Summary
The association of nephropathy, Wilms' tumour and genital abnormalities is known as Drash syndrome. Two of these features are also seen in the WAGR (Wilms' tumour, aniridia, genito-urinary abnormalities, mental retardation) complex, known to be associated with deletions of chromosome region 11p1S. We have carried out karyotypic and molecular studies in 10 Drash patients, 5 males and 5 females. All the males had a 46XY karyotype as did 3/5 of the phenotypic females, the other two having a 46XX karyotype. One of the 46XX females also had a deletion of region 11p13–p12, the only detectable autosomal chromosome abnormality in any of the patients studied. Lymphoblastoid cell lines were prepared from 6 of the Drash patients and were used in dosage studies using a variety of DNA probes from the 11p13 region. There was no evidence of microdeletions in any patient with a normal karyotype. Because of the 46XY karyotype in phenotypic females, selected X and Y chromosome loci were analysed and all found to be normal. Although Drash syndrome is likely to be of genetic origin, there are no readily detected deletions within the 11p13 region.
Similar content being viewed by others
References
Andersen S, Geertingen P, Larsen HW, Mikkelson M, Parbing A, Vestermark S, Warburg M (1978) Aniridia, cateract and gonadoblastoma in a mentally retarded girl with deletion of chromosome 11. Ophthalmologica 176:171–177
Angstrom T (1965) Nephroblastoma in a case of agonadism. Cancer 18:857–862
Boehm T, Lavenir I, Forster A, Wadey RB, Cowell JK, Harbott C, Lampert F, Waters J, Sherrington P, Couillin P, Azoulay M, Junien C, Van Heyningen V, Porteous DJ, Hastie ND, Rabbitts TH (1988) The T-ALL specific t(11;14)(p13;q11) translocation breakpoint cluster region is located near to the Wilms' tumour predisposition region. Oncogene 3:691–695
Bond JV (1977) Wilms' tumour, hypospadias and cryptorchidism in twins. Arch Dis Child 52:243–265
Breslow NE, Beckwith JB (1982) Epidemiological features of Wilms' tumour: results of the National Wilms' Tumour Study. J Natl Cancer Inst 68:429–436
Call KM, Glaser T, Ito CY, Buckler AJ, Pelletier J, Haber DA, Rose EA, Kral A, Yeger H, Lewis WH, Jones C, Houseman DE (1990) Isolation and characterisation of a zinc finger polypeptide gene at the human chromosome 11 Wilms' tumour locus. Cell 60:509–520
Compton DA, Weil MM, Jones C, Riccardi VM, Strong LC, Saunders GF (1988) Long range physical map of the Wilms' tumour-aniridia region on human chromosome 11. Cell 55:827–836
Couillin P, Azoulay M, Henry I, Ravise N, Gisard MC, Jeanpierre C, Barichard F, Metezeau P, Candelier JJ, Lewis W, Van Heyningen V, Junien C (1989) Characterisation of a panel of somatic cell hybrids for subregional mapping along lip and within band 11p13. Hum Genet 82:171–178
Cowell JK (1980) Consistent chromosome abnormalities associated with mouse bladder epithelial cell lines transformed in vitro. J Natl Cancer Inst 65:955–961
Cowell JK (1990) Recessive oncogenes and antioncogenes. In: Grove PL, Cooper CS (eds) Carcinogenesis and mutagenesis. Springer, Berlin Heidelberg New York, pp 297–318
Cowell JK, Wadey RB, Buckle B, Pritchard J (1989) The aniridia-Wilms-tumour association: molecular and genetic analysis of chromosome deletions on the short arm of chromosome 11. Hum Genet 82:123–126
Denys P, Malvaux P, Van Den Berghe H, Tangue W, Proesmans W (1967) Association d'une syndrome anatomo-pathologique de pseudohermaphrodisme masculin, d'une tumeur de Wilms', d'une nephropathie parenchymateuse et d'une mosaicism XX/XY. Arch Fr Pediatr 24:729–739
Drash A, Sherman F, Hartman WH, Blizzard RM (1970) A syndrome of pseudohermaphroditism, Wilms' tumour, hypertension, and degenerative renal disease. J Pediatr 76:585–593
Eddy A, Mauer SM (1985a) Editorial correspondence. J Pediatr 107:988
Eddy AA, Mauer SM (1985b) Pseudohermaphroditism, glomerulopathy, and Wilms' tumour (Drash syndrome): frequency in end-stage renal failure. J Pediatr 106:584–587
Edidin D (1985) Editorial correspondence. J Pediatr 107:988
Feinberg AP, Vogelstein B (1983) A technique for radiolabeling DNA restriction endonuclease fragments to high specific activity. Anal Biochem 132:6–13
Fisher JE, Andres GA, Cooney DR, McDonald M (1983) A syndrome of pure gonadal dysgenesis: gonadoblastoma, Wilms' tumour and nephron disease. Lab Invest 48:4–5
Frasier SP, Bashore RA, Mosier HD (1964) Gonadoblastoma associated with pure gonadal dysgenesis in monozygous twins. J Pediatr 64:740–745
Friend SH, Bernards R, Rogelj S, Weinberg RA, Rapaport JM, Albert DM, Dryja TP (1986) A human DNA segment with properties of the gene that predisposes to retinoblastoma and osteosarcoma. Nature 323:643–646
Gallo GE, Chemes HE (1987) The association of Wilms' tumour, male pseudohermaphroditism and diffuse glomerular disease (Drash syndrome): report of 8 cases with clinical and morphological findings and review of the literature. Pediatr Pathol 7:175–189
Grundy P, Koufos A, Morgan K, Li FP, Meadows AT, Cavenee WK (1988) Familial predisposition to Wilms' tumour does not map to the short arm of chromosome 11. Nature 336:375–376
Habib R, Loiret C, Gubler MC, Niaudet P, Bensman A, Levy M, Broyer M (1985) The nephropathy associated with male pseudohermaphroditism and Wilms' tumour (Drash syndrome): a distinctive glomerular lesion — report of 10 cases. Clin Nephrol 24:269–278
Habib R, Gubler MC, Niaudet P, Gagnadoux MF (1988) Congenital/infantile nephrotic syndrome with diffuse mesangial sclerosis: relationship with Drash syndrome. 5th International Clinical Genetics Seminar, Crete 1988, p 65
Huff V, Compton DA, Chao L-Y, Strong LC, Geiser CF, Saunders GF (1988) Lack of linkage of familial Wilms' tumour to chromosomal band 11p13. Nature 336:377–378
Jadresic L, Leake J, Gordon I, Dillon MJ, Grant DB, Pritchard J, Risdon RA, Barratt TM (1990) Clinico-pathological review of 12 children with nephropathy, Wilms' tumour and genital abnormalities (Drash syndrome). J Pediatr 117:717–725
Lewis WH, Yeger H, Bonetta L, Chan HSL, Kang J, Junien C, Cowell JK, Jones C, Dafoe LA (1988) Homozygous deletion of a DNA marker from chromosome 11 in sporadic Wilms' tumour. Genomics 3:25–31
Maniatis T, Fritsch EF, Sambrook J (eds) (1982) Molecular cloning: a laboratory manual. Cold Spring Harbor laboratory, Cold pring Harbor, NY
Manivel JC, Sibley RK, Dehner LP (1987) Complete and incomplete Drash syndrome: a clinico-pathologic study of five cases of a dysontogenetic-neoplastic complex. Hum Pathol 18:80–89
Mannens M, Slater RM, Heytig C, Blick J, De Kraker J, Coad N, De Pagter-Holthuizen P, Pearson PL (1988) Molecular nature of genetic changes resulting in loss of heterozygosity of chromosome 11 in Wilms' tumours. Hum Genet 81:41–48
Miller RW, Fraumeni JR, Manning MD (1964) Association of Wilms' tumour with aniridia, hemihypertrophy, and other congenital malformations. N Engl J Med 27:922–927
Mitchell CD, Cowell JK (1989) Predisposition to retinoblastoma due to a translocation within the 4.7R locus. Oncogene 4:253–257
Moore JW, Hyman S, Antonarakis SE, Mules EH, Thomas GH (1986) Familial isolated aniridia associated with a translocation involving chromosome 11 and 22 [t(11;22) (p13;q22)]. Hum Genet 72:297–302
Narahara K, Kikkawa K, Kimira S, Kimoto H, Ogata M, Kasai M, Matsuoka K (1984) Regional mapping of catalase and Wilms' tumour-aniridia, genitourinary abnormalities, and mental retardation triad loci to the chromosome segment 11p1305–p1306. Hum Genet 66:181–185
Palmer MS, Sinclair AH, Berta P, Ellis NA, Goodfellow PN, Abbas NE, Fellous M (1989) Genetic evidence that ZFY is not the testis-determining factor. Nature 342:937–939
Porteous DJ, Bickmore W, Christie S, Boyd PA, Cranston G, Fletcher JM, Gosden JR, Rout D, Seawright A, Simola KJO, Van Heyningen V, Hastie ND (1987) HRAS-1 selected chromosome transfer generates markers that colocalise aniridia- and genitourinary dysplasia-associated translocation breakpoints and the Wilms' tumour gene within band 11p13. Proc Natl Acad Sci USA 84:5355–5359
Potter EL (1946) Bilateral renal agenesis. J Pediatr 46:68–76
Ray PN, Belfall B, Duff C, Logan C, Kean V, Thompson MW, Sylvester JE, Gorski JL, Schmickel RD, Worten RG (1985) Cloning of the breakpoint of an X;21 translocation associated with Duchenne muscular dystrophy. Nature 318:672–675
Reeve AE, Sih SA, Raizis AM, Feinberg AP (1989) Loss of alleleic heterozygosity at a second locus on chromosome 11 in sporadic Wilms' tumour cells. Mol Cell Biol 9:1799–1803
Riccardi VM, Sujansky E, Smith AC, Francke U (1978) Chromosome imbalance in the aniridia-Wilms' tumour association: lip interstitial deletion. Pediatrics 61:604–610
Sager R (1989) Tumour suppressor genes: the puzzle and the promise. Science 246:1406–1412
Southern E (1975) Detection of specific sequences among DNA fragments separated by gel electrophoresis. J Mol Biol 98:503–517
Van Heyningen V, Boyd PA, Seawright A, Fletcher JM, Fantes JA, Buckton KE, Spowart G, Porteous DJ, Hill RE, Newton MS, Hastie ND (1985) Molecular analysis of chromosome 11 deletions in aniridia-Wilms tumour syndrome. Proc Natl Acad Sci USA 82:8592–8596
Wadey RB, Pal NP, Buckle B, Yeomans E, Pritchard J, Cowell JK (1990) Loss of heterozygosity in Wilms tumour involves two distinct regions of chromosome 11. Oncogene 5:901–907
Zunin C, Soave F (1964) Association of nephrotic syndrome and nephroblastoma in siblings. Ann Paediatr (Paris) 203:29–38
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Jadresic, L., Wadey, R.B., Buckle, B. et al. Molecular analysis of chromosome region 11p13 in patients with Drash syndrome. Hum Genet 86, 497–501 (1991). https://doi.org/10.1007/BF00194641
Received:
Revised:
Issue Date:
DOI: https://doi.org/10.1007/BF00194641