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Nephrol Dial Transplant (2004) 19: 1351-1353
Nephrol Dial Transplant Vol. 19 No. 6 © ERA-EDTA 2004; all rights reserved


Editorial Comment

Nephrogenic diabetes insipidus: update of genetic and clinical aspects

Sei Sasaki

Department of Nephrology, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan

Correspondence and offprint requests to: Sei Sasaki, MD, Department of Nephrology, Graduate School, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-Ku, Tokyo 113-8519, Japan. Email: ssasaki.kid@tmd.ac.jp

Keywords: aquaporin 2; AQP2; kidney hereditary disease; vasopressin

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



   Introduction
 
Ten years have passed since the cloning and molecular identification of the vasopressin V2 receptor (V2R) and aquaporin-2 water channel (AQP2), a pair of molecules whose genetic mutations have been established to cause hereditary nephrogenic diabetes insipidus (NDI), a human disease characterized by an inability to concentrate urine. Gene identification and mutation searches in NDI families have led to the identification of numerous patients, which in turn has provided a more detailed view of the clinical characteristics of this disease entity. Human genetic analyses of these types have also provided insight into how AQP2 protein is regulated inside the cell and how mutant AQP2s come to resist proper regulation. This knowledge of cellular biology will form the basis for the development of new treatments. The present Comment focuses on recent advances in our understanding of the genetic and clinical aspects of NDI.



   Classification
 
NDI patients typically cannot concentrate urine above serum . . . [Full Text of this Article]



   Clinical symptoms and diagnosis
 


   Therapy—usual therapy and future challenge
 

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