Atlas Protocol · Clinical Prevention

Atlas Kidney Diseases Module

2-gene panel for autosomal dominant polycystic kidney disease.


A focused 2-gene panel for autosomal dominant polycystic kidney disease (PKD1, PKD2) — the most common inherited kidney disease.

GenDG §10

Bookable, after medical review.

Before the analysis, a specialist in human genetics reviews your preparation questionnaire and informs you (GenDG). If the test is declined, Atlas refunds the full amount.

HOW IT WORKS

How it works.

  1. 01

    Pay

    You pay Atlas for Atlas Baseline and the analysis.

  2. 02

    Questionnaire and physician review

    You receive a questionnaire by email from the physician's practice, and a specialist in human genetics reviews it. If the test is declined, you get a full automatic refund.

  3. 03

    Counselling slot

    You choose a counselling slot or join the waitlist.

  4. 04

    Consent, kit and result

    After the counselling you give your consent, then we ship your collection kit. The physician discusses the result with you.

WHICH PART OF YOUR BODY

Which part of your body.

  • Kidneys
WHAT THIS PANEL ANSWERS

What this panel answers.

Do you carry inherited variants that cause autosomal-dominant polycystic kidney disease?

WHAT CHANGES IF A FINDING IS IDENTIFIED

What changes if something is found.

  1. Annual kidney-function monitoring is established practice -- eGFR, blood pressure, and abdominal ultrasound or MRI on a defined cadence.
  2. Tolvaptan can slow progression in selected patients and is prescribed by a nephrologist.
  3. Reproductive planning and family cascade testing are part of the standard follow-up.
  4. Without intervention, ADPKD typically progresses to end-stage kidney disease by the 50s or 60s; with active management, progression is significantly slowed.
Pathway references
  • GenDG §7
GENES ANALYZED

What is analyzed.

Atlas analyzes each gene in its entirety -- not just hotspot regions -- against current clinical literature. Findings are assessed by a specialist in human genetics before release.

Kidney Diseases

2 genes

A focused 2-gene panel for autosomal dominant polycystic kidney disease (ADPKD) -- the most common inherited kidney disease. PKD1 variants typically present earlier and progress faster than PKD2.

Clinical areas covered
  • Autosomal dominant polycystic kidney disease (ADPKD)
Analyzed genes -- 2 genes
  • PKD1
  • PKD2

Gene list version 2026-05.

WHY THIS MATTERS

Why early knowledge matters.

  • Kidney Diseases

    Kidney disease is often discovered only when function is already impaired. ADPKD now has a disease-modifying therapy -- tolvaptan -- that can slow progression in selected patients. Early genetic diagnosis enables a nephrologist to begin imaging surveillance and consider therapy at the right time.

RESULT INTERPRETATION

How findings are reported.

Every Atlas predictive report uses the same five-outcome framework so you and your physician can read it the same way each time.

  1. 01

    Pathogenic variant

    Increased disease risk. The report includes an individualized prevention plan and a recommendation to discuss next steps with a physician or medical geneticist.

  2. 02

    Likely pathogenic variant

    Probable disease association. Preventive monitoring is typically justified; the strength of evidence is documented in the report.

  3. 03

    Variant of uncertain significance (VUS)

    Reported but not currently actionable. A VUS may be reclassified over time as new evidence accumulates -- Atlas does not act on VUS findings without specialist review.

  4. 04

    No relevant variant in this panel

    No pathogenic or likely-pathogenic variant was identified in the analyzed genes. This does not eliminate all genetic risk -- only the genes in this panel were assessed.

  5. 05

    Family implications

    When an actionable variant is found, cascade testing of first-degree relatives is typically recommended -- a decision made together with a counselor.

Module-specific implications
  • Kidney Diseases

    • A confirmed finding is typically followed by renal imaging (ultrasound or MR) and a nephrology consult to evaluate eligibility for tolvaptan.
    • Cascade testing is informative -- ADPKD is autosomal dominant.
Counseling and cascade testing

Predictive genetic testing in Germany requires consultation with a physician qualified in human genetics under §7 of the GenDG (Arztvorbehalt). This counseling, before and after the test, is given by a specialist in human genetics. When an actionable finding has implications for relatives, this physician discusses cascade testing with you, not Atlas alone.

CLINICAL LIMITATIONS

What this test does not do.

  • Not a diagnosis of active disease

    A variant indicates predisposition. It does not confirm a condition is currently present.

  • Does not replace screening or routine care

    Imaging, lab work, and physical examination remain part of clinical care. Atlas results inform them; they do not substitute for them.

  • Not all risk is genetic

    Environment, behavior, age, and chance contribute to most common conditions. A genetic test reads one input.

  • A negative result does not eliminate risk

    Only the genes on the panel were analyzed. Variants in other genes, in non-coding regions, and outside the assay's technical scope are not assessed.

  • Clinical decisions remain with your physician

    Atlas reports are designed to be reviewed with a physician or medical geneticist. We do not recommend acting on a finding without that conversation.

GenDG §7

Predictive panels on this page are GenDG §7 Arztvorbehalt: counseling with a qualified human-genetics physician is required before and after the test. This counseling is given by a specialist in human genetics.


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