Document Detail


An activating mutation of AKT2 and human hypoglycemia.
MedLine Citation:
PMID:  21979934     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pathological fasting hypoglycemia in humans is usually explained by excessive circulating insulin or insulin-like molecules or by inborn errors of metabolism impairing liver glucose production. We studied three unrelated children with unexplained, recurrent, and severe fasting hypoglycemia and asymmetrical growth. All were found to carry the same de novo mutation, p.Glu17Lys, in the serine/threonine kinase AKT2, in two cases as heterozygotes and in one case in mosaic form. In heterologous cells, the mutant AKT2 was constitutively recruited to the plasma membrane, leading to insulin-independent activation of downstream signaling. Thus, systemic metabolic disease can result from constitutive, cell-autonomous activation of signaling pathways normally controlled by insulin.
Authors:
K Hussain; B Challis; N Rocha; F Payne; M Minic; A Thompson; A Daly; C Scott; J Harris; B J L Smillie; D B Savage; U Ramaswami; P De Lonlay; S O'Rahilly; I Barroso; R K Semple
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-10-06
Journal Detail:
Title:  Science (New York, N.Y.)     Volume:  334     ISSN:  1095-9203     ISO Abbreviation:  Science     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-28     Completed Date:  2011-11-02     Revised Date:  2012-05-01    
Medline Journal Info:
Nlm Unique ID:  0404511     Medline TA:  Science     Country:  United States    
Other Details:
Languages:  eng     Pagination:  474     Citation Subset:  IM    
Affiliation:
Clinical and Molecular Genetics Unit, Developmental Endocrinology Research Group, Institute of Child Health, University College London, London WC1N 1EH, UK.
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MeSH Terms
Descriptor/Qualifier:
Amino Acid Substitution
Cell Membrane / metabolism
Cell Nucleus / metabolism
Child
Female
Growth
HeLa Cells
Heterozygote
Humans
Hypoglycemia / genetics*,  metabolism*
Insulin / blood,  metabolism
Male
Mosaicism
Mutation*
Pedigree
Protein Interaction Domains and Motifs
Proto-Oncogene Proteins c-akt / chemistry,  genetics*,  metabolism
Signal Transduction
Grant Support
ID/Acronym/Agency:
077016//Wellcome Trust; 077016/Z/05/Z//Wellcome Trust; 078986//Wellcome Trust; 078986/Z/06/Z//Wellcome Trust; 080952//Wellcome Trust; 080952/Z/06/Z//Wellcome Trust; 091551//Wellcome Trust; 091551/Z/10/Z//Wellcome Trust; //Medical Research Council
Chemical
Reg. No./Substance:
0/Insulin; EC 2.7.1.37/AKT2 protein, human; EC 2.7.11.1/Proto-Oncogene Proteins c-akt
Comments/Corrections
Comment In:
Cell Metab. 2011 Dec 7;14(6):722-3   [PMID:  22152300 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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