Article
Hyperinsulinism-hyperammonaemia syndrome: novel mutations in the GLUD1 gene and genotype-phenotype correlations.
European journal of endocrinology - 1 Nov 2009
Kapoor Ritika R, Flanagan Sarah E, Fulton Piers, Chakrapani Anupam, Chadefaux Bernadette, Ben-Omran Tawfeg, Banerjee Indraneel, Shield Julian P, Ellard Sian, Hussain Khalid
Abstract excerpt
BACKGROUND: Activating mutations in the GLUD1 gene (which encodes for the intra-mitochondrial enzyme glutamate dehydrogenase, GDH) cause the hyperinsulinism-hyperammonaemia (HI/HA) syndrome. Patients present with HA and leucine-sensitive hypoglycaemia. GDH is regulated by another intra-mitochondrial enzyme sirtuin 4 (SIRT4). Sirt4 knockout mice demonstrate activation of GDH with increased amino acid-stimulated...
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