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Story perspectives

Understanding IgAN: Genetic Risks and Environmental Influences

10/13/2025

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Story summary
  • Immunoglobulin A nephropathy (IgAN), also called Berger disease, is a kidney condition caused by buildup of immunoglobulin A.
  • Most cases are sporadic, though about 10% are familial, with heritability estimated at 40–50% and autosomal dominant.
  • Environmental factors like illness and stress can influence gene expression.
  • Risk factors include being male, aged 10–40, and specific ancestry or medical conditions.
  • Genetic counseling is recommended because no single test can definitively diagnose IgAN.