Genetic assessment reveals no conclusive mutations in monosymptomatic nocturnal enuresis, highlighting genetic complexity.
This study aimed to investigate the genetic heterogeneity of primary monosymptomatic nocturnal enuresis (PMNE) and assess potential genetic variants contributing to its etiology. A total of 92 children aged 5-15 years with a positive family history of PMNE were evaluated. All patients underwent detailed urological and nephrological assessments to exclude organic causes. Genetic testing was performed using high-resolution microarray technology to identify potential pathogenic variants. No pathogenic or likely pathogenic mutations were identified. A small number of patients exhibited variants of uncertain significance (VUS), none of which were conclusively linked to PMNE. Our findings challenge previous studies that reported significant genetic markers and highlight the complex genetic architecture of PMNE. This study reinforces the genetic heterogeneity of PMNE and suggests it follows a polygenic and multifactorial inheritance pattern. Further research using whole-exome and whole-genome sequencing is needed to explore potential genetic contributors alongside environmental factors.
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Yaralı et al. (2025) studied this question.
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