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Nephrol Dial Transplant (2002) 17: 1883-1886
© 2002 European Renal Association-European Dialysis and Transplant Association


Invited Comment

Cystinosis: from gene to disease

Vasiliki Kalatzis1, and Corinne Antignac1,2

1 Inserm U423 and 2 Département de Génétique, Université René Descartes, Hôpital Necker-Enfants Malades, Paris, France

Keywords: cystine; cystinosis; Fanconi syndrome; lysosome; transporter

The first 150 words of the full text of this article appear below.

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]. . . . [Full Text of this Article]

Underlying metabolic defect

CTNS and causative mutations

Subcellular localization of cystinosin

Function of cystinosin

Perspectives


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