Evidence map›Paper›PMID 21544516›Full record

ArticleDiabetologia2011

Permanent diabetes during the first year of life: multiple gene screening in 54 patients.

L Russo, D Iafusco, S Brescianini, V Nocerino, C Bizzarri, S Toni, F Cerutti, C Monciotti, R Pesavento, L Iughetti and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Clinical and Genetic Characteristics ofJournal of diabetes research · 2021
    Pooled it
  2. Knowledge, Attitudes, and Practices in Neonatal Diabetes Mellitus Management: the JEnious-NeOnatal-DIabetes (JENODI) Survey.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
    Article
  3. The Changing Landscape of Neonatal Diabetes Mellitus in Italy Between 2003 and 2022.The Journal of clinical endocrinology and metabolism · 2024
    Article
  4. Neonatal and early-onset diabetes in Ukraine: Atypical features and mortality.Diabetic medicine : a journal of the British Diabetic Association · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Genetic Spectrum of Neonatal Diabetes.Balkan journal of medical genetics : BJMG · 2020
    Article
  10. Article
  11. [Multiple subcutaneous nodules for 46 days in an infant aged 66 days].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2020
    Article
  12. New insights into KNature reviews. Endocrinology · 2020
    Review
  13. Article
  14. Article
  15. Article
  16. Neonatal diabetes in Ukraine: incidence, genetics, clinical phenotype and treatment.Journal of pediatric endocrinology & metabolism : JPEM · 2015
    Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 11 institutions in 2 countries.

L RussoLaboratory of Mendelian Diabetes, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy.
D Iafusco
S Brescianini
V Nocerino
C Bizzarri
S Toni
F Cerutti
C Monciotti
R Pesavento
L Iughetti
L Bernardini
R Bonfanti
L Gargantini
M Vanelli
L Aguilar-Bryan
M A Stazi
V Grasso
C Colombo
F Barbetti
ISPED Early Diabetes Study Group
University of Rome Tor Vergata · ITBambino Gesù Children's Hospital · ITMeyer Children's Hospital · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Modena and Reggio Emilia · ITUniversity of Padua · ITUniversity of Parma · ITCasa Sollievo della Sofferenza · ITIstituto Superiore di Sanità · ITPacific Northwest Diabetes Research Institute · USSan Raffaele University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisThe aim of this study was to investigate the genetic aetiology of permanent diabetes mellitus with onset in the first 12 months of age.

methodsWe studied 46 probands with permanent, insulin-requiring diabetes with onset within the first 6 months of life (permanent neonatal diabetes mellitus [PNDM]/monogenic diabetes of infancy [MDI]) (group 1) and eight participants with diabetes diagnosed between 7 and 12 months of age (group 2). KCNJ11, INS and ABCC8 genes were sequentially sequenced in all patients. For those who were negative in the initial screening, we examined ERN1, CHGA, CHGB and NKX6-1 genes and, in selected probands, CACNA1C, GCK, FOXP3, NEUROG3 and CDK4. The incidence rate for PNDM/MDI was calculated using a database of Italian patients collected from 1995 to 2009.

resultsIn group 1 we found mutations in KCNJ11, INS and ABCC8 genes in 23 (50%), 9 (19.5%) and 4 (8.6%) patients respectively, and a single homozygous mutation in GCK (2.1%). In group 2, we identified one incidence of a KCNJ11 mutation. No genetic defects were detected in other loci. The incidence rate of PNDM/MDI in Italy is estimated to be 1:210,287. CONCLUSIONS/

interpretationGenetic mutations were identified in ~75% of non-consanguineous probands with PNDM/MDI, using sequential screening of KCNJ11, INS and ABCC8 genes in infants diagnosed within the first 6 months of age. This percentage decreased to 12% in those with diabetes diagnosed between 7 and 12 months. Patients belonging to the latter group may either carry mutations in genes different from those commonly found in PNDM/MDI or have developed an early-onset form of autoimmune diabetes.

Indexed as

ATP-Binding Cassette TransportersDiabetes MellitusFemaleGenetic Predisposition to DiseaseGerminal Center KinasesHumansInfantInfant, NewbornInsulinKcnj11 ChannelMaleMutationPotassium Channels, Inwardly RectifyingProtein Serine-Threonine KinasesReceptors, DrugSulfonylurea ReceptorsATP-Binding Cassette TransportersGerminal Center KinasesInsulinKcnj11 ChannelPotassium Channels, Inwardly RectifyingProtein Serine-Threonine KinasesReceptors, DrugSulfonylurea Receptors

Identifiers

PMID21544516
PMCPMC3110270
OpenAlexW1988122102

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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.