This report describes nephrotic syndrome 2 (NPHS2), a subtype of nephrotic syndrome; NPHS2 exhibits autosomal recessive inheritance. The human gene implicated in this disease is podocin (PDCN or NPHS2), which encodes an integral membrane protein that plays a crucial role in the establishment of the glomerular filtration barrier in the kidney podocytes. Podocin is a member of a highly conserved family of integral membrane proteins that includes stomatins and stomatin-like proteins. There are multiple orthologous genes in Drosophila; one of these, Mec2, was identified in a screen for fly genes required for the function of nephrocytes. See the disease report nephrotic syndrome (postulated), stomatin-related (FBhh0000553).
The human NPHS2 (PDCN) gene has not been introduced into flies.
[updated Jun. 2017 by FlyBase; FBrf0222196]
The nephrotic syndrome is characterized clinically by proteinuria, hypoalbuminemia, hyperlipidemia, and edema. Kidney biopsies show nonspecific histologic changes such as minimal change, focal segmental glomerulosclerosis (FSGS), and diffuse mesangial proliferation. Approximately 20% of affected individuals have an inherited steroid-resistant form and progress to end-stage renal failure (summary by Fuchshuber et al., 1996, pubmed:8606597). [From MIM:256300, 2016.06.13]
[NEPHROTIC SYNDROME, TYPE 2; NPHS2](https://omim.org/entry/600995)
[NPHS2 STOMATIN FAMILY MEMBER, PODOCIN; NPHS2](https://omim.org/entry/604766)
Nephrotic syndrome type 2 (NPHS2) is characterized clinically by childhood onset of proteinuria, hypoalbuminemia, hyperlipidemia, and edema. The disorder is resistant to steroid treatment and progresses to end-stage renal failure in the first or second decade (summary by Fuchshuber et al., 1996; pubmed:8606597). Some variants show later onset of the disorder (Tsukaguchi et al., 2002; pubmed:12464671). [from MIM:600995; 2017.06.07]
Nephrotic syndrome type 2 (NPHS2), can be caused by homozygous or compound heterozygous mutation in the gene encoding podocin (NPHS2) [from MIM:600995; 2017.06.07]
The NPHS2 gene encodes podocin, an integral membrane protein that is expressed at the insertion of the slit diaphragm in the renal glomerulus. Podocytes are specialized epithelial cells covering the basement membrane of the renal glomerulus, and they mediate glomerular filtration through the slit diaphragm. Podocin is thus crucial in the establishment of the glomerular filtration barrier (Roselli et al., 2004; pubmed:14701729). [from MIM:604766; 2017.06.07]
Many to many; human genes in this family include NPHS2, STOML3, STOM, STOML1, and STOML2.