{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:01:49Z","timestamp":1790737309022,"version":"4.1.0"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JASN"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Providing the correct diagnosis for patients with tubulointerstitial kidney disease and secondary degenerative disorders, such as hypertension, remains a challenge. The autosomal dominant tubulointerstitial kidney disease (ADTKD) subtype caused by\n                      <jats:italic toggle=\"yes\">MUC1<\/jats:italic>\n                      mutations (ADTKD-\n                      <jats:italic toggle=\"yes\">MUC1<\/jats:italic>\n                      ) is particularly difficult to diagnose, because the mutational hotspot is a complex repeat domain, inaccessible with routine sequencing techniques. Here, we further evaluated SNaPshot minisequencing as a technique for diagnosing ADTKD-\n                      <jats:italic toggle=\"yes\">MUC1<\/jats:italic>\n                      and assessed immunodetection of the disease-associated mucin 1 frameshift protein (MUC1-fs) as a nongenetic technique.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We re-evaluated detection of\n                      <jats:italic toggle=\"yes\">MUC1<\/jats:italic>\n                      mutations by targeted repeat enrichment and SNaPshot minisequencing by haplotype reconstruction\n                      <jats:italic toggle=\"yes\">via<\/jats:italic>\n                      microsatellite analysis in three independent ADTKD-\n                      <jats:italic toggle=\"yes\">MUC1<\/jats:italic>\n                      families. Additionally, we generated rabbit polyclonal antibodies against MUC1-fs and evaluated immunodetection of wild-type and mutated allele products in human kidney biopsy specimens.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The detection of\n                      <jats:italic toggle=\"yes\">MUC1<\/jats:italic>\n                      mutations by SNaPshot minisequencing was robust. Immunostaining with our MUC1-fs antibodies and an MUC1 antibody showed that both proteins are readily detectable in human ADTKD-\n                      <jats:italic toggle=\"yes\">MUC1<\/jats:italic>\n                      kidneys, with mucin 1 localized to the apical membrane and MUC1-fs abundantly distributed throughout the cytoplasm. Notably, immunohistochemical analysis of MUC1-fs expression in clinical kidney samples facilitated reliable prediction of the disease status of individual patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Diagnosing ADTKD-\n                      <jats:italic toggle=\"yes\">MUC1<\/jats:italic>\n                      by molecular genetics is possible, but it is technically demanding and labor intensive. However, immunohistochemistry on kidney biopsy specimens is feasible for nongenetic diagnosis of ADTKD-\n                      <jats:italic toggle=\"yes\">MUC1<\/jats:italic>\n                      and therefore, a valid method to select families for further diagnostics. Our data are compatible with the hypothesis that specific molecular effects of MUC1-fs underlie the pathogenesis of this disease.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1681\/asn.2018030245","type":"journal-article","created":{"date-parts":[[2018,7,26]],"date-time":"2018-07-26T09:29:36Z","timestamp":1532597376000},"page":"2298-2309","source":"Crossref","is-referenced-by-count":42,"title":["Biallelic Expression of Mucin-1 in Autosomal Dominant Tubulointerstitial Kidney Disease: Implications for Nongenetic Disease Recognition"],"prefix":"10.1681","volume":"29","author":[{"given":"Karl X.","family":"Knaup","sequence":"first","affiliation":[{"name":"Department of Nephrology and Hypertension,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Hackenbeck","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Hypertension,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernt","family":"Popp","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Stoeckert","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Hypertension,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Wenzel","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics and Center for Molecular Medicine Cologne, University of Cologne, Cologne, Germany;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maike","family":"B\u00fcttner-Herold","sequence":"additional","affiliation":[{"name":"Department of Nephropathology, Institute of Pathology, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg, Erlangen, Germany;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick","family":"Pfister","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics and Center for Molecular Medicine Cologne, University of Cologne, Cologne, Germany;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Schueler","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Hypertension,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didem","family":"Seven","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics, and"},{"name":"Cerrahpa\u015fa Medical Faculty, Department of Medical Biology, Istanbul University, Istanbul, Turkey;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette M.","family":"May","sequence":"additional","affiliation":[{"name":"Institute for Surgical Pathology, Medical Center\u2014University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Halbritter","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, University of Leipzig, Leipzig, Germany; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermann-Josef","family":"Gr\u00f6ne","sequence":"additional","affiliation":[{"name":"Department of Cellular and Molecular Pathology, Deutsches Krebsforschungszentrum Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6301-6363","authenticated-orcid":false,"given":"Andr\u00e9","family":"Reis","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bodo B.","family":"Beck","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics and Center for Molecular Medicine Cologne, University of Cologne, Cologne, Germany;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Amann","sequence":"additional","affiliation":[{"name":"Department of Nephropathology, Institute of Pathology, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg, Erlangen, Germany;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arif B.","family":"Ekici","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Wiesener","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Hypertension,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,7,26]]},"reference":[{"key":"B1-20230829","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1159\/000088491","article-title":"Population-based screening for family history of end-stage renal disease among incident dialysis patients.","volume":"25","author":"Freedman","year":"2005","journal-title":"Am J Nephrol"},{"key":"B2-20230829","doi-asserted-by":"crossref","first-page":"1692","DOI":"10.2215\/CJN.01680214","article-title":"Familial clustering of ESRD in the Norwegian population.","volume":"9","author":"Skrunes","year":"2014","journal-title":"Clin J Am Soc Nephrol"},{"key":"B3-20230829","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1038\/ki.2015.28","article-title":"Autosomal dominant tubulointerstitial kidney disease: Diagnosis, classification, and management--A KDIGO consensus report.","volume":"88","author":"Eckardt","year":"2015","journal-title":"Kidney Int"},{"key":"B4-20230829","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1136\/jmg.39.12.882","article-title":"Mutations of the UMOD gene are responsible for medullary cystic kidney disease 2 and familial juvenile hyperuricaemic nephropathy.","volume":"39","author":"Hart","year":"2002","journal-title":"J Med Genet"},{"key":"B5-20230829","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1038\/ng.2543","article-title":"Mutations causing medullary cystic kidney disease type 1 lie in a large VNTR in MUC1 missed by massively parallel sequencing.","volume":"45","author":"Kirby","year":"2013","journal-title":"Nat Genet"},{"key":"B6-20230829","doi-asserted-by":"crossref","first-page":"2001","DOI":"10.1093\/hmg\/8.11.2001","article-title":"A novel syndrome of diabetes mellitus, renal dysfunction and genital malformation associated with a partial deletion of the pseudo-POU domain of hepatocyte nuclear factor-1beta.","volume":"8","author":"Lindner","year":"1999","journal-title":"Hum Mol Genet"},{"key":"B7-20230829","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.ajhg.2009.07.010","article-title":"Dominant renin gene mutations associated with early-onset hyperuricemia, anemia, and chronic kidney failure.","volume":"85","author":"Zivn\u00e1","year":"2009","journal-title":"Am J Hum Genet"},{"key":"B8-20230829","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.ajhg.2016.05.028","article-title":"Heterozygous loss-of-function SEC61A1 mutations cause autosomal-dominant tubulo-interstitial and glomerulocystic kidney disease with anemia.","volume":"99","author":"Bolar","year":"2016","journal-title":"Am J Hum Genet"},{"key":"B9-20230829","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.molmed.2014.02.007","article-title":"MUC1: A multifaceted oncoprotein with a key role in cancer progression.","volume":"20","author":"Nath","year":"2014","journal-title":"Trends Mol Med"},{"key":"B10-20230829","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1038\/ki.2014.72","article-title":"Renal fibrosis is the common feature of autosomal dominant tubulointerstitial kidney diseases caused by mutations in mucin 1 or uromodulin.","volume":"86","author":"Ekici","year":"2014","journal-title":"Kidney Int"},{"key":"B11-20230829","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1038\/mi.2008.5","article-title":"Mucins in the mucosal barrier to infection.","volume":"1","author":"Linden","year":"2008","journal-title":"Mucosal Immunol"},{"key":"B12-20230829","doi-asserted-by":"crossref","first-page":"4475","DOI":"10.1007\/s00018-015-2014-z","article-title":"MUC1 (CD227): A multi-tasked molecule.","volume":"72","author":"Apostolopoulos","year":"2015","journal-title":"Cell Mol Life Sci"},{"key":"B13-20230829","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1136\/jcp.32.1.35","article-title":"A new antigen on the epithelial membrane: Its immunoperoxidase localisation in normal and neoplastic tissue.","volume":"32","author":"Heyderman","year":"1979","journal-title":"J Clin Pathol"},{"key":"B14-20230829","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1309\/1F99-BPDY-7DHH-9G97","article-title":"MUC1 expression is correlated with nuclear grade and tumor progression in pT1 renal clear cell carcinoma.","volume":"118","author":"Leroy","year":"2002","journal-title":"Am J Clin Pathol"},{"key":"B15-20230829","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1053\/hupa.2002.29682","article-title":"MUC1 mucin and trefoil factor 1 protein expression in renal cell carcinoma: Correlation with prognosis.","volume":"33","author":"Kraus","year":"2002","journal-title":"Hum Pathol"},{"key":"B16-20230829","doi-asserted-by":"crossref","first-page":"2010","DOI":"10.1093\/ndt\/gfx083","article-title":"Analysis of an ADTKD family with a novel frameshift mutation in MUC1 reveals characteristic features of mutant MUC1 protein.","volume":"32","author":"Yamamoto","year":"2017","journal-title":"Nephrol Dial Transplant"},{"key":"B17-20230829","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1053\/j.ajkd.2017.08.024","article-title":"Autosomal dominant tubulointerstitial kidney disease due to MUC1 mutation.","volume":"71","author":"Yu","year":"2018","journal-title":"Am J Kidney Dis"},{"key":"B18-20230829","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1002\/path.1711480109","article-title":"Epithelial membrane antigen in normal and proteinuric glomeruli and in damaged proximal tubules.","volume":"148","author":"Howie","year":"1986","journal-title":"J Pathol"},{"key":"B19-20230829","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1111\/j.1365-2559.1985.tb02859.x","article-title":"The distribution of epithelial membrane antigen in the kidney and its tumours.","volume":"9","author":"Fleming","year":"1985","journal-title":"Histopathology"},{"key":"B20-20230829","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1007\/BF00272616","article-title":"Tamm-Horsfall protein-mRNA synthesis is localized to the thick ascending limb of Henle\u2019s loop in rat kidney.","volume":"94","author":"Bachmann","year":"1990","journal-title":"Histochemistry"},{"key":"B21-20230829","doi-asserted-by":"crossref","first-page":"4170","DOI":"10.1038\/s41598-018-22428-0","article-title":"Single molecule real time sequencing in ADTKD-MUC1 allows complete assembly of the VNTR and exact positioning of causative mutations.","volume":"8","author":"Wenzel","year":"2018","journal-title":"Sci Rep"},{"key":"B22-20230829","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1002\/mc.22065","article-title":"Hypoxia regulates the sperm associated antigen 4 (SPAG4) via HIF, which is expressed in renal clear cell carcinoma and promotes migration and invasion in vitro.","volume":"53","author":"Knaup","year":"2014","journal-title":"Mol Carcinog"},{"key":"B23-20230829","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1093\/hmg\/7.5.905","article-title":"Chromosome 1 localization of a gene for autosomal dominant medullary cystic kidney disease.","volume":"7","author":"Christodoulou","year":"1998","journal-title":"Hum Mol Genet"},{"key":"B24-20230829","doi-asserted-by":"crossref","first-page":"527","DOI":"10.2215\/CJN.06380613","article-title":"Variable clinical presentation of an MUC1 mutation causing medullary cystic kidney disease type 1.","volume":"9","author":"Bleyer","year":"2014","journal-title":"Clin J Am Soc Nephrol"},{"key":"B25-20230829","doi-asserted-by":"crossref","first-page":"e1006620","DOI":"10.1371\/journal.pgen.1006620","article-title":"Mutations in mitochondrial DNA causing tubulointerstitial kidney disease.","volume":"13","author":"Connor","year":"2017","journal-title":"PLoS Genet"},{"key":"B26-20230829","doi-asserted-by":"crossref","first-page":"100","DOI":"10.7326\/M17-1319","article-title":"Whole-exome sequencing in adults with chronic kidney disease: A pilot study.","volume":"168","author":"Lata","year":"2018","journal-title":"Ann Intern Med"},{"key":"B27-20230829","doi-asserted-by":"crossref","first-page":"30093","DOI":"10.1074\/jbc.270.50.30093","article-title":"Delayed mammary tumor progression in Muc-1 null mice.","volume":"270","author":"Spicer","year":"1995","journal-title":"J Biol Chem"},{"key":"B28-20230829","doi-asserted-by":"crossref","first-page":"3369","DOI":"10.1093\/hmg\/ddg353","article-title":"Allelism of MCKD, FJHN and GCKD caused by impairment of uromodulin export dynamics.","volume":"12","author":"Rampoldi","year":"2003","journal-title":"Hum Mol Genet"},{"key":"B29-20230829","doi-asserted-by":"crossref","first-page":"3006","DOI":"10.1681\/ASN.2005050461","article-title":"Mutant tamm-horsfall glycoprotein accumulation in endoplasmic reticulum induces apoptosis reversed by colchicine and sodium 4-phenylbutyrate.","volume":"16","author":"Choi","year":"2005","journal-title":"J Am Soc Nephrol"},{"key":"B30-20230829","doi-asserted-by":"crossref","first-page":"42970","DOI":"10.1038\/srep42970","article-title":"Mitochondrial dysregulation secondary to endoplasmic reticulum stress in Autosomal Dominant Tubulointerstitial Kidney Disease - UMOD (ADTKD-UMOD).","volume":"7","author":"Kemter","year":"2017","journal-title":"Sci Rep"},{"key":"B31-20230829","doi-asserted-by":"crossref","first-page":"e0175970","DOI":"10.1371\/journal.pone.0175970","article-title":"Mutant uromodulin expression leads to altered homeostasis of the endoplasmic reticulum and activates the unfolded protein response.","volume":"12","author":"Schaeffer","year":"2017","journal-title":"PLoS One"},{"key":"B32-20230829","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1038\/nrneph.2017.101","article-title":"Uromodulin: From physiology to rare and complex kidney disorders.","volume":"13","author":"Devuyst","year":"2017","journal-title":"Nat Rev Nephrol"},{"key":"B33-20230829","doi-asserted-by":"crossref","first-page":"2080","DOI":"10.1038\/nprot.2012.115","article-title":"Generation of human induced pluripotent stem cells from urine samples.","volume":"7","author":"Zhou","year":"2012","journal-title":"Nat Protoc"}],"container-title":["Journal of the American Society of Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00001751-201809000-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T19:31:08Z","timestamp":1786131068000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00001751-201809000-00008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,26]]},"references-count":33,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1681\/asn.2018030245","relation":{},"ISSN":["1046-6673","1533-3450"],"issn-type":[{"value":"1046-6673","type":"print"},{"value":"1533-3450","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,26]]}}}