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Table 1 Hallmarks of APRT deficiency and primary hyperoxaluria type 1. (APRT: Adenine phosphoribosil transferase, AGT: alanine-glyoxylate aminotransferase

From: Recurrence of crystalline nephropathy after kidney transplantation in APRT deficiency and primary hyperoxaluria

 

APRT deficiency

Primary hyperoxaluria type 1

Inheritance

autosomal recessive

autosomal recessive

Enzyme deficiency/tissue expression

APRT/ubiquitous

AGT/liver

Disease causing end-product

2,8 dihydroxyadenine

oxalate

Urinary crystals

2,8 dihydroxyadenine

calcium oxalate monohydrate

Age at diagnosis

from infancy to adulthood

from infancy to adulthood

Clinical manifestations

- kidney stones

yes, radiolucent

yes, radiopaque

- nephrocalcinosis

no

yes

- crystalline nephropathy

yes

yes

- extrarenal manifestations

no

systemic, especially bones, blood vessels, heart, retina

Reccurrence on renal allograft

yes

yes