Document Detail


Neonatal diabetes mellitus: a model for personalized medicine.
MedLine Citation:
PMID:  20434356     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Neonatal diabetes mellitus occurs in approximately 1 out of every 100,000 live births. It can be either permanent or transient, and recent studies indicate that is likely to have an underlying genetic cause, particularly when diagnosed before 6 months of age. Permanent neonatal diabetes is most commonly due to activating mutations in either of the genes encoding the two subunits of the ATP-sensitive potassium channel. In most of these patients, switching from insulin to oral sulfonylurea therapy leads to improved metabolic control, as well as possible amelioration of occasional associated neurodevelopmental disabilities. It remains to be determined what is the most appropriate treatment of other causes. The diagnosis and treatment of neonatal diabetes, therefore, represents a model for personalized medicine.
Authors:
Siri Atma W Greeley; Susan E Tucker; Rochelle N Naylor; Graeme I Bell; Louis H Philipson
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review     Date:  2010-04-29
Journal Detail:
Title:  Trends in endocrinology and metabolism: TEM     Volume:  21     ISSN:  1879-3061     ISO Abbreviation:  Trends Endocrinol. Metab.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-02     Completed Date:  2010-11-30     Revised Date:  2011-08-03    
Medline Journal Info:
Nlm Unique ID:  9001516     Medline TA:  Trends Endocrinol Metab     Country:  United States    
Other Details:
Languages:  eng     Pagination:  464-72     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Pediatrics, Section of Adult and Pediatric Endocrinology, Diabetes and Metabolism, University of Chicago Pritzker School of Medicine, 5841 S Maryland Ave, MC 1027, Chicago, IL 60637, USA. sgreeley@peds.bsd.uchicago.edu
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MeSH Terms
Descriptor/Qualifier:
Animals
Diabetes Mellitus* / drug therapy,  genetics,  physiopathology,  therapy
Gene Therapy
Humans
Hypoglycemic Agents / therapeutic use
Individualized Medicine / methods*
Infant, Newborn
Insulin / genetics
Sulfonylurea Compounds / therapeutic use
Grant Support
ID/Acronym/Agency:
5T32-DK06458/DK/NIDDK NIH HHS; P60-DK020595/DK/NIDDK NIH HHS
Chemical
Reg. No./Substance:
0/Hypoglycemic Agents; 0/Sulfonylurea Compounds; 11061-68-0/Insulin
Comments/Corrections

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