The role of molecular genetics in diagnosing familial hematuria(s)

Familial microscopic hematuria (MH) of glomerular origin represents a heterogeneous group of monogenic conditions involving several genes, some of which remain unknown. Recent advances have increased our understanding and our ability to use molecular genetics for diagnosing such patients, enabling us to study their clinical characteristics over time. Three collagen IV genes, COL4A3, COL4A4, and COL4A5 explain the autosomal and X-linked forms of Alport syndrome (AS), and a subset of thin basement membrane nephropathy (TBMN). A number of X-linked AS patients follow a milder course reminiscent of that of patients with heterozygous COL4A3/COL4A4 mutations and TBMN, while at the same time a significant subset of patients with TBMN and familial MH progress to chronic kidney disease (CKD) or end-stage kidney disease (ESKD). A mutation in CFHR5, a member of the complement factor H family of genes that regulate complement activation, was recently shown to cause isolated C3 glomerulopathy, presenting with MH in childhood and demonstrating a significant risk for CKD/ESKD after 40 years old. Through these results molecular genetics emerges as a powerful tool for a definite diagnosis when all the above conditions enter the differential diagnosis, while in many at-risk related family members, a molecular diagnosis may obviate the need for another renal biopsy

Synthesis by spark plasma sintering of a novel protonic/electronic conductor composite: BaCe_0.2Zr_0.7Y_0.1O_3−δ /Sr_0.95Ti_0.9Nb_0.1O_3−δ (BCZY27/STN95)

A novel two-phase ceramic composite (cercer) material consisting of a solid solution of barium cerate and -zirconate doped with yttrium (BaCe0.2Zr0.7Y0.1O3-delta : BCZY27), together with niobium-doped strontium titanate (Sr0.95Ti0.9Nb0.1O3-delta : STN95), has been synthesized by solid-state reaction and sintered conventionally (CS) at 1350-1500 A degrees C, as well as by spark plasma sintering (SPS) at 1300-1350 A degrees C. CS samples were porous and exhibited high degrees of inter-phase reaction. Nickel oxide sintering aids did not improve CS sample density. In contrast, samples made by SPS were significantly denser (> 95 %) and showed less reaction between phases. A pseudo-optimum SPS profile was developed, accounting for the effects of thermal expansion mismatch between BCZY27 and STN95. X-ray diffraction indicated secondary phases exist, but there was no indication of their presence at grain boundaries based on thorough study of these regions with high-resolution transmission electron microscopy and selective area electron diffraction. We thus suggest that these phases are present as independent grains in the bulk. It is believed these secondary phases inhibit electronic conductivity in the composite