Functional characterization of activating mutations in the sulfonylurea receptor 1 ( ABCC8 ) causing neonatal diabetes mellitus in Asian Indian children

2019 ◽  
Vol 20 (4) ◽  
pp. 397-407 ◽  
Author(s):  
Kandasamy Balamurugan ◽  
Babu Kavitha ◽  
Zhongying Yang ◽  
Viswanathan Mohan ◽  
Venkatesan Radha ◽  
...  
2002 ◽  
Vol 283 (2) ◽  
pp. C587-C598 ◽  
Author(s):  
Annette Hambrock ◽  
Regina Preisig-Müller ◽  
Ulrich Russ ◽  
Anke Piehl ◽  
Peter J. Hanley ◽  
...  

ATP-sensitive K+ (KATP) channels are composed of pore-forming Kir6.x subunits and regulatory sulfonylurea receptor (SUR) subunits. SURs are ATP-binding cassette proteins with two nucleotide-binding folds (NBFs) and binding sites for sulfonylureas, like glibenclamide, and for channel openers. Here we report the identification and functional characterization of four novel splice forms of guinea pig SUR1. Three splice forms originate from alternative splicing of the region coding for NBF1 and lack exons 17 (SUR1Δ17), 19 (SUR1Δ19), or both (SUR1Δ17Δ19). The fourth (SUR1C) is a COOH-terminal SUR1-fragment formed by exons 31–39 containing the last two transmembrane segments and the COOH terminus of SUR1. RT-PCR analysis showed that these splice forms are expressed in several tissues with strong expression of SUR1C in cardiomyocytes. Confocal microscopy using enhanced green fluorescent protein-tagged SUR or Kir6.x did not provide any evidence for involvement of these splice forms in the mitochondrial KATP channel. Only SUR1 and SUR1Δ17 showed high-affinity binding of glibenclamide ( K d≈ 2 nM in the presence of 1 mM ATP) and formed functional KATPchannels upon coexpression with Kir6.2.


2012 ◽  
Vol 83 (5) ◽  
pp. 439-445 ◽  
Author(s):  
S Jahnavi ◽  
V Poovazhagi ◽  
V Mohan ◽  
D Bodhini ◽  
P Raghupathy ◽  
...  

2013 ◽  
Vol 15 (4) ◽  
pp. 313-318 ◽  
Author(s):  
Suresh Jahnavi ◽  
Varadarajan Poovazhagi ◽  
Sekar Kanthimathi ◽  
Vijay Gayathri ◽  
Viswanathan Mohan ◽  
...  

Author(s):  
Akihiko Ando ◽  
Shoichiro Nagasaka ◽  
Shun Ishibashi

Summary We report a case of a woman with diabetes mellitus caused by a genetic defect in ABCC8-coding sulfonylurea receptor 1 (SUR1), a subunit of the ATP-sensitive potassium (KATP) channel protein. She was diagnosed with diabetes at 7 days after birth. After intravenous insulin drip for 1 month, her hyperglycaemia remitted. At the age of 13 years, her diabetes relapsed, and after that she had been treated by intensive insulin therapy for 25 years with relatively poor glycaemic control. She was switched to oral sulfonylurea therapy and attained euglycaemia. In addition, her insulin secretory capacity was ameliorated gradually. Learning points: Genetic testing should be considered in any individuals or family with diabetes that occurred within the first year or so of life. Sulfonylurea can achieve good glycaemic control in patients with KATP channel mutations by restoring endogenous insulin secretion, even if they were treated with insulin for decades. Early screening and genetic testing are important to improve the prognosis of patients with neonatal diabetes mellitus arising from ABCC8 or KCNJ11 mutation.


2001 ◽  
Vol 276 (22) ◽  
pp. 18653-18656 ◽  
Author(s):  
Annie Varrault ◽  
Benoit Bilanges ◽  
Deborah J. G. Mackay ◽  
Eugenia Basyuk ◽  
Barbara Ahr ◽  
...  

2008 ◽  
Vol 52 (8) ◽  
pp. 1350-1355 ◽  
Author(s):  
Thais Della Manna ◽  
Claudilene Battistim ◽  
Vanessa Radonsky ◽  
Roberta D. Savoldelli ◽  
Durval Damiani ◽  
...  

Heterozygous activating mutations of KCNJ11 (Kir6.2) are the most common cause of permanent neonatal diabetes mellitus (PNDM) and several cases have been successfully treated with oral sulfonylureas. We report on the attempted transfer of insulin therapy to glibenclamide in a 4-year old child with PNDM and DEND syndrome, bearing a C166Y mutation in KCNJ11. An inpatient transition from subcutaneous NPH insulin (0.2 units/kg/d) to oral glibenclamide (1 mg/kg/d and 1.5 mg/kg/d) was performed. Glucose and C-peptide responses stimulated by oral glucose tolerance test (OGTT), hemoglobin A1c levels, the 8-point self-measured blood glucose (SMBG) profile and the frequency of hypoglycemia episodes were analyzed, before and during treatment with glibenclamide. Neither diabetes control nor neurological improvements were observed. We concluded that C166Y mutation was associated with a form of PNDM insensitive to glibenclamide.


2006 ◽  
Vol 355 (5) ◽  
pp. 456-466 ◽  
Author(s):  
Andrey P. Babenko ◽  
Michel Polak ◽  
Hélène Cavé ◽  
Kanetee Busiah ◽  
Paul Czernichow ◽  
...  

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