title: Clinical characterization of a newly described neonatal diabetes syndrome caused by RFX6 mutations.
abstract: Mutations in the RFX6 gene were recently described to underlie a distinct autosomal recessive syndrome of neonatal diabetes comprising intestinal atresia and hepatobiliary abnormalities. Until now, only six patients harboring RFX6 mutations have been reported. We report on a new case due to a novel homozygous splice site mutation and update on the clinical outcome of a previously reported patient. In addition we review the clinical and molecular features of all RFX6 mutated cases to better characterize the syndrome. Our results suggest that despite the early postnatal fulminant course, patients who survive may expect a relatively favorable prognosis.
authors.affiliation: The Genetic Institute, Ha'Emek Medical Center, Afula and the Rappaport Faculty of Medicine, Technion, Haifa, Israel. spiegelr@zahav.net.il
authors.forename: Ronen
authors.initials: R
authors.lastname: Spiegel
authors.forename: Angus
authors.initials: A
authors.lastname: Dobbie
authors.forename: Corina
authors.initials: C
authors.lastname: Hartman
authors.forename: Liat
authors.initials: L
authors.lastname: de Vries
authors.forename: Sian
authors.initials: S
authors.lastname: Ellard
authors.forename: Stavit A
authors.initials: SA
authors.lastname: Shalev
mesh_terms: D002648:Child; D002675:Child, Preschool; D004268:DNA-Binding Proteins / Q000235:genetics*; D003920:Diabetes Mellitus / Q000151:congenital / Q000175:diagnosis / Q000235:genetics*; D003967:Diarrhea / Q000235:genetics; D005260:Female; D006720:Homozygote; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis / Q000235:genetics*; D007438:Introns; D008297:Male; D010288:Parenteral Nutrition; D000071701:Regulatory Factor X Transcription Factors; D017384:Sequence Deletion; D013577:Syndrome; D014157:Transcription Factors / Q000235:genetics*
chemical_list: D004268:DNA-Binding Proteins; D000071701:Regulatory Factor X Transcription Factors; C547964:Rfx6 protein, human; D014157:Transcription Factors