1995
DOI: 10.1007/bf00209481
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Genetic heterogeneity of polycystic kidney disease in Bulgaria

Abstract: Linkage analysis was performed on 22 Bulgarian families with polycystic kidney disease (PKD) ascertained through the hemodialysis centers of two medical schools. A total of 128 affected and 59 unaffected individuals, and 54 spouses have been investigated using eight polymorphic markers linked to PKD1 and nine markers to PKD2. The results demonstrate locus heterogeneity with 0.67 as the maximum likelihood value of alpha, i.e., the proportion of families linked to PKD1. In five families, the results suggest link… Show more

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Cited by 62 publications
(34 citation statements)
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“…This direct interaction is consistent with the clinical observation that patients with mutations of either PKD1 or PKD2 develop an identical phenotype of renal and extrarenal disease (although a milder form of the disease results from mutations of PKD2) (20,21). Evidence for the involvement of a third genetic locus in PKD includes the existence of diseases that resemble PKD and for which genetic linkage to PKD1 or PKD2 has been excluded (22)(23)(24)(25).…”
Section: Discussionsupporting
confidence: 85%
“…This direct interaction is consistent with the clinical observation that patients with mutations of either PKD1 or PKD2 develop an identical phenotype of renal and extrarenal disease (although a milder form of the disease results from mutations of PKD2) (20,21). Evidence for the involvement of a third genetic locus in PKD includes the existence of diseases that resemble PKD and for which genetic linkage to PKD1 or PKD2 has been excluded (22)(23)(24)(25).…”
Section: Discussionsupporting
confidence: 85%
“…Another study was performed by colleagues on 48 Korean families that the results were composed of PKD1 (79%) and PKD2 (21%) (15). Moreover, the similar rate of the genetic heterogeneity has been shown in other populations, such as Argentinians (91%) (16), Bulgarians (73%) (17), and Caucasians (81%) (18). Radpour et al study, the closest one to our investigation, evaluated 15 Iranian families and reported that the proportion of families linked to PKD1, PKD2, or to other genes was 73%, 13%, and 13%, respectively (5).…”
Section: Discussionmentioning
confidence: 65%
“…47 Some families with ADPKD display neither PKD1 nor PKD2 mutations, suggesting that other genetic loci may also be associated with the disease. [48][49][50][51][52] In general, these patients have milder disease, although a number of families with more severe clinical courses have been described. 52,53 Reasons for this phenotype heterogenicity are unclear, and it is possible that more than one unknown gene is causative in these unlinked families.…”
Section: Clinical Criteriamentioning
confidence: 99%