Successful transition to sulfonylurea therapy in two Iraqi siblings with neonatal diabetes mellitus and iDEND syndrome due to ABCC8 mutation
Abstract
Neonatal diabetes is a rare form of monogenic diabetes characterised by persistent hyperglycaemia during the first 6–9 months of age. About half of the cases of neonatal diabetes are transient forms resulting from mutations in the genes in the imprinted region of chromosome 6q24 and the other half are permanent forms. Activating mutations in the potassium ATP (KATP) channels encoded by the genes KCNJ11 and ABCC8 are responsible for the majority of permanent neonatal diabetes mellitus (PNDM). Mutations in KATP channels can be associated with Developmental delay, Epilepsy and Neonatal Diabetes (DEND) syndrome. Intermediate DEND (iDEND) syndrome is a rare mild form of DEND syndrome. Successful transition from insulin to sulphonyl urea (SU) agents in patients with PNDM due to KCNJ11 mutations and in patients with intermediate DEND syndrome due to KCNJ11 mutation have been reported in the literature. To our knowledge, the successful transition of PNDM with DEND due to ABCC8 mutation has only been reported only once before in the literature. We report the successful transition from insulin to SU in two Iraqi siblings with PNDM due to ABCC8 mutation, one with iDEND.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organisation(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
References
1. Polak M, Shield J. Neonatal diabetesmellitus-genetic aspects. Pediatr Endocrinol Rev 2004;2:193–8.Suche in Google Scholar
2. Babenko AP, Polak M, Cavé H, Busiah K, Czernichow P, et al. Activating mutations in the ABCC8 gene in neonatal diabetes mellitus. N Engl J Med 2006;355:456–66.10.1056/NEJMoa055068Suche in Google Scholar PubMed
3. Zhang M, Chen X, Shen S, Li T, Chen L, et al. Sulfonylurea in the treatment of neonatal diabetes mellitus children with heterogeneous genetic backgrounds. J Pediatr Endocrinol Metab 2015;28:877–84.10.1515/jpem-2014-0429Suche in Google Scholar PubMed
4. Shimomura K, Hörster F, de Wet H, Flanagan SE, Ellard S, et al. A novel mutation causing DEND syndrome; a treatable channelopathy of pancreas and brain. Neurology 2007;69:1342–9.10.1212/01.wnl.0000268488.51776.53Suche in Google Scholar PubMed
5. Zwaveling-Soonawala N, Hagebeuk EE, Slingerland AS, Ris-Stalpers C, Vulsma T, et al. Successful transfer to sulfonylurea therapy in an infant with developmental delay, epilepsy and neonatal diabetes (DEND) syndrome and a novel ABCC8 gene mutation. Diabetologia 2011;54:469–71.10.1007/s00125-010-1981-8Suche in Google Scholar PubMed PubMed Central
6. Pearson ER, Flechtner I, Njølstad PR, Malecki MT, Flanagan SE, et al. Switching from insulin to oral sulfonylureas in patients with diabetes due to Kir6.2 mutations. N Engl J Med 2006;355:467–77.10.1056/NEJMoa061759Suche in Google Scholar PubMed
7. Rafiq M, Flanagan SE, Patch AM, Shields BM, Ellard S, et al. Effective treatment with oral sulfonylureas in patients with diabetes due to sulfonylurea receptor 1 (SUR1) mutations. Diab Care 2008;31:204–9.10.2337/dc07-1785Suche in Google Scholar PubMed PubMed Central
8. Slingerland AS, Nuboer R, Hadders-Algra M, Hattersley AT, Bruining GJ. Improved motor development and good long-term glycemic control with sulfonylurea treatment in a patient with the syndrome of intermediate developmental delay, early-onset generalised epilepsy and neonatal diabetes associated with the V59M mutation in the KCNJ11 gene. Diabetologia 2006;49:2559–63.10.1007/s00125-006-0407-0Suche in Google Scholar PubMed
9. Slingerland AS, Hurkx W, Noordam K, Flanagan SE, Jukema JW, et al. Sulfonylurea therapy improves cognition in a patient with V59M KCNJ11 mutation. Diabet Med 2008;25:277–81.10.1111/j.1464-5491.2007.02373.xSuche in Google Scholar PubMed
10. Singh P, Rao SC, Parikh R. Neonatal diabetes with intractable epilepsy: DEND syndrome. Indian J Pediatr 2014;81:1387–8.10.1007/s12098-014-1486-4Suche in Google Scholar PubMed
11. Klupa T, Kowalska I, Wyka K, Skupien J, Patch AM, et al. Mutations in the ABCC8 (SUR1 subunit of the K(ATP) channel) gene are associated with a variable clinical phenotype. Clin Endocrinol (Oxf) 2009;71:358–62.10.1111/j.1365-2265.2008.03478.xSuche in Google Scholar PubMed
12. Støy J, Greeley SA, Paz VP, Ye H, Pastore AN, et al. Diagnosis and treatment of neonatal diabetes: a United States experience. Pediatr Diabetes 2008;9:450–9.10.1111/j.1399-5448.2008.00433.xSuche in Google Scholar PubMed PubMed Central
13. Naylor RN, Greeley SA, Bell GI, Philipson LH. Genetics and pathophysiology of neonatal diabetes mellitus. J Diabetes Investig 2011;2:158–69.10.1111/j.2040-1124.2011.00106.xSuche in Google Scholar PubMed PubMed Central
14. Edghill EL, Hattersley AT. Genetic disorders of the pancreatic beta cell and diabetes (permanent neonatal diabetes and maturity-onset diabetes of the young). Pancreatic Beta Cell in Health and Disease. Springer, Japan 2008;389–420.10.1007/978-4-431-75452-7_19Suche in Google Scholar
15. Temple IK, Gardner RJ, Mackay DJ, Barber JC, Robinson DO, et al. Transient neonatal diabetes mellitus: widening our understanding of the aetiopathogenesis of diabetes. Diabetes 2000;49:1359–66.10.2337/diabetes.49.8.1359Suche in Google Scholar PubMed
16. De León DD, Stanley CA. Permanent neonatal diabetes mellitus. [Updated 2016 Jul 29]. In: Pagon RA, Adam MP, Ardinger HH, et al., editors. GeneReviews® [Internet]. Seattle, WA: University of Washington, Seattle, 2008:1993–2016.Suche in Google Scholar
17. Courtney R, Gamble C, Arango ML, Shah A, Rubio NI, et al. Novel homozygous likely-pathogenic intronic variant in INS causing permanent neonatal diabetes in siblings. J Pediatr Endocrinol Metab 2016;29:1089–93.10.1515/jpem-2016-0040Suche in Google Scholar PubMed
18. Quan Y, Barszczyk A, Feng ZP, Sun HS. Current understanding of KATP channels in neonatal diseases: focus on insulin secretion disorders. Acta Pharmacol Sin 2011;32:765–80.10.1038/aps.2011.57Suche in Google Scholar PubMed PubMed Central
19. Proks P, Antcliff JF, Lippiat J, Gloyn AL, Hattersley AT, et al. Molecular basis of Kir6.2 mutations associated with neonatal diabetes or neonatal diabetes plus neurological features. Proc Natl Acad Sci USA 2004;101:17539–44.10.1073/pnas.0404756101Suche in Google Scholar PubMed PubMed Central
20. Itoh S, Matsuoka H, Yasuda Y, Miyake N, Suzuki K, et al. DEND syndrome due to V59A mutation in KCNJ11 gene: unresponsive to sulfonylureas. J Pediatr Endocrinol Metab 2013;26:143–6.10.1515/jpem-2012-0236Suche in Google Scholar PubMed
21. Peña-Almazan S. Successful transition to sulfonylurea in neonatal diabetes, developmental delay, and seizures (DEND syndrome) due to R50P KCNJ11 mutation. Diabetes Res Clin Pract 2015;108:e18–20.10.1016/j.diabres.2014.12.010Suche in Google Scholar PubMed
22. Sang Y, Ni G, Gu Y, Liu MJ. AV59M KCNJ11 gene mutation leading to intermediate DEND syndrome in a Chinese child. J Pediatr Endocrinol Metab 2011;24:763–6.Suche in Google Scholar
23. Mlynarski W, Tarasov AI, Gach A, Girard CA, Pietrzak I, et al. Sulfonylurea improves CNS function in a case of intermediate DEND syndrome caused by a mutation in KCNJ11. Nat Clin Pract Neurol 2007;3:640–5.10.1038/ncpneuro0640Suche in Google Scholar PubMed
24. Fendler W, Pietrzak I, Brereton MF, Lahmann C, Gadzicki M, et al. Switching to sulphonylureas in children with iDEND syndrome caused by KCNJ11 mutations results in improved cerebellar perfusion. Diab Care 2013;36:2311–6.10.2337/dc12-2166Suche in Google Scholar PubMed PubMed Central
©2016 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Editorial
- Non-alcoholic fatty liver disease in children and adolescents
- Original Articles
- Serum vascular endothelial cadherin and thrombomodulin are markers of non-alcoholic fatty liver disease in children
- Ferritin level is associated with metabolic syndrome and elevated alanine aminotransferase in children and adolescents
- Dietary fructose intake in obese children and adolescents: relation to procollagen type III N-terminal peptide (P3NP) and non-alcoholic fatty liver disease
- Central diabetes insipidus: clinical profile that suggests organicity in Peruvian children: Lima – Peru 2001–2013
- Salivary flow rate, buffer capacity, and urea concentration in adolescents with type 1 diabetes mellitus
- Cortisol response to adrenocorticotropin testing in non-classical congenital adrenal hyperplasia (NCCAH)
- Efficacy of micellized vs. fat-soluble vitamin D3 supplementation in healthy school children from Northern India
- Growth curves for congenital adrenal hyperplasia from a national retrospective cohort
- The effects of type 1 diabetes mellitus on cardiac functions in children: evaluation by conventional and tissue Doppler echocardiography
- The association between single nucleotide polymorphisms of the Apelin gene and diabetes mellitus in a Chinese population
- Case Reports
- Successful transition to sulfonylurea therapy in two Iraqi siblings with neonatal diabetes mellitus and iDEND syndrome due to ABCC8 mutation
- A case of 46,XX dysgenesis and marked tall stature; the need for caution in interpreting array comparative genomic hybridization (CGH)
- Successful treatment of a child with a prolactin secreting macroadenoma with temozolomide
- Acknowledgment
- Acknowledgment
Artikel in diesem Heft
- Frontmatter
- Editorial
- Non-alcoholic fatty liver disease in children and adolescents
- Original Articles
- Serum vascular endothelial cadherin and thrombomodulin are markers of non-alcoholic fatty liver disease in children
- Ferritin level is associated with metabolic syndrome and elevated alanine aminotransferase in children and adolescents
- Dietary fructose intake in obese children and adolescents: relation to procollagen type III N-terminal peptide (P3NP) and non-alcoholic fatty liver disease
- Central diabetes insipidus: clinical profile that suggests organicity in Peruvian children: Lima – Peru 2001–2013
- Salivary flow rate, buffer capacity, and urea concentration in adolescents with type 1 diabetes mellitus
- Cortisol response to adrenocorticotropin testing in non-classical congenital adrenal hyperplasia (NCCAH)
- Efficacy of micellized vs. fat-soluble vitamin D3 supplementation in healthy school children from Northern India
- Growth curves for congenital adrenal hyperplasia from a national retrospective cohort
- The effects of type 1 diabetes mellitus on cardiac functions in children: evaluation by conventional and tissue Doppler echocardiography
- The association between single nucleotide polymorphisms of the Apelin gene and diabetes mellitus in a Chinese population
- Case Reports
- Successful transition to sulfonylurea therapy in two Iraqi siblings with neonatal diabetes mellitus and iDEND syndrome due to ABCC8 mutation
- A case of 46,XX dysgenesis and marked tall stature; the need for caution in interpreting array comparative genomic hybridization (CGH)
- Successful treatment of a child with a prolactin secreting macroadenoma with temozolomide
- Acknowledgment
- Acknowledgment