Nephrol Dial Transplant (2002) 17: 1883-1886
© 2002 European Renal Association-European Dialysis and Transplant Association
Invited Comment
Cystinosis: from gene to disease
1 Inserm U423 and 2 Département de Génétique, Université René Descartes, Hôpital Necker-Enfants Malades, Paris, France
Keywords: cystine; cystinosis; Fanconi syndrome; lysosome; transporter
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Introduction
Lysosomes are intracellular sacs of enzymes that are responsible for the digestion of macromolecules. The products of the hydrolytic digestion process then leave the lysosome via specific transporters in its membrane, to be either reused by the cell or excreted outwards. The general consensus about cystinosis has been that it is an inherited multi-systemic disease resulting from failure of lysosomal cystine transport. However, it has only been since the cloning of the causative gene, CTNS (short for cystinosis), and the study of the encoded protein, cystinosin, that the molecular basis of this disorder has been understood.
Clinical description
Cystinosis (MIM 219800) is the most common inherited cause of the renal Fanconi syndrome. The most severe form, infantile cystinosis, manifests generally between 6 and 12 months of age by fluid and electrolyte loss, aminoaciduria, glycosuria, phosphaturia, renal tubular acidosis, rickets and growth retardation [1].
Underlying metabolic defect
CTNS and causative mutations
Subcellular localization of cystinosin
Function of cystinosin
Perspectives
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