Congenital hyperinsulinism

Cover Page

Abstract


Congenital hyperinsulinism (CHI) is one of the main causes underlying the development of persistent hypoglycemic conditions in children. Biochemically, CHI is characterized by inadequate insulin secretion from pancreatic β-cells. CHI is a heterogeneous pathology in terms of clinical manifestations, morphological features, and molecular-genetic defects contributing to its development. The present paper is focused on the current views of CHI pathogenesis; the clinical characteristic of the disease is given and the internationally accepted protocols for the examination and treatment of children with congenital hyperinsulinism are described.

M A Melikian

Email: melikian.maria@gmail.com

  1. James C., Kapoor R.R., Ismail D. et al. The genetic basis of congenital hyperinsulinism. J Med Genet 2009;46:289-299.
  2. Otonkoski T., Ammala C., Huopio H. et al. A point mutation inactivating the sulfonylurea receptor causes the severe form of persistent hyperinsulinemic hypoglycemia of infancy in Finland. Diabetes 1999;48:408-415.
  3. De Leon D.D., Stanley C.A. Mechanisms of disease: advances in diagnosis and treatment of hyperinsulinism in neonates. Nat Clin Pract Endocrinol Metab 2007;3:57-68.
  4. McQuarrie I. Idiopathic spontaneously occurring hypoglycemia in infants: clinical significance of problem and treatment. AMA Am J Dis Child 1954;87:399-428.
  5. Rahier J., Guiot Y., Sempoux C. Persistent hyperinsulinaemic hypoglycaemia of infancy: a heterogeneous syndrome unrelated to nesidioblastosis. Arch Dis Child Fetal Neonatal Ed 2000;82:F108-F112.
  6. Kapoor R.R., Flanagan S.E., James C. et al. Hyperinsulinaemic hypoglycaemia. Arch Dis Child 2009;94:450-457.
  7. Kapoor R.R., James C., Hussain K. Advances in the diagnosis and management of hyperinsulinemic hypoglycemia. Nat Clin Pract Endocrinol Metab 2009;5:2:101-112.
  8. Thomas P., Ye Y., Lightner E. Mutation of the pancreatic islet inward rectifier Kir6.2 also leads to familial persistent hyperinsulinemic hypoglycemia of infancy. Hum Mol Genet 1996;5:1809-1812.
  9. Thomas P.M., Cote G.J., Wohllk N. et al. Mutations in the sulfonylurea receptor gene in familial persistent hyperinsulinemic hypoglycemia of infancy. Science 1995;268:426-429.
  10. Nestorowicz A., Inagaki N., Gonoi T. et al. A nonsense mutation in the inward rectifier potassium channel gene, Kir6.2, is associated with familial hyperinsulinism. Diabetes 1997;46:1743-1748.
  11. Dunne M.J., Kane C., Shepherd R.M. et al. Familial persistent hyperinsulinemic hypoglycemia of infancy and mutations in the sulfonylurea receptor. N Engl J Med 1997;336:703-706.
  12. Flanagan S.E., Clauin S., Bellanneé-Chantelot C. et al. Update of mutations in the genes encoding the pancreatic beta-cell K(ATP) channel subunits Kir6.2 (KCNJ11) and sulfonylurea receptor 1 (ABCC8) in diabetes mellitus and hyperinsulinism. Hum Mutat 2009;30:170-180.
  13. Pinney S.E., MacMullen C., Becker S. et al. Clinical characteristics and biochemical mechanisms of congenital hyperinsulinism associated with dominant KATP channel mutations. J Clin Inv 2008;118:2877-2886.
  14. Zelent D., Najafi H., Odili S. et al. Glucokinase and glucose homeostasis: proven concepts and new ideas. Biochem Soc Trans 2005;33:306-310.
  15. Fahien L.A., MacDonald M.J., Kmiotek E.H. et al. Regulation of insulin release by factors that also modify glutamate dehydrogenase. J Biol Chem 1980;263:13610-13614.
  16. Weinzimer S.A., Stanley C.A., Berry G.T. et al. A syndrome of congenital hyperinsulinism and hyperammonemia. J Pediat 1997;130:661-664.
  17. Zammarchi E., Filippi L., Novembre E., Donati M.A. Biochemical evaluation of a patient with a familial form of leucine-sensitive hypoglycemia and concomitant hyperammonemia. Metabolism 1996;45:957-960.
  18. Clayton P.T., Eaton S., Aynsley-Green A. et al. Hyperinsulinism in short-chain L-3-hydroxyacyl-CoA dehydrogenase deficiency reveals the importance of beta-oxidation in insulin secretion. J Clin Inv 2001;108:457-465.
  19. Hussain K., Clayton P.T., Krywawych S. et al. Hyperinsulinism of infancy associated with a novel splice site mutation in the SCHAD gene. J Pediat 2005;146:706-708.
  20. Ryan F., Devaney D., Joyce C. et al. Hyperinsulinism: molecular aetiology of focal disease. Arch Dis Child 1998;79:445-447.
  21. Damaj L., le Lorch M., Verkarre V. et al. Chromosome 11p15 Paternal Isodisomy in Focal Forms of Neonatal Hyperinsulinism. J Clin Endocrinol Metab 2008;93:4941-4947.
  22. Palladino A.A., Bennett M.J., Stanley C.A. Hyperinsulinism in infancy and childhood: when an insulin level is not always enough. Ann Biol Clin (Paris) 2009;67:3:245-254.
  23. Wolfsdorf J.I., Weinstein D.A. Hypoglycemia in Children, Pediatric. 5th Edition. Endocrinology 2007;1:291-327.
  24. Hussain K., Hindmarsh P., Aynsley-Green A. Neonates with symptomatic hyperinsulinemic hypoglycemia generate inappropriately low serum cortisol counterregulatory hormonal responses. J Clin Endocrinol Metab 2003;88:9:4342-4347.
  25. Hussain K., Adzick N.S., Stanley C.A. et al. The diagnosis of ectopic focal hyperinsulinism of infancy with [ 18 F]-dopa positron emission tomography. J Clin Endocrinol Metab 2006;91:2839-2842.
  26. Hussain K., Blankenstein O., De Lonlay P., Christesen H.T. Hyperinsulinaemic hypoglycaemia: biochemical basis and the importance of maintaining normoglycaemia during management. Arch Dis Child 2007;92:568-570.
  27. Aynsley-Green A., Hussain K., Hall J. et al. Practical management of hyperinsulinism in infancy. Arch Dis Child Fetal Neonatal 2000;82:98-107.
  28. Glaser B., Landau H., Smilovici A., Nesher R. Persistent hyperinsulinaemic hypoglycaemia of infancy: long-term treatment with the somatostatin analogue Sandostatin. Clin Endocrinol (Oxford) 1989;31:71-80.
  29. Moens K., Berger V., Ahn J.M. et al. Assessment of the role of interstitial glucagon in the acute glucose secretory responsiveness of in situ pancreatic beta-cells. Diabetes 2002;51:669-675.
  30. Greene S.A., Aynsley-Green A., Soltesz G., Baum J.D. Management of secondary diabetes mellitus after pancreatectomy in infancy. Arch Dis Child 1984;59:356-359.
  31. De Vroede M., Bax N.M., Brusgaard K. et al. Laparoscopic diagnosis and cure of hyperinsulinism in two cases of focal adenomatous hyperplasia in infancy. Pediatrics 2004;114:e520-e522.
  32. Gussinyer M., Clemente M., Cebrián R. et al. Glucose intolerance and diabetes are observed in the long-term follow-up of nonpancreatectomized patients with persistent hyperinsulinemic hypoglycemia of infancy due to mutations in the ABCC8 gene. Diabetes Care 2008;31:6:1257-1259.
  33. Mercimek-Mahmutoglu S., Rami B., Feucht M. et al. Long-term follow-up of patients with congenital hyperinsulinism in Austria. J Pediatr Endocrinol Metab 2008;21:6:523-532.
  34. Mazor-Aronovitch K., Gillis D., Lobel D. et al. Long-term neurodevelopmental outcome in conservatively treated congenital hyperinsulinism. Eur J Endocrinol 2007;157:4:491-497.

Views

Abstract - 740

Cited-By


PlumX

Dimensions


Copyright (c) 2010 Melikian M.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies