Autoimmune polyglandular syndrome type 1 with diabetes insipidus: a case report

被引:3
作者
Chen, JiaQi [1 ]
Lu, Ting [1 ]
Liu, ChenXiao [1 ]
Zhao, Yun [1 ]
Huang, AiJie [1 ]
Hu, XingNa [1 ]
Li, Min [1 ]
Xiang, Rong [1 ]
Feng, Min [1 ]
Lu, HongHong [1 ]
机构
[1] Nanjing Med Univ, Suzhou Municipal Hosp, Affiliated Suzhou Hosp, Dept Endocrinol & Metab, Suzhou, Jiangsu, Peoples R China
关键词
Autoimmune polyendocrine syndrome type 1; Diabetes insipidus; Autoimmune regulator gene; POLYENDOCRINE SYNDROME TYPE-1; REGULATOR AIRE; CANDIDIASIS; MUTATIONS; GENE; CHILDREN;
D O I
10.1186/s12902-021-00822-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Autoimmune polyendocrine syndrome type 1 (APS-1) is a rare monogenic inherited disease caused by mutations of the autoimmune regulator gene (AIRE). The three major components of this syndrome are chronic mucocutaneous candidiasis, hypoparathyroidism and adrenocortical insufficiency. Case presentation We report a 20-year-old male who was clinically diagnosed with APS-1 at the age of 15. He was admitted to our department this time for suffering from polyuria and polydipsia for 6 months and was finally diagnosed with diabetes insipidus. Whole-exome sequencing (WES) revealed a novel compound heterozygous mutation of the AIRE gene -the c.239 T > G (p.Val80Gly) variant on one allele and the copy number variant (CNV) of 21q22.3(chr21:45,670,150-45,706,528)*1 on the other. Conclusions This case suggests that diabetes insipidus is a rare component of APS-1 and expands the variety of mutations on AIRE gene.
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页数:5
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共 21 条
[1]   An autoimmune disease, APECED, caused by mutations in a novel gene featuring two PHD-type zinc-finger domains [J].
Aaltonen, J ;
Bjorses, P ;
Perheentupa, J ;
HorelliKuitunen, N ;
Palotie, A ;
Peltonen, L ;
Lee, YS ;
Francis, F ;
Hennig, S ;
Thiel, C ;
Lehrach, H ;
Yaspo, ML .
NATURE GENETICS, 1997, 17 (04) :399-403
[2]   CLINICAL VARIATION OF AUTOIMMUNE POLYENDOCRINOPATHY CANDIDIASIS ECTODERMAL DYSTROPHY (APECED) IN A SERIES OF 68 PATIENTS [J].
AHONEN, P ;
MYLLARNIEMI, S ;
SIPILA, I ;
PERHEENTUPA, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1990, 322 (26) :1829-1836
[3]   AIRE expands: new roles in immune tolerance and beyond [J].
Anderson, Mark S. ;
Su, Maureen A. .
NATURE REVIEWS IMMUNOLOGY, 2016, 16 (04) :247-258
[4]   Clinical profile and etiologies of children with central diabetes insipidus: a single-center experience from Turkey [J].
Catli, Gonul ;
Abaci, Ayhan ;
Demir, Korcan ;
Ulusoy, Emel ;
Altincik, Ayca ;
Buyukgebiz, Atilla ;
Bober, Ece .
JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM, 2012, 25 (5-6) :499-502
[5]   Longitudinal study of vasopressin-cell antibodies and of hypothalamic-pituitary region on magnetic resonance imaging in patients with autoimmune and idiopathic complete central diabetes insipidus [J].
De Bellis, A ;
Colao, A ;
Bizzarro, A ;
Di Salle, F ;
Coronella, C ;
Solimeno, S ;
Vetrano, A ;
Pivonello, R ;
Pisano, G ;
Lombardi, G ;
Bellastella, A .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2002, 87 (08) :3825-3829
[6]   Dual functions of Aire CARD multimerization in the transcriptional regulation of T cell tolerance [J].
Huoh, Yu-San ;
Wu, Bin ;
Park, Sehoon ;
Yang, Darren ;
Bansal, Kushagra ;
Greenwald, Emily ;
Wong, Wesley P. ;
Mathis, Diane ;
Hur, Sun .
NATURE COMMUNICATIONS, 2020, 11 (01)
[7]   Clinical manifestations and management of patients with autoimmune polyendocrine syndrome type I [J].
Husebye, E. S. ;
Perheentupa, J. ;
Rautemaa, R. ;
Kampe, O. .
JOURNAL OF INTERNAL MEDICINE, 2009, 265 (05) :514-529
[8]   Central diabetes insipidus in children and young adults [J].
Maghnie, M ;
Cosi, G ;
Genovese, E ;
Manca-Bitti, ML ;
Cohen, A ;
Zecca, S ;
Tinelli, C ;
Gallucci, M ;
Bernasconi, S ;
Boscherini, B ;
Severi, F ;
Aricò, M .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (14) :998-1007
[9]   Extended HSR/CARD domain mediates AIRE binding to DNA [J].
Maslovskaja, Julia ;
Saare, Mario ;
Liiv, Ingrid ;
Rebane, Ana ;
Peterson, Part .
BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 2015, 468 (04) :913-920
[10]   Dominant Mutations in the Autoimmune Regulator AIRE Are Associated with Common Organ-Specific Autoimmune Diseases [J].
Oftedal, Bergithe E. ;
Hellesen, Alexander ;
Erichsen, Martina M. ;
Bratland, Eirik ;
Vardi, Ayelet ;
Perheentupa, Jaakko ;
Kemp, E. Helen ;
Fiskerstrand, Torunn ;
Viken, Marte K. ;
Weetman, Anthony P. ;
Fleishman, Sarel J. ;
Banka, Siddharth ;
Newman, William G. ;
Sewell, W. A. C. ;
Sozaeva, Leila S. ;
Zayats, Tetyana ;
Haugarvoll, Kristoffer ;
Orlova, Elizaveta M. ;
Haavik, Jan ;
Johansson, Stefan ;
Knappskog, Per M. ;
Lovas, Kristian ;
Wolff, Anette S. B. ;
Abramson, Jakub ;
Husebye, Eystein S. .
IMMUNITY, 2015, 42 (06) :1185-1196