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  1. 30 医学部・医学研究科・保健学研究科
  2. 30b 弘前医学 = Hirosaki Medical Journal
  3. 59巻Supplement

Congenital hyperinsulinism: From bench to bedside

http://hdl.handle.net/10129/2221
http://hdl.handle.net/10129/2221
1d8ebe35-0b02-4c20-a418-1c075fffd5af
名前 / ファイル ライセンス アクション
HirosakiMedJ_59_S82.pdf HirosakiMedJ_59_S82.pdf (713.9 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2009-09-18
タイトル
タイトル Congenital hyperinsulinism: From bench to bedside
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Cosgrove, Karen E.

× Cosgrove, Karen E.

Cosgrove, Karen E.

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Shepherd, Ruth M.

× Shepherd, Ruth M.

Shepherd, Ruth M.

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Dunne, Mark J.

× Dunne, Mark J.

Dunne, Mark J.

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著者所属
値 Faculty of Life Sciences, University of Manchester
著者所属
値 Faculty of Life Sciences, University of Manchester
著者所属
値 Faculty of Life Sciences, University of Manchester
抄録
内容記述タイプ Abstract
内容記述 Congenital Hyperinsulinism in Infancy (HI) is a potentially-lethal condition of neonates and during
early childhood. For many years the pathophysiology of this disorder was unknown. Recent advances in genetics,
histopathology and molecule physiology have now revealed the causes of HI in a large cohort of patients. From defects
in ion channel subunit genes to lesions in the control of pancreatic B-cell metabolism and anaplerosis, the causes of
HI are both varied and numerous. However, in all cases they appear to share a common target protein - the ATPsensitive
K-channel. The function of these channels is not only critical to the control of healthy normal insulin-secreting
cell function, but “activating” defects in these channels lead to permanent neonatal diabetes and type 2 diabetes. HI
can therefore arise through “channelopathies” of K-ATP channels: HI-KATP through gene defects in ABCC8 and
KCNJ11 (Ch11.p15); or as a result of “metabolopathies” through defects in the genes encoding glucokinase HI-GK
(GCK, Ch.7p15-p13), glutamate dehydrogenase HI-GDH (GLUD1, Ch.10q23.3) and Short-chain L-3-hydroxyacyl-CoA
dehydrogenase HI-SCHAD( HADHSC, Ch.4q22-q26). Advances in the integration of genetic medicine and cell biology
have provided key insights into the causes of HI, and this has been of key importance to the defi nition of pathogenesis.
However, medical therapy for HI remains largely unchanged due to the availability of limited agents that are selective
and specifi c for the termination of insulin release from β-cells. CHI can be a devastating disease, and in this review
focuses upon the relationship between the basis of HI and current / future therapies, including stem cells.
引用
内容記述タイプ Other
内容記述 弘前医学. 59(Suppl.), 2007, p.S82-S88
書誌情報 弘前医学

巻 59, 号 Supplement, p. S82-S88, 発行日 2007-11-29
ISSN
収録物識別子タイプ ISSN
収録物識別子 0439-1721
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AN00211444
フォーマット
内容記述タイプ Other
内容記述 application/pdf
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
日本十進分類法
主題Scheme NDC
主題 491.4
NIIサブジェクト
主題Scheme Other
主題 基礎医学
出版者
出版者 弘前大学大学院医学研究科・弘前医学会
資源タイプ
値 Article
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