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Related Experiment Videos

Apparent mineralocorticoid excess.

R C Wilson1, S Nimkarn, M I New

  • 1Pediatric Endocrinology, New York-Presbyterian Hospital and the Weill Medical College of Cornell University, 525 East 68th Street, New York, NY 10021, USA.

Trends in Endocrinology and Metabolism: TEM
|April 18, 2001
PubMed
Summary
This summary is machine-generated.

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Apparent mineralocorticoid excess (AME) is a severe genetic disorder causing juvenile hypertension and growth failure due to 11 beta-hydroxysteroid dehydrogenase type 2 (11 beta-HSD2) deficiency. Early AME treatment is crucial for preventing severe complications.

Area of Science:

  • Endocrinology
  • Genetics
  • Pediatric Nephrology

Background:

  • Apparent mineralocorticoid excess (AME) is a rare, life-threatening genetic disorder.
  • Characterized by severe juvenile hypertension, growth failure, hypokalemia, and suppressed renin/aldosterone.
  • Caused by autosomal recessive mutations in the HSD11B2 gene, leading to 11 beta-hydroxysteroid dehydrogenase type 2 (11 beta-HSD2) deficiency.

Purpose of the Study:

  • To summarize the clinical and genetic features of Apparent Mineralocorticoid Excess.
  • To highlight the role of 11 beta-HSD2 enzyme deficiency in the pathogenesis of AME.
  • To emphasize the importance of early diagnosis and treatment for managing AME.

Main Methods:

  • Review of existing literature on Apparent Mineralocorticoid Excess.

Related Experiment Videos

  • Analysis of genetic mutations in the HSD11B2 gene.
  • Clinical case study analysis (implied).
  • Main Results:

    • Mutations in HSD11B2 lead to deficient 11 beta-HSD2 enzyme activity.
    • This deficiency impairs cortisol conversion to cortisone, causing mineralocorticoid receptor overactivation.
    • A mild form of AME, identified in 1998, is a potential cause of low-renin hypertension.

    Conclusions:

    • AME is caused by impaired cortisol inactivation due to 11 beta-HSD2 deficiency.
    • Prompt and careful treatment can mitigate severe outcomes and end-organ damage.
    • Recognizing AME is critical for managing severe pediatric hypertension and related complications.