Article
The Knudson's two-hit model and timing of somatic mutation may account for the phenotypic diversity of focal congenital hyperinsulinism.
The Journal of clinical endocrinology and metabolism - 1 Oct 2006
Giurgea Irina, Sempoux Christine, Bellanné-Chantelot Christine, Ribeiro Maria, Hubert Laurence, Boddaert Nathalie, Saudubray Jean-Marie, Robert Jean-Jacques, Brunelle Francis, Rahier Jacques, Jaubert Francis, Nihoul-Fékété Claire, de Lonlay Pascale
Abstract excerpt
BACKGROUND: Congenital hyperinsulinism (CHI) is associated with focal hyperplasia of endocrine tissue in 40-65% of patients. Focal CHI is sporadic and is caused by a germline, paternally inherited, mutation of the SUR1 (ABCC8) or KIR6.2 (KCNJ11) genes (encoding subunits of the pancreatic ATP-dependent potassium channel) together with somatic maternal haploinsufficiency for 11p15.5. Plurifocal or large forms of...
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