Wongboonsin, Janewit, and Mallett, Andrew J. (2025) Genetic Nephrology: An Arising Subspecialty in Kidney Medicine. Seminars in Nephrology, 45 (4). 151652.

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Abstract

[Extract] The landscape of nephrology is undergoing a genomic transformation. After decades of fundamental research revealing genetic and etiological underpinnings of human, and especially kidney, disease, translation into accessible, accredited, and timely clinical tools has rapidly advanced. With the increasing accessibility and proven benefit of genetic testing, its role in the diagnosis and management of kidney disease has shifted from optional to essential. Genetic testing increasingly informs not only etiologic diagnosis but also prognosis, therapeutic decisions, and family risk counseling. For nephrologists, this represents a paradigm shift—one that must be met with both scientific rigor and clinical nuance. Both challenges but also substantial opportunities lie ahead in this strongly emerging clinical subspecialty.

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