Alport syndrome is a condition caused by several genes, inherited in different ways. Individuals who inherit variations in both copies of their COL4A4 gene have autosomal recessive Alport syndrome. Symptoms include blood in the urine, progressive kidney disease, hearing loss, and eye abnormalities.
Treatment is focused on managing the individual's symptoms; often, a kidney transplantation will be required.
Some people who inherit a variation in only one copy of their COL4A4 gene can have mild symptoms of Alport syndrome. This is known as autosomal dominant Alport syndrome (ADAS). Sometimes the only symptom is blood in the urine; other people develop kidney disease or hearing loss in later life. Eye symptoms in ADAS are rare. It is recommended you discuss these results with your GP to identify and manage any symptoms of ADAS.
As humans we have about 23,000 genes. These genes are like tiny instruction manuals that influence our health, growth and development. We inherit half of our genes from our biological mum and the other half from our biological dad. These genes are lined up on structures called chromosomes. Most of us have 23 pairs of chromosomes. The first 22 pairs are called autosomes and for the most part - these are the same among men and women. The 23rd pair determine our sex - two X chromosomes for a female and one X and one Y chromosome for males.
Alport syndrome (COL4A4-related) is known as an autosomal recessive condition. For autosomal recessive conditions, if a person has a variation in one copy of their gene, they are a carrier. This means that they are healthy because they also have a working copy of the gene. But, they can still pass their non-working copy to their child.
If the other parent also happens to be a carrier of the same gene, there is a 25% (1 in 4) chance that they both pass this gene variation on to their child — and as such, have a child affected by the disease.
If both parents are carriers of Alport syndrome (COL4A4-related), there’s a one in four chance that their children could develop symptoms.
Carrier testing is like a checkup for your genes. It tests to see if you carry a gene variation that could cause a serious genetic disease in your child. Eugene offers an inclusive genetic carrier screening panel that includes Alport syndrome (COL4A4-related), but there's a total 301 conditions that can be tested.
Eugene’s carrier test is a clinical grade test that can be done from the comfort of your own home — it’s just a saliva test. You're also paired with a genetic counsellor who provides mindful support and guidance every step of the way.Learn more about carrier screening
The biggest benefit of screening for Alport syndrome (COL4A4-related) is that it can help future parents understand their reproductive risk so they can be ready and empowered to make more informed decisions. If neither partner are carriers, it provides reassurance and peace of mind that the risk of having a child with a genetic disease is low.
Since 90% of children that have a recessive genetic disease like Alport syndrome (COL4A4-related) had no previous family history of it, it often feels completely out of the blue for the parents. Getting screened is a way to know this risk in advance, which can help familes manage or even prevent the disease in the first place.