Neonatal hyperinsulinaemic hypoglycaemia and monogenic diabetes due to a heterozygous mutation of the HNF4A gene

被引:13
作者
Conn, Jennifer J. [1 ]
Simm, Peter J. [2 ]
Oats, Jeremy J. N. [1 ]
Nankervis, Alison J. [1 ]
Jacobs, Susan E. [3 ]
Ellard, Sian [4 ,5 ]
Hattersley, Andrew T. [4 ,5 ]
机构
[1] Royal Womens Hosp, Diabet Serv, Parkville, Vic 3052, Australia
[2] Royal Childrens Hosp, Dept Endocrinol & Diabet, Parkville, Vic 3052, Australia
[3] Royal Hosp Women, Neonatal Serv, Parkville, Vic, Australia
[4] Royal Devon & Exeter NHS Fdn Trust, Dept Mol Genet, Exeter, Devon, England
[5] Peninsula Med Sch, Inst Biomed & Clin Sci, Exeter, Devon, England
关键词
HNF4A gene mutation; monogenic diabetes; neonatal hypoglycaemia; YOUNG; DIAGNOSIS;
D O I
10.1111/j.1479-828X.2009.01009.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Recent research has demonstrated that mutations of the hepatocyte nuclear factor 4-alpha (HNF4A) gene are associated with neonatal hyperinsulinaemic hypoglycaemia. Mutations of this gene also cause one of the subtypes of monogenic diabetes, a form of diabetes formerly known as maturity-onset diabetes of the young. This article describes a family discovered to have a novel frame-shift mutation of the HNF4A gene in the setting of early-onset maternal diabetes and severe neonatal hyperinsulinaemic hypoglycaemia. The implications of a diagnosis of HNF4A gene mutation for obstetric and paediatric practice are discussed.
引用
收藏
页码:328 / 330
页数:3
相关论文
共 11 条
[1]   Hypoglycemia in the neonate [J].
Cornblath, M ;
Ichord, R .
SEMINARS IN PERINATOLOGY, 2000, 24 (02) :136-149
[2]   Mechanisms of disease:: advances in diagnosis and treatment of hyperinsulinism in neonates [J].
De Leon, Diva D. ;
Stanley, Charles A. .
NATURE CLINICAL PRACTICE ENDOCRINOLOGY & METABOLISM, 2007, 3 (01) :57-68
[3]   Best practice guidelines for the molecular genetic diagnosis of maturity-onset diabetes of the young [J].
Ellard, S. ;
Bellanne-Chantelot, C. ;
Hattersley, A. T. .
DIABETOLOGIA, 2008, 51 (04) :546-553
[4]   Clinical features and insulin regulation in infants with a syndrome of prolonged neonatal hyperinsulinism [J].
Hoe, FM ;
Thornton, PS ;
Wanner, LA ;
Steinkrauss, L ;
Simmons, RA ;
Stanley, CA .
JOURNAL OF PEDIATRICS, 2006, 148 (02) :207-212
[5]   Congenital hyperinsulinism [J].
Hussain, K .
SEMINARS IN FETAL & NEONATAL MEDICINE, 2005, 10 (04) :369-376
[6]   Persistent hyperinsulinemic hypoglycemia and maturity-onset diabetes of the young due to heterozygous HNF4A mutations [J].
Kapoor, Ritika R. ;
Locke, Jonathan ;
Colclough, Kevin ;
Wales, Jerry ;
Conn, Jennifer J. ;
Hattersley, Andrew T. ;
Ellard, Sian ;
Hussain, Khalid .
DIABETES, 2008, 57 (06) :1659-1663
[7]   Clinical implications of a molecular genetic classification of monogenic β-cell diabetes [J].
Murphy, Rinki ;
Ellard, Sian ;
Hattersley, Andrew T. .
NATURE CLINICAL PRACTICE ENDOCRINOLOGY & METABOLISM, 2008, 4 (04) :200-213
[8]   Macrosomia and hyperinsulinaemic hypoglycaemia in patients with heterozygous mutations in the HNF4A gene [J].
Pearson, Ewan R. ;
Boj, Sylvia F. ;
Steele, Anna M. ;
Barrett, Timothy ;
Stals, Karen ;
Shield, Julian P. ;
Ellard, Sian ;
Ferrer, Jorge ;
Hattersley, Andrew T. .
PLOS MEDICINE, 2007, 4 (04) :760-769
[9]   THE TIMING OF DELIVERY IN DIABETIC PREGNANCY - A 10-YEAR REVIEW [J].
RASMUSSEN, MJ ;
FIRTH, R ;
FOLEY, M ;
STRONGE, JM .
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, 1992, 32 (04) :313-317
[10]   The causes of neonatal hypoglycemia [J].
Stanley, CA ;
Baker, L .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 340 (15) :1200-1201