Evidence map›Paper›PMID 41810512›Full record

ArticleThe Journal of clinical endocrinology and metabolism2026

Noncoding Variants in Intron 2 of HK1 Associated With Hyperinsulinism With Variable Clinical Phenotype.

Kara E Boodhansingh, Katherine Lord, Winnie Sigal, Joshua E Benjet, Pan Chen, Christine A Juliana, Lauren Mitteer, Tricia Bhatti, Charles A Stanley, Diva D De Leon and 1 more

Abstract read
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Article in The Journal of clinical endocrinology and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Kara E BoodhansinghCongenital Hyperinsulinism Center, Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.ORCID 0000-0003-4810-1372
Katherine LordCongenital Hyperinsulinism Center, Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Winnie SigalCongenital Hyperinsulinism Center, Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Joshua E BenjetCongenital Hyperinsulinism Center, Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Pan ChenCongenital Hyperinsulinism Center, Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Christine A JulianaCongenital Hyperinsulinism Center, Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.ORCID 0000-0002-4314-1407
Lauren MitteerCongenital Hyperinsulinism Center, Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.ORCID 0009-0007-0624-4179
Tricia BhattiDepartment of Pathology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.ORCID 0000-0001-6511-3514
Charles A StanleyCongenital Hyperinsulinism Center, Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.ORCID 0000-0003-4881-9392
Diva D De LeonCongenital Hyperinsulinism Center, Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.ORCID 0000-0003-1225-8087
Arupa GangulyDepartment of Human Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0003-4527-3216

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Neurological Phenotyping in Hyperinsulinism – Administrative Supplement to Islet dysregulation in Infants with Congenital HyperinsulinismR01DK056268 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI DE LEON, DIVA D., GANGULY, ARUPA · 1999 to 2024
$9.1M
Insulin Secretion in Hyperinsulinism Human IsletsR01DK098517 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI DE LEON, DIVA D. · 2013 to 2023
$4.5M
NCATS NIH HHS UL1 TR001878NIDDK NIH HHS R01 DK056268NIDDK NIH HHS R01 DK098517NIH HHS R01-DK056268NIH HHS R01-DK098517NIH HHS UL1TR001878
6 · The paper itself

Abstract

contextNoncoding variants in hexokinase 1 (HK1) were first associated with congenital hyperinsulinism (HI) in a large family with diazoxide-responsive HI in 2008. Since then, additional cases have been reported in the literature with noncoding variants in HK1 associated with variable HI phenotypes.

methodsWe sequenced a 350 bp region in intron 2 of HK1 in 281 individuals with genetics-negative HI to identify additional cases related to non-coding HK1 variants and to characterize the clinical features of these cases.

resultsWe identified 16 unique non-coding variants in intron 2 of HK1 in 18 individuals with genetics-negative HI (18/281, 6.4%). In 7 cases (7/18, 39%), the HK1 variant was inherited from a parent (2 maternal, 5 paternal); 2 are known to be affected with HI. In 9 cases, the HK1 variant was de novo (9/18, 50%). The age of presentation of HI ranged from day of life 1 to 21 months of age. Seven cases had diazoxide-responsive HI (7/18, 39%). Eleven cases were diazoxide unresponsive (11/18, 61%); 5 underwent pancreatectomy at ages ranging from 6 months to 3 years of age.

conclusionsNoncoding variants in intron 2 of the HK1 gene have now been associated with HI in a growing number of cases. Our findings suggest that a significant proportion of individuals with negative genetics in genes currently known to be associated with HI may harbor HK1 intron 2 variants. Identifying these cases is important for clinical care as well as for assessing recurrence risk for families.

Indexed as

Congenital HyperinsulinismHexokinaseIntronsChild, PreschoolDiazoxideFemaleHumansInfantInfant, NewbornMalePhenotypeDiazoxideHexokinaseHK1 protein, humanbeta cellshypoglycemiainsulinpancreas

Identifiers

PMID41810512
PMCPMC13368363

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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.