Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Nov 26:17:4439-4452.
doi: 10.2147/DMSO.S482056. eCollection 2024.

Genetic Variations in Hyperinsulinemic Hypoglycemia: Active versus Inactive Mutations

Affiliations
Review

Genetic Variations in Hyperinsulinemic Hypoglycemia: Active versus Inactive Mutations

Salsabeel H Sabi et al. Diabetes Metab Syndr Obes. .

Abstract

Hyperinsulinemic Hypoglycemia (HH) is a rare condition that affects newborn children in the postnatal period, represented by dangerously low levels of blood glucose in a persistent manner, which puts the baby at high risk of multiple issues, especially regarding the brain cells if the baby does not take the appropriate medication or have the correct diagnosis. Hyperinsulinemic Hypoglycemia can happen due to an active or inactive mutation in 16 genes responsible for glucose metabolism and insulin secretion (GLUD1, GCK, SLC16A1, HK1, CACNA1D, KCNJ11, ABCC8, FOXA2, HNF1A, HNF4A, HADH, PGM1, UCP2, KCNQ1, PMM2, EIF2S3). These mutations can take place in many forms, either defused or local, affecting several or all pancreatic beta cells respectively. This review summarizes genetic variations diagnosis and treatment of Hyperinsulinemic Hypoglycemia.

Keywords: FOXA2; GLUD1; Hyperinsulinemic Hypoglycemia; hexokinase; nesidioblastosis.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflicts of interest in this work.

Similar articles

References

    1. Arya VB, Flanagan SE, Kumaran A, et al. Clinical and molecular characterization of Hyperinsulinemic Hypoglycemia in infants born small-for-gestational age. Arch Dis Child Fetal Neonatal. 2013;98(4):356–358. doi:10.1136/archdischild-2012-302880 - DOI - PMC - PubMed
    1. Banerjee I, Salomon-Estebanez M, Shah P, Nicholson J, Cosgrove KE, Dunne MJ. Therapies and outcomes of congenital hyperinsulinism-induced hypoglycaemia. Diabetic Med. 2019;36(1):9–21. doi:10.1111/dme.13823 - DOI - PMC - PubMed
    1. Campbell JE, Newgard CB. Mechanisms controlling pancreatic islet cell function in insulin secretion. Nat Rev Mol Cell Biol. 2021;22(2):142–158. doi:10.1038/s41580-020-00317-7 - DOI - PMC - PubMed
    1. Giri D, Hawton K, Senniappan S. Congenital hyperinsulinism: recent updates on molecular mechanisms, diagnosis and management. J Pediatr Endocrinol Metab. 2021;35(3):279–296. - PubMed
    1. Sempoux C, Klöppel G. Pathological features in non-neoplastic congenital and adult hyperinsulinism: from nesidioblastosis to current terminology and understanding. Endocr Relat Cancer. 2023;30(9):e230034. doi:10.1530/ERC-23-0034 - DOI - PubMed

LinkOut - more resources