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GENATLAS PHENOTYPE
last update : 21/12/2005
Symbol WT1
Location 11p13
Name Wilms tumor 1
Other name(s) nephroblastoma
Corresponding gene WT1
related resource Wilms Tumour database
Main clinical features
  • may occur as part of a syndrome or as an isolated finding . abdominal mass in childhood . bilateral or multicentric tumors in 5-10 p.100 of cases . potential for both local and distant spread
  • Genetic determination
    Prevalence ~1/8 000-10 000 children, the most common pediatric kidney cancer
    Related entries . Wilms tumor predisposition syndromes include WAGR syndrome (WAGR), Denys-Drash syndrome (DDS) at chr 11p13, and Beckwith-Wiedemann syndrome (BWS) at chr 11p15
    Function/system disorder kidney and urinary tract
    neoplasia
    Type susceptibility factor
    Gene product
    Name antioncogene, zinc finger transcription factor critical to normal development of the kidneys and gonads
    Mechanism(s)
    Gene mutationChromosome rearrangementEffectComments
      deletion haploinsufficiency usually deletions of chr 11p13 that include both Pax6 and WT1
    missense     DDS with mutations in WT1 exons 8 and 9
    abnormal splicing     Frasier syndrome with point mutations in WT1 inton 9 donor splice site
    imprinting defect     imprinting defects of a silencer element acting on imprinted WT1 transcripts may contribute to Wilms'tumorigenesis
    Remark(s) 10-15p.100 of WT are considered to have an heritable cause. Mutations in WT1 are rarely implicated in familial cases. Genetic linkage analysis have mapped predisposition genes to 17q (FWT1) and 19q (FWT2). Other familial Wilms tumor genes are likely to exist.