Polycystic kidney disease (PKD) is a genetically heterogeneous disorder. In
addition to the many PKD-causative loci mapped in mouse and human, a numbe
r of reports indicate that modifier loci greatly influence the course of di
sease progression. Recently we reported a new mouse mutation, kat(2J), on c
hromosome (Chr) 8 that causes late-onset PKD and anemia. During the mapping
studies it was noted that the severity of PKD in the mutant (C57BL/6J-kat(
2J)/+ x CAST/Ei)F-2 generation was more variable than that in the parental
C57BL/6J strain. This suggested that genetic background or modifier genes a
lter the clinical manifestations and progression of PKD. Genome scans using
molecular markers revealed three loci that affect the severity of PKD. The
CAST-derived modifier on Chr 1 affects both kidney weight and hematocrit.
The CAST-derived modifier on Chr 19 affects kidney weight, and the C57BL/6J
-derived modifier on Chr 2 affects hematocrit. Additional modifier loci are
noted that interact with and modulate the effects of these three loci. The
mapping of these modifier genes and their eventual identification will hel
p to uncover factors that can delay disease progression. These, in turn, co
uld be used to design suitable modes of therapy for various forms of human
PKD. (C) 1999 Academic Press.