Disease Directory Dent Disease
Renal

Dent Disease

Also known as: X-linked renal tubular disorder, CLCN5 mutation, Dent-1, low-molecular-weight proteinuria

Prevalence

Fewer than 1 in 200,000; predominantly affects males

Onset

Childhood (typically detected in first decade)

Type

Rare X-linked renal proximal tubular disorder

Gene

CLCN5, OCRL

About Dent Disease

Dent disease is an X-linked recessive disorder of proximal tubular function caused by mutations in CLCN5 (Dent-1) or OCRL (Dent-2), characterised by low-molecular-weight proteinuria, hypercalciuria, nephrocalcinosis, and nephrolithiasis. Progressive renal failure develops in approximately 30–50% of affected males by the 3rd–5th decade, while female carriers typically manifest only mild tubular dysfunction. Dent-2 disease overlaps with Lowe syndrome and may include mild intellectual disability and cataracts.

Common Clinical Features

Low-molecular-weight proteinuria (alpha-1-microglobulin, beta-2-microglobulin) Hypercalciuria Nephrocalcinosis Nephrolithiasis (calcium oxalate or calcium phosphate stones) Rickets or osteomalacia (Fanconi syndrome features) Progressive chronic kidney disease in males Haematuria

Clinical Trial Eligibility Tips

What to know before applying to Dent Disease trials.

Urine protein electrophoresis confirming low-molecular-weight proteinuria pattern, combined with CLCN5 or OCRL genetic testing, is required for a confirmed diagnosis needed for trial enrolment.

Female carriers have variable expression; some trials restrict enrolment to hemizygous males; clarify sex-based eligibility criteria before applying.

Renal function trajectory and calcium handling indices (24-hour urine calcium, spot urine calcium:creatinine) are key outcome measures; obtain a structured historical dataset from your nephrologist.

Patient Resources

Patient Organization

NephCure Kidney International

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Natural History Registry

Rare Kidney Disease Registry (RKD Registry)

Join registry ↗

Orphanet

European reference resource for rare diseases (ORPHA:1652)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

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Find recruiting Dent Disease trials

Search 500,000+ studies from ClinicalTrials.gov, filtered for Dent Disease. Updated daily.

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