A further example of a distinctive autosomal recessive syndrome comprising neonatal diabetes mellitus, intestinal atresias and gall bladder agenesis.
We report a patient born to consanguineous parents as a further example of a recently described phenotype comprising neonatal diabetes, intestinal atresias and gall bladder agenesis. Other reports have described cases with overlapping patterns including malrotation, biliary atresia and pancreatic hypoplasia (e.g. as described by Martínez-Frías). We propose that these cases may represent variations of the same syndrome. It is likely that this disorder is inherited as an autosomal recessive trait. Our case is the first to have neonatal diabetes without a demonstrable structural pancreatic abnormality, showing that a deficit in pancreatic function is involved. We sequenced genes with a recognized role in monogenic forms of diabetes, including KCNJ11, ABCC8, GCK, IPF1, HNF1beta, NeuroD1 and TCF7L2, as well as a novel candidate gene, HNF6, known to be involved in hepatobiliary and pancreatic development, but did not identify mutations.
School of Medicine, University of Leeds, Leeds, UK.
Louise
L
Chappell
Shaun
S
Gorman
Fiona
F
Campbell
Sian
S
Ellard
Gillian
G
Rice
Angus
A
Dobbie
Yanick
Y
Crow
D000015:Abnormalities, Multiple / Q000235:genetics*; D003241:Consanguinity; D004252:DNA Mutational Analysis; D003920:Diabetes Mellitus / Q000151:congenital* / Q000235:genetics*; D005260:Female; D005704:Gallbladder / Q000002:abnormalities*; D005808:Genes, Recessive; D051559:Hepatocyte Nuclear Factor 6 / Q000235:genetics; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000150:complications* / Q000235:genetics*; D010641:Phenotype; D013577:Syndrome
D051559:Hepatocyte Nuclear Factor 6