Evidence map›Paper›PMID 21536946›Full record

ArticleDiabetes2011

Diazoxide-unresponsive congenital hyperinsulinism in children with dominant mutations of the β-cell sulfonylurea receptor SUR1.

Courtney M Macmullen, Qing Zhou, Kara E Snider, Paul H Tewson, Susan A Becker, Ali Rahim Aziz, Arupa Ganguly, Show-Ling Shyng, Charles A Stanley

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Diabetes, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 69 citations in OpenAlex.

  1. Paradoxical glycemia in an adult withJCEM case reports · 2026
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  8. Congenital Hyperinsulinism Caused by Mutations inInternational journal of molecular sciences · 2024
    Article
  9. Article
  10. KFrontiers in endocrinology · 2023
    Review
  11. Article
  12. Article
  13. Novel Compound Heterozygous Variants of theChildren (Basel, Switzerland) · 2021
    Article
  14. Article
  15. Case Report: A NovelFrontiers in endocrinology · 2021
    Article
  16. Article
  17. Article
  18. Congenital hyperinsulinism disorders: Genetic and clinical characteristics.American journal of medical genetics. Part C, Seminars in medical genetics · 2019
    Review
  19. Novel dominant KAmerican journal of medical genetics. Part A · 2019
    Article
  20. Leptin-induced Trafficking of KInternational journal of molecular sciences · 2019
    Review
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Courtney M MacmullenDivision of Endocrinology/Diabetes, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Qing Zhou
Kara E Snider
Paul H Tewson
Susan A Becker
Ali Rahim Aziz
Arupa Ganguly
Show-Ling Shyng
Charles A Stanley
Children's Hospital of Philadelphia · USOregon Health & Science University · USUniversity of Pennsylvania · US

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
KATP channels and insulin secretionR01DK057699 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI SHYNG, SHOW-LING · 2001 to 2019
$6.1M
Islet Dysregulation in Infants with Congenital HyperinsulinismR37DK056268 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI STANLEY, CHARLES ALFRED · 2009 to 2017
$6.0M
Structural Basis of KATP Channel GatingR01DK066485 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI SHYNG, SHOW-LING · 2006 to 2024
$5.8M
MOLECULAR BASIS OF A NEW FORM OF HYPERINSULINISMR01DK053012 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI STANLEY, CHARLES ALFRED · 1998 to 2010
$4.4M
NCRR NIH HHS UL1 RR024134NCRR NIH HHS UL1-RR-024134NIDDK NIH HHS R01 DK053012NIDDK NIH HHS R01 DK057699NIDDK NIH HHS R01-DK-057699NIDDK NIH HHS R01 DK066485NIDDK NIH HHS R01-DK-066485NIDDK NIH HHS R01-DK-53012NIDDK NIH HHS R37 DK056268NIDDK NIH HHS R37-DK-056268
6 · The paper itself

Abstract

objectiveCongenital hyperinsulinemic hypoglycemia is a group of genetic disorders of insulin secretion most commonly associated with inactivating mutations of the β-cell ATP-sensitive K(+) channel (K(ATP) channel) genes ABCC8 (SUR1) and KCNJ11 (Kir6.2). Recessive mutations of these genes cause hyperinsulinism that is unresponsive to treatment with diazoxide, a channel agonist. Dominant K(ATP) mutations have been associated with diazoxide-responsive disease. We hypothesized that some medically uncontrollable cases with only one K(ATP) mutation might have dominant, diazoxide-unresponsive disease. RESEARCH DESIGN AND

methodsMutations of the K(ATP) genes were identified by sequencing genomic DNA. Effects of mutations on K(ATP) channel function in vitro were studied by expression in COSm6 cells.

resultsIn 15 families with diazoxide-unresponsive diffuse hyperinsulism, we found 17 patients with a monoallelic missense mutation of SUR1. Nine probands had de novo mutations, two had an affected sibling or parent, and four had an asymptomatic carrier parent. Of the 13 different mutations, 12 were novel. Expression of mutations revealed normal trafficking of channels but severely impaired responses to diazoxide or MgADP. Responses were significantly lower compared with nine SUR1 mutations associated with dominant, diazoxide-responsive hyperinsulinism.

conclusionsThese results demonstrate that some dominant mutations of SUR1 can cause diazoxide-unresponsive hyperinsulinism. In vitro expression studies may be helpful in distinguishing such mutations from dominant mutations of SUR1 associated with diazoxide-responsive disease.

Indexed as

Antihypertensive AgentsATP-Binding Cassette TransportersCongenital HyperinsulinismDiazoxideHumansModels, BiologicalMutationMutation, MissensePedigreePotassium Channels, Inwardly RectifyingReceptors, DrugSulfonylurea ReceptorsABCC8 protein, humanAntihypertensive AgentsATP-Binding Cassette TransportersDiazoxidePotassium Channels, Inwardly RectifyingReceptors, DrugSulfonylurea Receptors

Identifiers

PMID21536946
PMCPMC3114386
OpenAlexW2139359616

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.