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Living with Glomerulopathy with fibronectin deposits 1

A genetic kidney disease with protein and blood in the urine and high blood pressure that can lead to kidney failure in adulthood.

Understanding Glomerulopathy with fibronectin deposits 1

Glomerulopathy with fibronectin deposits 1 (GFND1) is a genetic disease that affects the kidneys.

People have too much protein in the urine, microscopic blood in the urine, and high blood pressure, which can lead to kidney failure between ages 20 and 50. Doctors can diagnose it by looking at kidney tissue under a microscope, where the kidney is enlarged and has too much fibronectin, a protein.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Too much protein in the urine (proteinuria)
  • Blood in the urine seen only under a microscope
  • High blood pressure (hypertension)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would genetic testing help confirm the diagnosis in my family?
How often should blood pressure, urine, and kidney function be checked?
Which kidney specialist should follow me?

Quick facts

It is caused by a problem in a gene on chromosome 1q32 and is inherited in an autosomal dominant way, which means one changed copy of the gene from a parent is enough.

Also known as: familial lobular glomerulopathy; gfnd1; glomerulopathy with giant fibrillar deposits

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Glomerulopathy with fibronectin deposits 1GARD ID 9268 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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