and codes for a protein involved in cell cycle regulation and intracellular calcium transport in epithelial cells and is responsible for 85% of the cases of ADPKD.
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polycystic kidney disease (ADPKD) is the most common of all the inherited cystic kidney diseases with an incidence of 1:500 live births. Studies show that 10% of
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PKD3 recently appeared in research papers as a postulated third gene. Fewer than 10% of cases of ADPKD appear in non-ADPKD families. Cyst formation begins
857: 835: 2068: 2734: 529:, to control infections of the cysts in the kidneys, and if affected, the liver, when needed for a certain duration to combat infection, by using, " 211: 2046: 645: 525:
A Cochrane Review study of autosomal dominant polycystic kidney disease made note of the fact that it is important at all times, while avoiding
623: 3271: 3061: 2026: 3139: 3056: 196: 773: 2283: 1813: 1432: 867: 667: 352:, with inward selectivity for K>Na>>Ca and outward selectivity for Ca2+ ≈ Ba2+ > Na+ ≈ K+, are coded for by PKD2 on 3175: 3068: 2829: 3266: 3101: 2797: 2759: 2727: 2506: 219: 3256: 2922: 1089:"Mutations in GANAB, Encoding the Glucosidase IIα Subunit, Cause Autosomal-Dominant Polycystic Kidney and Liver Disease" 483: 2987: 2833: 1765:"A mild reduction of food intake slows disease progression in an orthologous mouse model of polycystic kidney disease" 297: 289: 50: 3261: 3251: 3188: 3284: 3080: 2895: 2877: 2807: 2642: 504: 223: 3033: 3304: 3132: 2982: 2907: 2764: 2720: 2637: 2294: 1473: 309: 210:(RAAS), frequent cyst infections, urinary bleeding, and declining renal function. Hypertension is treated with 2406: 2397: 411:
Both autosomal dominant and autosomal recessive polycystic kidney disease cyst formation are tied to abnormal
1667:"Metabolic Reprogramming in Autosomal Dominant Polycystic Kidney Disease: Evidence and Therapeutic Potential" 2890: 2864: 2845: 2697: 2601: 2511: 2072: 234:. Management from the time of the suspected or definitive diagnosis is by an appropriately trained doctor. 176: 2365: 1886: 954:
Bisceglia M, Galliani CA, Senger C, Stallone C, Sessa A (January 2006). "Renal cystic diseases: a review".
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ADPKD individuals might have a normal life; conversely, ARPKD can cause kidney dysfunction and can lead to
2974: 2969: 2940: 519: 2849: 2490: 2482: 1839:"Crystal deposition triggers tubule dilation that accelerates cystogenesis in polycystic kidney disease" 1230:"Exclusion of autosomal dominant polycystic kidney disease type II (ADPKD2) from 160 cM of chromosome 1" 526: 231: 2802: 2779: 2662: 2535: 1321: 305: 301:
Cartoon of autosomal recessive polycystic kidney disease with normal kidney inset to right of diagram
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Torres JA, Kruger SL, Broderick C, Amarlkhagva T, Agrawal S, Dodam JR, et al. (December 2019).
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Cartoon of autosomal dominant polycystic kidney disease with normal kidney inset to right of diagram
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Porath B, Gainullin VG, Cornec-Le Gall E, Dillinger EK, Heyer CM, Hopp K, et al. (June 2016).
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Gene PKD2 is identified, using genetic linkage study, on chromosome 4. A group of voltage-linked
75: 152:(ARPKD). The abnormal gene exists in all cells in the body; as a result, cysts may occur in the 3010: 2949: 2821: 2815: 2609: 2580: 2547: 2334: 2305: 2218: 2173: 2130: 2022: 1999: 1970:"Interventions for preventing the progression of autosomal dominant polycystic kidney disease" 1914:"Interventions for infected cysts in people with autosomal dominant polycystic kidney disease" 1868: 1794: 1745: 1696: 1632: 1583: 1534: 1485: 1428: 1403: 1337: 1294: 1259: 1202: 1167: 1118: 1069: 1017: 971: 925: 863: 809: 751: 720: 599: 172: 93: 63: 1000:
Torres VE, Harris PC, Pirson Y (April 2007). "Autosomal dominant polycystic kidney disease".
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by the age of 40–60. ADPKD1 and ADPKD2 are very different, in that ADPKD2 is much milder.
515: 372: 227: 222:(ARBs). Infections are treated with antibiotics. Declining renal function is treated with 2159: 1652:"Ketogenic Dietary Interventions in Autosomal Dominant Polycystic Kidney Disease (ADPKD)" 1601:
Strubl S, Oehm S, Torres JA, Grundmann F, Haratani J, Decker M, et al. (June 2022).
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Zhou X, Davenport E, Ouyang J, Hoke ME, Garbinsky D, Agarwal I, et al. (May 2022).
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Currently, there are no therapies proven effective to prevent the progression of ADPKD.
250:. Other symptoms include pain in the back, and cyst formation (renal and other organs). 3043: 3025: 3005: 2930: 2900: 2769: 2570: 2467: 2459: 2444: 2213: 2186: 2168: 2143: 2125: 2100: 1994: 1969: 1863: 1838: 1789: 1764: 1740: 1715: 1691: 1666: 1627: 1602: 1578: 1553: 1529: 1504: 1398: 1371: 1254: 1229: 1162: 1137: 1136:
Thivierge C, Kurbegovic A, Couillard M, Guillaume R, Coté O, Trudel M (February 2006).
1113: 1088: 967: 920: 895: 715: 690: 546: 530: 508: 464: 432: 349: 2277: 1290: 1013: 706: 3298: 2540: 2525: 534: 460: 342: 184: 1935: 1349: 1214: 1153: 983: 3096: 2869: 2687: 2345: 2187:"Polycystic kidney disease: inheritance, pathophysiology, prognosis, and treatment" 1985: 1837:
Torres JA, Rezaei M, Broderick C, Lin L, Wang X, Hoppe B, et al. (July 2019).
1372:"Polycystic kidney disease: inheritance, pathophysiology, prognosis, and treatment" 1029: 500: 420: 416: 353: 313: 132: 1651: 1333: 135:
become structurally abnormal, resulting in the development and growth of multiple
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Bolignano D, Palmer SC, Ruospo M, Zoccali C, Craig JC, Strippoli GF (July 2015).
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Warner G, Hein KZ, Nin V, Edwards M, Chini CC, Hopp K, et al. (May 2016).
1569: 1520: 1505:"Pooled Data Analysis of the Long-Term Treatment Effects of Tolvaptan in ADPKD" 1104: 804: 787: 3209: 3183: 3148: 2856: 2825: 2627: 2575: 2360: 1926: 1913: 452: 388: 368: 68: 1951:"Polycystic Kidney Disease: Practice Essentials, Background, Pathophysiology" 1489: 2340: 2262: 1228:
Kumar S, Kimberling WJ, Gabow PA, Shugart YY, Pieke-Dahl S (November 1990).
739: 492: 243: 187:; or an incidental finding of abnormal kidney function on routine lab work ( 2222: 2177: 2134: 2003: 1872: 1798: 1749: 1731: 1716:"Food Restriction Ameliorates the Development of Polycystic Kidney Disease" 1700: 1636: 1587: 1538: 1407: 1171: 1122: 1073: 1021: 975: 929: 813: 724: 242:
Signs and symptoms include high blood pressure, headaches, abdominal pain,
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or other practitioner and the patient will have to decide what form of
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in Europe and the U.S. were initially diagnosed and treated for ADPKD.
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Severely affected polycystic kidneys removed at time of transplantation
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Essentials of Pathophysiology: Concepts of Altered Health States
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Complications include hypertension due to the activation of the
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International Journal of Nephrology and Renovascular Disease
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Montero N, Sans L, Webster AC, Pascual J (29 January 2014).
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International Journal of Nephrology and Renovascular Disease
1048:"Polycystic kidney disease: cell division without a c(l)ue?" 285:
CT scan showing autosomal dominant polycystic kidney disease
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Kipp KR, Rezaei M, Lin L, Dewey EC, Weimbs T (April 2016).
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of the same area. A physical exam/test can reveal enlarged
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Comprehensive Clinical Nephrology: Expert Consult - Online
1138:"Overexpression of PKD1 causes polycystic kidney disease" 896:"MicroRNAs in the pathogenesis of cystic kidney disease" 391:, resulting in a 30% death rate in newborns with ARPKD. 1814:"6 Ways People with PKD Can Lower Their Blood Pressure" 738:
Kimberling WJ, Pieke-Dahl SA, Kumar S (November 1991).
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Most cases progress to bilateral disease in adulthood.
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Clinical Journal of the American Society of Nephrology
2069:"PKD - Polycystic Kidney Disease - British Shorthair" 2021:. Philadelphia, PA: F.A. Davis Company. p. 443. 1949:
Torra R (2018-07-20). Talavera F, Aronoff GR (eds.).
1887:"Breakthrough Results After 7 Years of Reversing Pkd" 511:, typically stage 4 or 5 of chronic kidney disease). 2235: 3239: 3223: 3155: 3089: 3042: 3024: 2939: 2921: 2778: 2750: 2678: 2671: 2655: 2618: 2600: 2593: 2561: 2458: 2451: 2320: 2239: 443:Polycystic kidney disease can be ascertained via a 102: 92: 84: 74: 62: 40: 35: 1370:Halvorson CR, Bremmer MS, Jacobs SC (2010-06-24). 1365: 1363: 1361: 1359: 164:. This genetic defect can also cause aortic root 1769:American Journal of Physiology. Renal Physiology 949: 947: 945: 943: 941: 939: 507:will be used to treat end-stage kidney disease ( 2101:"The cell biology of polycystic kidney disease" 1907: 1905: 1903: 1421:Johnson RJ, Feehally J, Floege J (2014-09-05). 740:"The genetics of cystic diseases of the kidney" 646:"Autosomal Recessive Polycystic Kidney Disease" 624:"Autosomal Dominant Polycystic Kidney Disease" 3133: 2728: 2422: 1720:Journal of the American Society of Nephrology 1041: 1039: 995: 993: 889: 887: 885: 883: 881: 879: 571:Autosomal recessive polycystic kidney disease 385:Autosomal recessive polycystic kidney disease 265:autosomal recessive polycystic kidney disease 199:). Definitive diagnosis is made by abdominal 150:autosomal recessive polycystic kidney disease 8: 2185:Halvorson CR, Bremmer MS, Jacobs SC (2010). 497:autosomal dominant polycystic kidney disease 277:Autosomal dominant polycystic kidney disease 261:autosomal dominant polycystic kidney disease 146:autosomal dominant polycystic kidney disease 1974:The Cochrane Database of Systematic Reviews 3140: 3126: 3118: 2735: 2721: 2713: 2675: 2597: 2455: 2429: 2415: 2407: 2236: 49: 32: 2212: 2202: 2167: 2124: 2019:Fifth Edition: Diseases of the Human Body 1993: 1925: 1862: 1788: 1739: 1690: 1626: 1577: 1528: 1397: 1387: 1253: 1161: 1112: 1063: 919: 803: 786:Cramer MT, Guay-Woodford LM (July 2015). 714: 337:have similar phenotypical presentations. 2045:. International Cat Care. Archived from 482: 296: 288: 212:angiotensin converting enzyme inhibitors 106:Antihypertensives, Life style management 1918:Cochrane Database of Systematic Reviews 582: 3315:Congenital disorders of urinary system 2099:Chapin HC, Caplan MJ (November 2010). 594: 592: 590: 588: 586: 3272:Autosomal recessive polycystic kidney 3062:Autosomal recessive polycystic kidney 1843:The Journal of Clinical Investigation 862:. 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Archived from 1570:10.1016/j.cmet.2019.09.012 1521:10.1016/j.ekir.2022.02.009 1453:National Kidney Foundation 1105:10.1016/j.ajhg.2016.05.004 805:10.1053/j.ackd.2015.04.001 447:of abdomen, as well as an 274: 125:polycystic kidney syndrome 3280: 3267:McKusick–Kaufman syndrome 3166:Polycystic kidney disease 3102:Von Hippel–Lindau disease 3052:Polycystic kidney disease 2896:Keratin implantation cyst 2878:Pseudocyst of the auricle 2808:Eruptive vellus hair cyst 2643:Penoscrotal transposition 2638:Posterior urethral valves 2497:Polycystic kidney disease 2398:Polycystic kidney disease 2366:Polycystic kidney disease 2148:Annual Review of Medicine 1927:10.1002/14651858.cd010946 691:"Genetic kidney diseases" 505:renal replacement therapy 415:-mediated signaling. The 363:from any point along the 224:renal replacement therapy 113:Polycystic kidney disease 57: 48: 36:Polycystic kidney disease 2983:Polycystic liver disease 2908:Adenoid cystic carcinoma 2863:nonstratified squamous: 2765:Lymphangioleiomyomatosis 1812:Spencer S (2021-12-25). 1654:. University of Cologne. 341:Gene PKD1 is located on 310:end-stage kidney disease 140:non-functional as well. 98:MRI, CT scan, Ultrasound 2891:Cutaneous columnar cyst 2865:Cutaneous ciliated cyst 2846:Steatocystoma multiplex 2789:follicular infundibulum 2512:Medullary sponge kidney 1650:Müller R (2022-08-23). 1607:Clinical Kidney Journal 177:subarachnoid hemorrhage 168:, and aneurysms in the 2975:Nasopalatine duct cyst 2970:Odontogenic keratocyst 2941:Human digestive system 1732:10.1681/ASN.2015020132 856:Porth C (2011-01-01). 744:Seminars in Nephrology 520:kidney transplantation 488: 408: 302: 294: 286: 3257:Senior–Løken syndrome 3189:Bardet–Biedl syndrome 2889:other and ungrouped: 2850:Steatocystoma simplex 2787:stratified squamous: 2770:Cystic bronchiectasis 2483:Papillorenal syndrome 2117:10.1083/jcb.201006173 1246:10.1136/jmg.27.11.697 1065:10.1038/sj.ki.5001534 527:antibiotic resistance 486: 406: 300: 292: 284: 3044:Genitourinary system 2663:Prune belly syndrome 2536:Supernumerary kidney 1683:10.2215/CJN.13291019 1052:Kidney International 3016:Bile duct hamartoma 2204:10.2147/IJNRD.S6939 2049:on 17 November 2016 1619:10.1093/ckj/sfab162 1564:(6): 1007–1023.e5. 1389:10.2147/ijnrd.s6939 1326:1996Sci...272.1339M 1320:(5266): 1339–1342. 1008:(9569): 1287–1301. 701:(9722): 1287–1295. 491:In 2018, Jynarque ( 380:Autosomal recessive 248:excessive urination 44:Kidney - polycystic 3107:Tuberous sclerosis 3001:Biliary hamartomas 2752:Respiratory system 2321:External resources 2017:Tamparo C (2011). 1199:10.1007/BF00204167 489: 409: 306:Autosomal dominant 303: 295: 287: 271:Autosomal dominant 244:blood in the urine 238:Signs and symptoms 3292: 3291: 3149:Diseases of cilia 3115: 3114: 3011:Choledochal cysts 2950:Cysts of the jaws 2822:Trichilemmal cyst 2816:outer root sheath 2710: 2709: 2706: 2705: 2651: 2650: 2610:Bladder exstrophy 2589: 2588: 2581:Duplicated ureter 2375: 2374: 2075:on 17 August 2018 2028:978-0-8036-2505-1 1855:10.1172/JCI128503 1849:(10): 4506–4522. 1484:(6). 2018-06-01. 832:www.niddk.nih.gov 173:cerebral arteries 110: 109: 94:Diagnostic method 30:Medical condition 18:Polycystic kidney 16:(Redirected from 3322: 3285:ciliary proteins 3247:Alström syndrome 3231:Nephronophthisis 3215:Joubert syndrome 3142: 3135: 3128: 3119: 3090:Other conditions 3074:Nephronophthisis 2993:Peliosis hepatis 2965:Dentigerous cyst 2955:Odontogenic cyst 2737: 2730: 2723: 2714: 2676: 2598: 2531:Nephronophthisis 2521:Horseshoe kidney 2473:Renal hypoplasia 2456: 2431: 2424: 2417: 2408: 2384: 2383: 2237: 2226: 2216: 2206: 2181: 2171: 2138: 2128: 2085: 2084: 2082: 2080: 2065: 2059: 2058: 2056: 2054: 2039: 2033: 2032: 2014: 2008: 2007: 1997: 1965: 1959: 1958: 1946: 1940: 1939: 1929: 1909: 1898: 1897: 1895: 1894: 1883: 1877: 1876: 1866: 1834: 1828: 1827: 1825: 1824: 1809: 1803: 1802: 1792: 1775:(8): F726–F731. 1760: 1754: 1753: 1743: 1726:(5): 1437–1447. 1711: 1705: 1704: 1694: 1662: 1656: 1655: 1647: 1641: 1640: 1630: 1613:(6): 1079–1092. 1598: 1592: 1591: 1581: 1549: 1543: 1542: 1532: 1515:(5): 1037–1048. 1500: 1494: 1493: 1470: 1464: 1463: 1461: 1460: 1445: 1439: 1438: 1418: 1412: 1411: 1401: 1391: 1367: 1354: 1353: 1309: 1303: 1302: 1274: 1268: 1267: 1257: 1225: 1219: 1218: 1182: 1176: 1175: 1165: 1148:(4): 1538–1548. 1133: 1127: 1126: 1116: 1099:(6): 1193–1207. 1084: 1078: 1077: 1067: 1043: 1034: 1033: 997: 988: 987: 951: 934: 933: 923: 891: 874: 873: 853: 847: 846: 844: 843: 834:. Archived from 824: 818: 817: 807: 783: 777: 766: 760: 759: 735: 729: 728: 718: 686: 680: 679: 677: 675: 664: 658: 657: 655: 653: 642: 636: 635: 633: 631: 620: 614: 613: 611: 610: 596: 193:serum creatinine 170:circle of Willis 158:seminal vesicles 129:genetic disorder 123:, also known as 53: 33: 21: 3330: 3329: 3325: 3324: 3323: 3321: 3320: 3319: 3305:Kidney diseases 3295: 3294: 3293: 3288: 3276: 3240:Other/ungrouped 3235: 3219: 3202:Meckel syndrome 3197:mitotic spindle 3151: 3146: 3116: 3111: 3085: 3038: 3020: 2960:Periapical cyst 2935: 2917: 2876:no epithelium: 2794:Epidermoid cyst 2774: 2746: 2744:Cystic diseases 2741: 2711: 2702: 2693:Urachal fistula 2667: 2647: 2614: 2585: 2557: 2553:Alport syndrome 2502:Meckel syndrome 2478:Potter sequence 2447: 2435: 2405: 2404: 2403: 2385: 2381: 2376: 2371: 2370: 2316: 2315: 2248: 2234: 2229: 2184: 2141: 2098: 2094: 2092:Further reading 2089: 2088: 2078: 2076: 2067: 2066: 2062: 2052: 2050: 2041: 2040: 2036: 2029: 2016: 2015: 2011: 1980:(7): CD010294. 1967: 1966: 1962: 1948: 1947: 1943: 1911: 1910: 1901: 1892: 1890: 1885: 1884: 1880: 1836: 1835: 1831: 1822: 1820: 1811: 1810: 1806: 1762: 1761: 1757: 1713: 1712: 1708: 1664: 1663: 1659: 1649: 1648: 1644: 1600: 1599: 1595: 1558:Cell Metabolism 1551: 1550: 1546: 1502: 1501: 1497: 1472: 1471: 1467: 1458: 1456: 1447: 1446: 1442: 1435: 1420: 1419: 1415: 1369: 1368: 1357: 1311: 1310: 1306: 1276: 1275: 1271: 1240:(11): 697–700. 1227: 1226: 1222: 1184: 1183: 1179: 1135: 1134: 1130: 1086: 1085: 1081: 1045: 1044: 1037: 999: 998: 991: 953: 952: 937: 893: 892: 877: 870: 855: 854: 850: 841: 839: 826: 825: 821: 785: 784: 780: 767: 763: 737: 736: 732: 688: 687: 683: 673: 671: 666: 665: 661: 651: 649: 644: 643: 639: 629: 627: 622: 621: 617: 608: 606: 598: 597: 584: 579: 567: 558: 543: 481: 473: 471:Natural history 441: 401: 382: 373:kidney function 350:cation channels 279: 273: 256: 240: 232:transplantation 88:ADPKD and ARPKD 31: 28: 23: 22: 15: 12: 11: 5: 3328: 3326: 3318: 3317: 3312: 3307: 3297: 3296: 3290: 3289: 3281: 3278: 3277: 3275: 3274: 3269: 3264: 3259: 3254: 3249: 3243: 3241: 3237: 3236: 3234: 3233: 3227: 3225: 3221: 3220: 3218: 3217: 3205: 3204: 3192: 3191: 3179: 3178: 3169: 3168: 3159: 3157: 3153: 3152: 3147: 3145: 3144: 3137: 3130: 3122: 3113: 3112: 3110: 3109: 3104: 3099: 3093: 3091: 3087: 3086: 3084: 3083: 3078: 3077: 3076: 3066: 3065: 3064: 3059: 3048: 3046: 3040: 3039: 3037: 3036: 3030: 3028: 3026:Nervous system 3022: 3021: 3019: 3018: 3013: 3008: 3006:Caroli disease 3003: 2996: 2995: 2990: 2985: 2978: 2977: 2972: 2967: 2962: 2957: 2952: 2945: 2943: 2937: 2936: 2934: 2933: 2931:Cystic hygroma 2927: 2925: 2919: 2918: 2916: 2915: 2910: 2904: 2903: 2901:Verrucous cyst 2898: 2893: 2886: 2885: 2880: 2873: 2872: 2867: 2860: 2859: 2854: 2853: 2852: 2841:sebaceous duct 2838: 2837: 2836: 2812: 2811: 2810: 2805: 2800: 2784: 2782: 2776: 2775: 2773: 2772: 2767: 2762: 2756: 2754: 2748: 2747: 2742: 2740: 2739: 2732: 2725: 2717: 2708: 2707: 2704: 2703: 2701: 2700: 2695: 2690: 2684: 2682: 2673: 2669: 2668: 2666: 2665: 2659: 2657: 2653: 2652: 2649: 2648: 2646: 2645: 2640: 2635: 2630: 2624: 2622: 2616: 2615: 2613: 2612: 2606: 2604: 2595: 2591: 2590: 2587: 2586: 2584: 2583: 2578: 2573: 2571:Ectopic ureter 2567: 2565: 2559: 2558: 2556: 2555: 2550: 2548:Dent's disease 2544: 2543: 2538: 2533: 2528: 2523: 2517: 2516: 2515: 2514: 2509: 2504: 2499: 2486: 2485: 2480: 2475: 2470: 2468:Renal agenesis 2464: 2462: 2453: 2449: 2448: 2445:urinary system 2436: 2434: 2433: 2426: 2419: 2411: 2386: 2379: 2378: 2377: 2373: 2372: 2369: 2368: 2357: 2337: 2325: 2324: 2322: 2318: 2317: 2314: 2313: 2302: 2291: 2280: 2265: 2249: 2244: 2243: 2241: 2240:Classification 2233: 2232:External links 2230: 2228: 2227: 2182: 2139: 2111:(4): 701–710. 2095: 2093: 2090: 2087: 2086: 2060: 2034: 2027: 2009: 1960: 1941: 1899: 1878: 1829: 1804: 1755: 1706: 1677:(4): 577–584. 1657: 1642: 1593: 1544: 1495: 1465: 1440: 1433: 1413: 1355: 1304: 1285:(3): 467–472. 1269: 1220: 1193:(2): 129–133. 1187:Human Genetics 1177: 1128: 1079: 1058:(5): 854–864. 1035: 989: 935: 906:(2): 219–226. 875: 868: 848: 819: 798:(4): 297–305. 778: 761: 750:(6): 596–606. 730: 681: 659: 637: 615: 581: 580: 578: 575: 574: 573: 566: 563: 557: 554: 547:kidney failure 542: 539: 531:bacteriostatic 509:kidney failure 480: 477: 472: 469: 465:blood pressure 440: 437: 433:primary cilium 400: 397: 389:underdeveloped 381: 378: 377: 376: 357: 346: 275:Main article: 272: 269: 255: 252: 239: 236: 108: 107: 104: 100: 99: 96: 90: 89: 86: 82: 81: 80:Abdominal pain 78: 72: 71: 66: 60: 59: 55: 54: 46: 45: 42: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3327: 3316: 3313: 3311: 3308: 3306: 3303: 3302: 3300: 3287: 3286: 3279: 3273: 3270: 3268: 3265: 3263: 3260: 3258: 3255: 3253: 3250: 3248: 3245: 3244: 3242: 3238: 3232: 3229: 3228: 3226: 3222: 3216: 3212: 3211: 3207: 3206: 3203: 3200: 3198: 3194: 3193: 3190: 3186: 3185: 3181: 3180: 3177: 3174: 3171: 3170: 3167: 3164: 3161: 3160: 3158: 3154: 3150: 3143: 3138: 3136: 3131: 3129: 3124: 3123: 3120: 3108: 3105: 3103: 3100: 3098: 3095: 3094: 3092: 3088: 3082: 3079: 3075: 3072: 3071: 3070: 3067: 3063: 3060: 3058: 3055: 3054: 3053: 3050: 3049: 3047: 3045: 3041: 3035: 3032: 3031: 3029: 3027: 3023: 3017: 3014: 3012: 3009: 3007: 3004: 3002: 2998: 2997: 2994: 2991: 2989: 2986: 2984: 2980: 2979: 2976: 2973: 2971: 2968: 2966: 2963: 2961: 2958: 2956: 2953: 2951: 2948:oral cavity: 2947: 2946: 2944: 2942: 2938: 2932: 2929: 2928: 2926: 2924: 2920: 2914: 2911: 2909: 2906: 2905: 2902: 2899: 2897: 2894: 2892: 2888: 2887: 2884: 2881: 2879: 2875: 2874: 2871: 2868: 2866: 2862: 2861: 2858: 2855: 2851: 2847: 2844: 2843: 2842: 2839: 2835: 2831: 2827: 2823: 2820: 2819: 2818: 2817: 2813: 2809: 2806: 2804: 2801: 2799: 2795: 2792: 2791: 2790: 2786: 2785: 2783: 2781: 2777: 2771: 2768: 2766: 2763: 2761: 2758: 2757: 2755: 2753: 2749: 2745: 2738: 2733: 2731: 2726: 2724: 2719: 2718: 2715: 2699: 2698:Urachal sinus 2696: 2694: 2691: 2689: 2686: 2685: 2683: 2681: 2677: 2674: 2670: 2664: 2661: 2660: 2658: 2654: 2644: 2641: 2639: 2636: 2634: 2631: 2629: 2626: 2625: 2623: 2621: 2617: 2611: 2608: 2607: 2605: 2603: 2599: 2596: 2592: 2582: 2579: 2577: 2574: 2572: 2569: 2568: 2566: 2564: 2560: 2554: 2551: 2549: 2546: 2545: 2542: 2541:Pelvic kidney 2539: 2537: 2534: 2532: 2529: 2527: 2526:Renal ectopia 2524: 2522: 2519: 2518: 2513: 2510: 2508: 2505: 2503: 2500: 2498: 2495: 2494: 2493: 2492: 2488: 2487: 2484: 2481: 2479: 2476: 2474: 2471: 2469: 2466: 2465: 2463: 2461: 2457: 2454: 2450: 2446: 2442: 2439: 2432: 2427: 2425: 2420: 2418: 2413: 2412: 2409: 2401: 2400: 2399: 2393: 2389: 2367: 2363: 2362: 2358: 2356: 2353: 2350: 2347: 2343: 2342: 2338: 2336: 2332: 2331: 2327: 2326: 2323: 2319: 2312: 2308: 2307: 2303: 2301: 2297: 2296: 2292: 2290: 2286: 2285: 2281: 2279: 2275: 2274: 2270: 2266: 2264: 2260: 2259: 2255: 2251: 2250: 2247: 2242: 2238: 2231: 2224: 2220: 2215: 2210: 2205: 2200: 2196: 2192: 2188: 2183: 2179: 2175: 2170: 2165: 2161: 2157: 2153: 2149: 2145: 2140: 2136: 2132: 2127: 2122: 2118: 2114: 2110: 2106: 2102: 2097: 2096: 2091: 2074: 2070: 2064: 2061: 2048: 2044: 2038: 2035: 2030: 2024: 2020: 2013: 2010: 2005: 2001: 1996: 1991: 1987: 1983: 1979: 1975: 1971: 1964: 1961: 1956: 1952: 1945: 1942: 1937: 1933: 1928: 1923: 1919: 1915: 1908: 1906: 1904: 1900: 1888: 1882: 1879: 1874: 1870: 1865: 1860: 1856: 1852: 1848: 1844: 1840: 1833: 1830: 1819: 1815: 1808: 1805: 1800: 1796: 1791: 1786: 1782: 1778: 1774: 1770: 1766: 1759: 1756: 1751: 1747: 1742: 1737: 1733: 1729: 1725: 1721: 1717: 1710: 1707: 1702: 1698: 1693: 1688: 1684: 1680: 1676: 1672: 1668: 1661: 1658: 1653: 1646: 1643: 1638: 1634: 1629: 1624: 1620: 1616: 1612: 1608: 1604: 1597: 1594: 1589: 1585: 1580: 1575: 1571: 1567: 1563: 1559: 1555: 1548: 1545: 1540: 1536: 1531: 1526: 1522: 1518: 1514: 1510: 1506: 1499: 1496: 1491: 1487: 1483: 1479: 1475: 1469: 1466: 1454: 1450: 1444: 1441: 1436: 1434:9780323242875 1430: 1426: 1425: 1417: 1414: 1409: 1405: 1400: 1395: 1390: 1385: 1381: 1377: 1373: 1366: 1364: 1362: 1360: 1356: 1351: 1347: 1343: 1339: 1335: 1331: 1327: 1323: 1319: 1315: 1308: 1305: 1300: 1296: 1292: 1288: 1284: 1280: 1273: 1270: 1265: 1261: 1256: 1251: 1247: 1243: 1239: 1235: 1231: 1224: 1221: 1216: 1212: 1208: 1204: 1200: 1196: 1192: 1188: 1181: 1178: 1173: 1169: 1164: 1159: 1155: 1151: 1147: 1143: 1139: 1132: 1129: 1124: 1120: 1115: 1110: 1106: 1102: 1098: 1094: 1090: 1083: 1080: 1075: 1071: 1066: 1061: 1057: 1053: 1049: 1042: 1040: 1036: 1031: 1027: 1023: 1019: 1015: 1011: 1007: 1003: 996: 994: 990: 985: 981: 977: 973: 969: 965: 961: 957: 950: 948: 946: 944: 942: 940: 936: 931: 927: 922: 917: 913: 909: 905: 901: 897: 890: 888: 886: 884: 882: 880: 876: 871: 869:9781582557243 865: 861: 860: 852: 849: 838:on 2017-01-04 837: 833: 829: 823: 820: 815: 811: 806: 801: 797: 793: 789: 782: 779: 776: 775: 770: 765: 762: 757: 753: 749: 745: 741: 734: 731: 726: 722: 717: 712: 708: 704: 700: 696: 692: 685: 682: 669: 663: 660: 647: 641: 638: 625: 619: 616: 605: 601: 595: 593: 591: 589: 587: 583: 576: 572: 569: 568: 564: 562: 555: 553: 550: 548: 540: 538: 536: 535:bacteriocidal 532: 528: 523: 521: 517: 512: 510: 506: 502: 498: 494: 485: 478: 476: 470: 468: 466: 463:and elevated 462: 461:heart murmurs 458: 454: 450: 446: 438: 436: 434: 429: 425: 422: 418: 414: 407:PKD1 and PKD2 405: 398: 396: 395:is involved. 394: 390: 386: 379: 374: 370: 366: 362: 358: 355: 351: 347: 344: 343:chromosome 16 340: 339: 338: 336: 332: 328: 325: 321: 317: 315: 311: 307: 299: 291: 283: 278: 270: 268: 266: 262: 253: 251: 249: 245: 237: 235: 233: 229: 225: 221: 217: 213: 209: 204: 202: 198: 194: 190: 186: 180: 178: 174: 171: 167: 163: 159: 155: 151: 147: 141: 138: 134: 133:renal tubules 131:in which the 130: 126: 122: 118: 114: 105: 101: 97: 95: 91: 87: 83: 79: 77: 73: 70: 67: 65: 61: 56: 52: 47: 43: 39: 34: 19: 3282: 3208: 3195: 3182: 3172: 3165: 3162: 3097:Hydatid cyst 3051: 2870:Hidrocystoma 2840: 2814: 2788: 2688:Urachal cyst 2496: 2489: 2396: 2395: 2394:profile for 2391: 2359: 2339: 2328: 2304: 2293: 2282: 2267: 2252: 2194: 2190: 2151: 2147: 2108: 2104: 2077:. Retrieved 2073:the original 2063: 2051:. Retrieved 2047:the original 2037: 2018: 2012: 1977: 1973: 1963: 1954: 1944: 1917: 1891:. Retrieved 1889:. 2022-10-20 1881: 1846: 1842: 1832: 1821:. Retrieved 1817: 1807: 1772: 1768: 1758: 1723: 1719: 1709: 1674: 1670: 1660: 1645: 1610: 1606: 1596: 1561: 1557: 1547: 1512: 1508: 1498: 1481: 1477: 1468: 1457:. Retrieved 1455:. 2016-01-07 1452: 1443: 1423: 1416: 1379: 1375: 1317: 1313: 1307: 1282: 1278: 1272: 1237: 1233: 1223: 1190: 1186: 1180: 1145: 1141: 1131: 1096: 1092: 1082: 1055: 1051: 1005: 1001: 962:(1): 26–56. 959: 955: 903: 899: 858: 851: 840:. Retrieved 836:the original 831: 822: 795: 791: 781: 772: 764: 747: 743: 733: 698: 694: 684: 672:. Retrieved 662: 650:. Retrieved 640: 628:. Retrieved 618: 607:. Retrieved 603: 559: 556:Epidemiology 551: 544: 524: 513: 501:nephrologist 490: 474: 442: 430: 426: 421:polycystin-2 417:polycystin-1 410: 383: 354:chromosome 4 318: 304: 263:(ADPKD) and 257: 241: 205: 181: 148:(ADPKD) and 142: 124: 120: 116: 112: 111: 2999:bile duct: 2913:Breast cyst 2633:Hypospadias 2330:MedlinePlus 2154:: 321–337. 1478:Kidney News 41:Other names 3310:Ciliopathy 3299:Categories 3283:See also: 3210:centrosome 3184:basal body 3156:Structural 2857:Keratocyst 2826:Pilar cyst 2628:Epispadias 2576:Megaureter 2438:Congenital 2361:Patient UK 2306:DiseasesDB 2079:2 November 2053:2 November 1893:2022-10-24 1823:2022-10-24 1459:2022-11-17 842:2015-07-31 609:2015-07-30 577:References 453:ultrasound 369:parenchyma 69:Nephrology 3224:Signaling 3163:receptor: 2672:Vestigial 2452:Abdominal 2341:eMedicine 2197:: 69–83. 1490:1555-905X 1382:: 69–83. 674:3 January 652:3 January 630:3 January 541:Prognosis 493:Tolvaptan 479:Treatment 439:Diagnosis 399:Mechanism 267:(ARPKD). 166:aneurysms 103:Treatment 64:Specialty 2883:Mucocele 2355:radio/69 2352:radio/68 2349:ped/1846 2346:med/1862 2223:21694932 2178:18947299 2135:21079243 2004:26171904 1955:Medscape 1936:70649130 1873:31361604 1799:26764208 1750:26538633 1701:32086281 1637:35664270 1588:31631001 1539:35570988 1408:21694932 1350:28192819 1279:Genomics 1215:22331271 1172:16449663 1123:27259053 1074:16816842 1022:17434405 984:12417947 976:16462154 930:25490692 814:26088074 725:20382325 565:See also 537:drugs". 516:dialysis 361:in utero 314:dialysis 228:dialysis 185:sonogram 162:pancreas 76:Symptoms 2981:liver: 2680:Urachus 2620:Urethra 2602:Bladder 2388:Scholia 2300:D007690 2214:3108786 2169:2834200 2126:2983067 1995:8406618 1864:6763267 1790:4835927 1741:4849816 1692:7133124 1628:9155228 1579:6904245 1530:9091612 1399:3108786 1342:8650545 1322:Bibcode 1314:Science 1299:8307555 1264:1980516 1255:1017261 1207:1676697 1163:1367205 1114:4908191 1030:1700992 921:4409326 756:1767134 716:2898711 445:CT scan 365:nephron 320:Genetic 230:and/or 226:(RRT): 127:) is a 3173:cargo: 2594:Pelvic 2563:Ureter 2491:cystic 2460:Kidney 2390:has a 2335:000502 2289:173900 2221:  2211:  2176:  2166:  2133:  2123:  2025:  2002:  1992:  1934:  1871:  1861:  1818:Medium 1797:  1787:  1748:  1738:  1699:  1689:  1635:  1625:  1586:  1576:  1537:  1527:  1488:  1431:  1406:  1396:  1348:  1340:  1297:  1262:  1252:  1213:  1205:  1170:  1160:  1121:  1111:  1072:  1028:  1020:  1002:Lancet 982:  974:  928:  918:  866:  812:  754:  723:  713:  695:Lancet 333:, and 246:, and 203:exam. 160:, and 2803:Milia 2392:topic 2311:10262 2278:753.1 1932:S2CID 1346:S2CID 1211:S2CID 1026:S2CID 980:S2CID 457:liver 413:cilia 393:PKHD1 324:genes 254:Cause 218:) or 216:ACEIs 195:, or 154:liver 137:cysts 85:Types 2848:and 2832:and 2828:and 2824:and 2796:and 2780:Skin 2656:Both 2295:MeSH 2284:OMIM 2273:9-CM 2219:PMID 2174:PMID 2131:PMID 2081:2014 2055:2014 2023:ISBN 2000:PMID 1978:2015 1869:PMID 1795:PMID 1746:PMID 1697:PMID 1633:PMID 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Index

Polycystic kidney

Specialty
Nephrology
Symptoms
Diagnostic method
genetic disorder
renal tubules
cysts
autosomal dominant polycystic kidney disease
autosomal recessive polycystic kidney disease
liver
seminal vesicles
pancreas
aneurysms
circle of Willis
cerebral arteries
subarachnoid hemorrhage
sonogram
BUN
serum creatinine
eGFR
CT
renin–angiotensin–aldosterone system
angiotensin converting enzyme inhibitors
ACEIs
angiotensin receptor blockers
renal replacement therapy
dialysis
transplantation

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