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array:23 [ "pii" => "S0211699518301826" "issn" => "02116995" "doi" => "10.1016/j.nefro.2018.12.002" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "555.1" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "abs" "cita" => "Nefrologia. 2019;39:334" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 557 "formatos" => array:3 [ "EPUB" => 88 "HTML" => 236 "PDF" => 233 ] ] "itemSiguiente" => array:18 [ "pii" => "S0211699518301838" "issn" => "02116995" "doi" => "10.1016/j.nefro.2018.12.003" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "555.2" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "abs" "cita" => "Nefrologia. 2019;39:334-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2938 "formatos" => array:3 [ "EPUB" => 88 "HTML" => 2270 "PDF" => 580 ] ] "es" => array:8 [ "idiomaDefecto" => true "titulo" => "Enfermedad renal crónica (ERC) y estatus socioeconómico (SES). Estudio Epidemiología de la enfermedad renal crónica en España (EPIRCE)" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "334" "paginaFinal" => "335" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alfonso Otero González, A.L.M. de Francisco, Pilar Gayoso Díaz, Fernando García López" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Alfonso" "apellidos" => "Otero González" ] 1 => array:2 [ "nombre" => "A.L.M." "apellidos" => "de Francisco" ] 2 => array:2 [ "nombre" => "Pilar" "apellidos" => "Gayoso Díaz" ] 3 => array:2 [ "nombre" => "Fernando" "apellidos" => "García López" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699518301838?idApp=UINPBA000064" "url" => "/02116995/0000003900000003/v2_201905101344/S0211699518301838/v2_201905101344/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0211699518302108" "issn" => "02116995" "doi" => "10.1016/j.nefro.2018.12.030" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "556.20" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "abs" "cita" => "Nefrologia. 2019;39:332-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 731 "formatos" => array:3 [ "EPUB" => 91 "HTML" => 400 "PDF" => 240 ] ] "es" => array:8 [ "idiomaDefecto" => true "titulo" => "Eculizumab modifica el pronóstico en pacientes adultos con SHUa y daño renal agudo" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "332" "paginaFinal" => "333" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mercedes Cao, Bruna N. Leite, Tamara Ferreiro, María Calvo, Constantino Fernández, Angel Alonso, Francisco Valdés, Pilar Salvador, RocíoSeijo, Santiago Rodríguez de Córdoba" "autores" => array:10 [ 0 => array:2 [ "nombre" => "Mercedes" "apellidos" => "Cao" ] 1 => array:2 [ "nombre" => "Bruna N." "apellidos" => "Leite" ] 2 => array:2 [ "nombre" => "Tamara" "apellidos" => "Ferreiro" ] 3 => array:2 [ "nombre" => "María" "apellidos" => "Calvo" ] 4 => array:2 [ "nombre" => "Constantino" "apellidos" => "Fernández" ] 5 => array:2 [ "nombre" => "Angel" "apellidos" => "Alonso" ] 6 => array:2 [ "nombre" => "Francisco" "apellidos" => "Valdés" ] 7 => array:2 [ "nombre" => "Pilar" "apellidos" => "Salvador" ] 8 => array:1 [ "apellidos" => "RocíoSeijo" ] 9 => array:2 [ "nombre" => "Santiago" "apellidos" => "Rodríguez de Córdoba" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699518302108?idApp=UINPBA000064" "url" => "/02116995/0000003900000003/v2_201905101344/S0211699518302108/v2_201905101344/es/main.assets" ] "es" => array:8 [ "idiomaDefecto" => true "titulo" => "Development of strategies for genetic diagnosis of hereditary glomerulopathies, tubulopathies and cystic kidney diseases by the sequencing sets of genes" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "334" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "María Lara Besada Cerecedo, Noa Carrera Cachaza, María García Murias, Ana María Barcia de la Iglesia, Jorge Amigo Lechuga, Beatriz Sobrino Rey, Cándido Díaz Rodríguez, Miguel Ángel García-González" "autores" => array:8 [ 0 => array:3 [ "nombre" => "María Lara" "apellidos" => "Besada Cerecedo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Noa" "apellidos" => "Carrera Cachaza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "María" "apellidos" => "García Murias" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Ana María" "apellidos" => "Barcia de la Iglesia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Jorge" "apellidos" => "Amigo Lechuga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "Beatriz" "apellidos" => "Sobrino Rey" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 6 => array:3 [ "nombre" => "Cándido" "apellidos" => "Díaz Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] ] ] 7 => array:3 [ "nombre" => "Miguel Ángel" "apellidos" => "García-González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Laboratorio de Genética y Biología del Desarrollo de las Enfermedades Renales, Instituto de Investigación Sanitaria de Santiago de Compostela, Santiago de Compostela, La Coruña, Spain" "etiqueta" => "1" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Fundación Pública Galega de Medicina Xenómica, Santiago de Compostela, La Coruña, Spain" "etiqueta" => "2" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Nefrología, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, Spain" "etiqueta" => "3" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Grupo de Nefrología, Instituto de Investigación Sanitaria de Santiago de Compostela-Fundación Pública Galega de Medicina Xenómica, Santiago de Compostela, La Coruña, Spain" "etiqueta" => "4" "identificador" => "aff0020" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Introduction:</span> Accurate clinical diagnosis in certain renal pathologies, especially glomerular and tubular disease, has proven to be difficult, as different pathologies may appear as clinical phenocopies. Genetic studies have the advantage of ensuring an accurate diagnosis and anticipate the disease. The implementation of NGS technology into routine genetic diagnostic practices allows the screening of large sets of genes in a single test.</p><p id="par0010" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Methods:</span> Our group, based on the clinical classification, generated different panels for the sequence of renal disease genes in single tests: (1) panel for cystic kidney disease (up to 72 genes); (2) panel for glomerular disease (26 genes), and (3) panel for tubular disease (36 genes). Also, our group solved one of the limitations of conventional pre-designed NGS kits for target enrichment in regions with high homology pseudogenes (such as the <span class="elsevierStyleItalic">PKD1</span> gene) by developing particular primers to amplify specifically the replicated region of <span class="elsevierStyleItalic">PKD1</span> gene (exons 1-34).</p><p id="par0015" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> Our technology proved to be more efficient compared to other technologies used in the diagnostic routine. By analyzing a cohort of 291 families with PKD clinical diagnosis, we identified the causal mutation in 88% (<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>255) of the families. In 94% (<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>240) of these cases the clinical and genetic diagnosis were concordant. Of the 71 patients with a clinical diagnosis of glomerular disease and 31 with tubular disease subjected to genetic analysis, we identified the causal mutation in 62% (<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>44) and 52% (<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>16) of the cases, respectively. The concordance between genetic and clinical diagnosis was 66% (<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>29) for the glomerular cohort and 69% (<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>11) for tubular cohort. Most cases of misdiagnosis were associated with syndromic diseases with very similar phenotypes, such as Gitelman and Bartter syndromes.</p><p id="par0020" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Conclusions:</span> The strategy of grouping genes by phenotype for genetic testing probed to be efficient in finding the causal mutation. Our results make clear the need of a genetic test to avoid misdiagnosis of certain renal pathologies.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true ] "idiomaDefecto" => "es" "url" => "/02116995/0000003900000003/v2_201905101344/S0211699518301826/v2_201905101344/es/main.assets" "Apartado" => array:4 [ "identificador" => "77694" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Comunicaciones 5° Congreso de la Sociedad Gallega de Nefrología" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/02116995/0000003900000003/v2_201905101344/S0211699518301826/v2_201905101344/es/main.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699518301826?idApp=UINPBA000064" ]
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