Evidence map›Paper›PMID 28566443›Full record

ArticleEuropean journal of endocrinology2017

Hypoinsulinaemic, hypoketotic hypoglycaemia due to mosaic genetic activation of PI3-kinase.

Sarah M Leiter, Victoria E R Parker, Alena Welters, Rachel Knox, Nuno Rocha, Graeme Clark, Felicity Payne, Luca Lotta, Julie Harris, Julio Guerrero-Fernández and 15 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in European journal of endocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

22 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
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  6. Review
  7. Article
  8. Syndromic forms of congenital hyperinsulinism.Frontiers in endocrinology · 2023
    Review
  9. Article
  10. Review
  11. Review
  12. Brain Tissue Low-Level Mosaicism forDiagnostics (Basel, Switzerland) · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Congenital hyperinsulinism disorders: Genetic and clinical characteristics.American journal of medical genetics. Part C, Seminars in medical genetics · 2019
    Review
  17. Review
  18. Review
  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

25 authors at 12 institutions in 5 countries.

Sarah M LeiterMetabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Victoria E R ParkerMetabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Alena WeltersDepartment of General Paediatrics, Neonatology and Paediatric Cardiology, University Children's Hospital, Düsseldorf, Germany.
Rachel KnoxMetabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Nuno RochaMetabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Graeme ClarkDepartment of Molecular Genetics, Addenbrooke's Hospital, Cambridge, UK.
Felicity PayneWellcome Trust Sanger Institute, Hinxton, Cambridge, UK.
Luca LottaMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Julie HarrisMetabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Julio Guerrero-FernándezDepartments of Paediatric Endocrinology.
Isabel González-CasadoDepartments of Paediatric Endocrinology.
Sixto García-MiñaurDepartments of Clinical and Molecular Genetics, La Paz Hospital, Madrid, Spain.
Gema GordoDepartments of Clinical and Molecular Genetics, La Paz Hospital, Madrid, Spain.
Nick WarehamMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Víctor Martínez-GlezDepartments of Clinical and Molecular Genetics, La Paz Hospital, Madrid, Spain.
Michael AllisonDepartments of Hepatology.
Stephen O'RahillyMetabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Inês BarrosoMetabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Thomas MeissnerDepartment of General Paediatrics, Neonatology and Paediatric Cardiology, University Children's Hospital, Düsseldorf, Germany.
Susan DaviesDepartments of Histopathology, Addenbrooke's Hospital, Cambridge, UK.
Khalid HussainInstitute of Child Health, University College London, London, UK.
Karen TempleDepartment of Clinical Genetics, University Hospital Southampton, Southampton, UK.
Ana-Coral Barreda-BonisDepartments of Paediatric Endocrinology.
Sebastian KummerDepartment of General Paediatrics, Neonatology and Paediatric Cardiology, University Children's Hospital, Düsseldorf, Germany.
Robert K SempleMetabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
University of Cambridge · GBCanadian Paediatric Society · CADüsseldorf University Hospital · DEHospital Universitario La Paz · ESNIHR Cambridge Biomedical Research CentreAddenbrooke's Hospital · GBWellcome Trust · GBMRC Epidemiology Unit · GBNational Institute for Health Research · GBNIHR Southampton Biomedical Research Centre · GBUniversity College London · GBWellcome Sanger Institute · GB

Funding

Medical Research Council MC_UU_12012/5Medical Research Council MC_UU_12015/1Medical Research Council MC_UU_12015/5
6 · The paper itself

Abstract

objectiveGenetic activation of the insulin signal-transducing kinase

methodsThree patients with megalencephaly, diffuse asymmetric overgrowth, hypoketotic, hypoinsulinaemic hypoglycaemia and no

resultsIn the first three patients, mosaic mutations in

conclusionsMosaic mutations activating class 1A PI3K cause severe non-ketotic hypoglycaemia in a subset of patients, with the metabolic phenotype presumably related to the extent of mosaicism within the liver. mTOR or PI3K inhibitors offer the prospect for future therapy.

Indexed as

MosaicismChild, PreschoolClass I Phosphatidylinositol 3-KinasesFemaleHumansHypoglycemiaInsulinMaleMegalencephalyPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktAKT2 protein, humanClass I Phosphatidylinositol 3-KinasesInsulinPhosphatidylinositol 3-Kinasesphosphoinositol-3 kinase regulatory subunit 2, humanPIK3CA protein, humanProto-Oncogene Proteins c-akt

Identifiers

PMID28566443
PMCPMC5488397
OpenAlexW2618226344

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.