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Vesicoureteral reflux, X-linked(VURX)

MedGen UID:
374134
Concept ID:
C1839114
Disease or Syndrome
Synonym: VURX
 
Monarch Initiative: MONDO:0010755
OMIM®: 314550

Clinical features

From HPO
Vesicoureteral reflux
MedGen UID:
21852
Concept ID:
C0042580
Disease or Syndrome
Vesicoureteral reflux (VUR) is characterized by the reflux of urine from the bladder into the ureters and sometimes into the kidneys. It is a risk factor for urinary tract infections. Primary VUR results from a developmental defect of the ureterovesical junction (UVJ). In combination with intrarenal reflux, the resulting inflammatory reaction may result in renal injury or scarring, also called reflux nephropathy (RN). Extensive renal scarring impairs renal function and may predispose patients to hypertension, proteinuria, and renal insufficiency (summary by Lu et al., 2007). Genetic Heterogeneity of Vesicoureteral Reflux A locus designated VUR1 maps to chromosome 1p13. VUR2 (610878) is caused by mutation in the ROBO2 gene (602431) on chromosome 3p12; VUR3 (613674) is caused by mutation in the SOX17 gene (610928) on chromosome 8q11; VUR4 (614317) maps to chromosome 5; VUR5 (614318) maps to chromosome 13; VUR6 (614319) maps to chromosome 18; VUR7 (615390) maps to chromosome 12; and VUR8 (615963) is caused by mutation in the TNXB gene (600985) on chromosome 6p21. A possible X-linked form has been reported (VURX; 314550).

Recent clinical studies

Etiology

Marchini GS, Onal B, Guo CY, Rowe CK, Kunkel L, Bauer SB, Retik AB, Nguyen HT
BJU Int 2012 Jun;109(11):1709-14. Epub 2011 Oct 7 doi: 10.1111/j.1464-410X.2011.10634.x. PMID: 21981614

Diagnosis

Oegema R, Hulst JM, Theuns-Valks SD, van Unen LM, Schot R, Mancini GM, Schipper ME, de Wit MC, Sibbles BJ, de Coo IF, Nanninga V, Hofstra RM, Halley DJ, Brooks AS
Am J Med Genet A 2013 Sep;161A(9):2376-84. Epub 2013 Jul 19 doi: 10.1002/ajmg.a.36109. PMID: 23873601
Spinosa MJ, Liberalesso PB, Vieira SC, Olmos AS, Löhr A Jr
Arq Neuropsiquiatr 2006 Dec;64(4):1023-6. doi: 10.1590/s0004-282x2006000600027. PMID: 17221017
Stoll C, Viville B, Treisser A, Gasser B
Am J Med Genet 1998 Jul 24;78(4):345-9. doi: 10.1002/(sici)1096-8628(19980724)78:4<345::aid-ajmg8>3.0.co;2-k. PMID: 9714437

Prognosis

Naseri M, Ghiggeri GM, Caridi G, Abbaszadegan MR
Pediatr Nephrol 2010 Feb;25(2):349-52. Epub 2009 Aug 25 doi: 10.1007/s00467-009-1293-8. PMID: 19705159
Oshio T, Hino M, Kirino A, Matsumura C, Fukuda K
J Pediatr Surg 1997 May;32(5):782-4. doi: 10.1016/s0022-3468(97)90035-x. PMID: 9165480

Clinical prediction guides

Stoll C, Viville B, Treisser A, Gasser B
Am J Med Genet 1998 Jul 24;78(4):345-9. doi: 10.1002/(sici)1096-8628(19980724)78:4<345::aid-ajmg8>3.0.co;2-k. PMID: 9714437

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