%0 Journal Article %T <i>CTNS</i> Molecular Genetics Profile in a Portuguese Cystinosis Population %A Filipa Ferreira %A In¨ºs Leal %A David Sousa %A Teresa Costa %A Concei£¿£¿o Mota %A Ana Marta Gomes %A Daniela Lopes %A Maria do Carmo Mac¨¢rio %A Isabel Tavares %A Helena Pinto %A Jo£¿o Paulo Oliveira %A Rita Magri£¿o %A C¨¦lia Carmona %A S¨®nia Ramos %A Raquel Neiva %A Ana Marc£¿o %A Laura Vilarinho %J Open Journal of Genetics %P 91-100 %@ 2162-4461 %D 2018 %I Scientific Research Publishing %R 10.4236/ojgen.2018.84008 %X Background: Cystinosis is a multisystemic autosomal recessive deficiency of the lysosomal membrane transporter protein (cystinosin) caused by mutations in CTNS gene. Objective: This study summarizes the Portuguese experience in the diagnosis and management of patients with this rare disease over the past few years and reports recurrent mutations in the CTNS gene. Methods: Unrelated patients from different pediatric and adult hospitals all over Portugal with non-nephrotic proteinuria, hypercalciuria, hypokalemia impaired proximal reabsorption of amino acids, glycosuria and hypophosphatemia, suggestive of a Fanconi syndrome and ocular problems, were studied. Intra-leukocyte cystine levels were determined and molecular analysis was performed, to determine the presence or absence of the 57-kb deletion in CTNS, followed by direct sequencing of the coding exons of CTNS. Results: From 1998 to 2017, twenty-one cystinotic patients were biochemically diagnosed. From the remaining %K Cystinosis %K < %K i> %K CTNS< %K /i> %K Gene %K Mutational Spectrum %K Kidney Failure %K 57-kb Deletion %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=89862