Korean J Pediatr.  2015 Aug;58(8):309-312. 10.3345/kjp.2015.58.8.309.

Successful sulfonylurea treatment in a patient with permanent neonatal diabetes mellitus with a novel KCNJ11 mutation

• Ahn SY
• Kim GH
• Yoo HW

• KMID: 2284606
• DOI: http://doi.org/10.3345/kjp.2015.58.8.309

Abstract

Permanent neonatal diabetes mellitus refers to diabetes that occurs before the age of 6 months and persists through life. It is a rare disorder affecting one in 0.2-0.5 million live births. Mutations in the gene KCNJ11, encoding the subunit Kir6.2, and ABCC8, encoding SUR1 of the ATP-sensitive potassium (K(ATP)) channel, are the most common causes of permanent neonatal diabetes mellitus. Sulfonylureas close the K(ATP) channel and increase insulin secretion. KCNJ11 and ABCC8 mutations have important therapeutic implications because sulfonylurea therapy can be effective in treating patients with mutations in the potassium channel subunits. The mutation type, the presence of neurological features, and the duration of diabetes are known to be the major factors affecting the treatment outcome after switching to sulfonylurea therapy. More than 30 mutations in the KCNJ11 gene have been identified. Here, we present our experience with a patient carrying a novel p.H186D heterozygous mutation in the KCNJ11 gene who was successfully treated with oral sulfonylurea.

Keyword

Permanent neonatal diabetes mellitus; KCNJ11; Sulfonylurea compounds

MeSH Terms

Diabetes Mellitus*
Humans
Insulin
Live Birth
Potassium
Potassium Channels
Sulfonylurea Compounds
Treatment Outcome
Insulin
Potassium
Potassium Channels
Sulfonylurea Compounds