Preferred Label : Papillorenal syndrome;
Symbol : PAPRS;
CISMeF acronym : PAPRS;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Coloboma of optic nerve with renal disease; Renal-coloboma syndrome with macular abnormalities; Renal-coloboma syndrome; Cakut with or without ocular abnormalities; Congenital anomalies of the kidney and urinary tract with or without ocular abnormalities; Optic nerve coloboma with renal disease; Optic coloboma, vesicoureteral reflux, and renal anomalies;
Description : Papillorenal syndrome is an autosomal dominant disorder characterized by both ocular
and renal anomalies, but may also include vesicoureteral reflux, high frequency hearing
loss, central nervous system anomalies, and/or genital anomalies, consistent with
the expression of PAX2 in these tissues during development (summary by Eccles and
Schimmenti, 1999). Parsa et al. (2002) noted that the dysplastic discs seen in papillorenal
syndrome are not true colobomas: defective angiogenesis, rather than abnormal fissure
closure, underlies the anomalous disc morphology as well as the retinal and choroidal
hypoplasia with corresponding visual field defects. Affected individuals show multiple
cilioretinal vessels and a variable attenuation or absence of the central retinal
vessels. Alterations in vascular development also explain observed abnormalities of
the renal cortex, the second most perfused tissue per gram of weight in the human
body (after the choroid). Eye anomalies in this disorder consist of a wide and sometimes
excavated dysplastic optic disc with the emergence of the retinal vessels from the
periphery of the disc, designated optic nerve 'coloboma' or 'morning glory' anomaly.
Associated findings may include a small corneal diameter, retinal coloboma, scleral
staphyloma, optic nerve cyst, microphthalmia, and pigmentary macular dysplasia. The
kidneys are small and abnormally formed (renal hypodysplasia), and have fewer than
the normal number of glomeruli, which are enlarged (oligomeganephronia). These ocular
and renal anomalies result in decreased visual acuity and retinal detachment, as well
as hypertension, proteinuria, and renal insufficiency that frequently progresses to
end-stage renal disease (summary by Schimmenti, 2011).;
Inheritance : Autosomal dominant;
Molecular basis : Caused by mutation in the paired box homeotic gene 2 (PAX2, 167409.0001);
Laboratory abnormalities : Proteinuria;
Prefixed ID : #120330;
Origin ID : 120330;
UMLS CUI : C1852759;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)