Neonatal Diabetes Mellitus Due to Complete Glucokinase Deficiency
Pal R. Njolstad, M.D., Ph.D., Oddmund Sovik, M.D., Ph.D., Antonio Cuesta-Munoz, M.D., Ph.D., Lise Bjorkhaug, B.Sc., Ornella Massa, Ph.D., Fabrizio Barbetti, M.D., Ph.D., Dag E. Undlien, M.D., Ph.D., Chiyo Shiota, Ph.D., Mark A. Magnuson, M.D., Anders Molven, Ph.D., Franz M. Matschinsky, M.D., and Graeme I. Bell, Ph.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Diabetes mellitus is a heterogeneous disorder that can occurat any age.1 Neonatal diabetes mellitus, defined as insulin-requiringhyperglycemia within the first month of life, is a rare disorderthat is usually associated with intrauterine growth retardation.2Like diabetes in general, neonatal diabetes is heterogeneousand can be either transient or permanent. Transient neonataldiabetes is associated with abnormalities of chromosome 6,2,3whereas mutations in insulin promoter factor 1 result in pancreaticagenesis and permanent neonatal diabetes.4 We describe two patientsin whom complete deficiency of the glycolytic enzyme glucokinase,a key regulator of glucose metabolism in pancreatic beta cells. . . [Full Text of this Article]
Case Reports
Subject 1
Subject 2
Methods
Molecular Genetic Studies
Kinetic Analysis of Recombinant Wild-Type and Mutant Glucokinase
Mathematical Modeling
Results
Kinetic Analysis of Recombinant Glucokinase
Mathematical Modeling and Pathophysiologic Implications
Discussion
Source Information
From the Howard Hughes Medical Institute and the Departments of Biochemistry and Molecular Biology, Medicine, and Human Genetics, University of Chicago, Chicago (P.R.N., G.I.B.); the Department of Pediatrics (P.R.N., O.S.) and the Center for Medical Genetics and Molecular Medicine (L.B., A.M.), Haukeland University Hospital, University of Bergen, Bergen, Norway; the Department of Biochemistry and Biophysics and the Diabetes Research Center, University of Pennsylvania School of Medicine, Philadelphia (A.C.-M., F.M.M.); the San Raffaele Scientific Institute, Milan, Italy (O.M., F.B.); the Institute of Immunology, National Hospital, Oslo, Norway (D.E.U.); and the Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville (C.S., M.A.M.).
Address reprint requests to Dr. Njølstad at the Department of Pediatrics, Haukeland University Hospital, N-5021 Bergen, Norway, or at pal.njolstad@pedi.uib.no.
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