2020
DOI: 10.2478/bjmg-2020-0027
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Genetic spectrum of neonatal diabetes

Abstract: Neonatal diabetes (ND) appears during the first months of life and is caused by a single gene mutation. It is heterogenous and very different compared to other forms of multi-factorial or polygenic diabetes. Clinically, this form is extremely severe, however, early genetic diagnosis is pivotal for successful therapy. A large palette of genes is demonstrated to be a cause of ND, however, the mechanisms of permanent hyperglycemia are different. This review will give an overview of more frequent genetic mutations… Show more

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Cited by 4 publications
(4 citation statements)
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References 107 publications
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“…A new study investigated 1020 neonatal diabetes patients utilizing a multigene strategy that comprised sequencing of every known gene linked to neonatal diabetes as well as 6q24 methylation tests. Their findings show that this testing technique successfully revealed a genetic reason in 80% of individuals, enabling a more precise prediction of the clinical course, anticipation of subsequent consequences, and the application of targeted medication [ 59 , 60 ].…”
Section: Discussionmentioning
confidence: 99%
“…A new study investigated 1020 neonatal diabetes patients utilizing a multigene strategy that comprised sequencing of every known gene linked to neonatal diabetes as well as 6q24 methylation tests. Their findings show that this testing technique successfully revealed a genetic reason in 80% of individuals, enabling a more precise prediction of the clinical course, anticipation of subsequent consequences, and the application of targeted medication [ 59 , 60 ].…”
Section: Discussionmentioning
confidence: 99%
“…NDM is classified into transient (TNDM), permanent (PNDM), or syndrome types, which have expressed significant genetic changes causing persistent hyperglycemia, reduced β-cell mass or replication, delayed pancreatic islet development, and impaired insulin secretion [28]. Autosomal recessive or dominant mutations in the preproinsulin (INS) and the ATP-sensitive potassium (K ATP ) channel (very common to KCNJ11 or ATPbinding cassette transporter subfamily C member 8, ABCC8) are the major genes responsible for TNDM and PNDM.…”
Section: An Overview Of Ndmmentioning
confidence: 99%
“…The potassium inwardly-rectifying channel, subfamily J, member 11 (KCNJ11) gene encodes the Kir6.2 protein, a structural element of the ATP-dependent potassium channel within pancreatic β-cells [43]. Mutations within this gene may lead to abnormalities in insulin secretion and the development of diabetes, especially in neonates [44,45]. As of yet, there is no indication that epigenetic mechanisms related to KCNJ11 play a role in the development of GDM.…”
Section: Mody 13mentioning
confidence: 99%