由于新型激活葡萄酶突变导致的先天性高胰岛素症的表型特征
Changhong Li1,2,3, Christine A Juliana1, Yue Yuan3
1Division of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, PA.
Diabetes
|September 19, 2023
概括
葡萄糖激酶基因 (GCK) 的激活突变通过降低胰岛素分泌的葡萄糖值并抑制葡萄糖释,导致先天性高胰岛素症 (HI). 这些GCK突变破坏了葡萄糖平衡.
科学领域:
- 内分泌学 在内分泌学.
- 分子遗传学 分子遗传学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 葡萄糖酶 (GK) 在调节胰岛素分泌方面发挥着至关重要的作用.
- 葡萄糖酶基因 (GCK) 的激活突变与先天性高胰岛素症 (HI) 有关.
研究的目的:
- 调查新型和已知的激活GCK突变对葡萄糖恒温的影响.
- 阐明GCK-超胰岛素主义背后的机制,重点关注胰岛素和葡萄糖分泌.
主要方法:
- 纯化的突变GK酶的酶动力学.
- 来自GCK-HI患者的胰腺小岛的功能评估.
- 分析葡萄糖刺激的胰岛素和葡萄糖分泌.
主要成果:
- 突变的GK酶表现出较低的葡萄糖半和度和增加的活性.
- 在GCK-HI小岛上,葡萄糖刺激胰岛素分泌的值下降.
- 基本胰岛素分泌和糖胺反应被保留,但葡萄糖分泌被抑制.
结论:
- 激活GCK突变会通过降低葡萄糖感应和降低胰岛素分泌值引起HI.
- 抑制葡萄糖分泌会加剧GCK-HI中的葡萄糖失调.
- 葡萄糖激酶在胰腺β和α细胞中的双重作用对葡萄糖平衡至关重要.
相关概念视频
Inborn Errors of Metabolism
185
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
185
Glucose Transporters
22.9K
Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
22.9K
Pathophysiology of Diabetes
980
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
980
Insulin: The Receptor and Signaling Pathways
1.3K
Insulin action is mediated through a receptor tyrosine kinase, akin to the IGF-1 receptor. The number of receptors per cell varies significantly, from 40 on erythrocytes to 300,000 on adipocytes and hepatocytes. The insulin receptor consists of linked α/β subunit dimers, forming a heterotetramer glycoprotein with two extracellular α subunits and two β subunits spanning the membrane. The α subunits inhibit the inherent tyrosine kinase activity of the β subunits, but...
1.3K
Insulin Secretory Vesicles
5.0K
Insulin secretory vesicles release insulin to stimulate blood glucose uptake and regulate carbohydrate metabolism. When the blood glucose levels increase, glucose enters the pancreatic β-islet cells through glucose transporters. Once inside, glucose is metabolized through glycolysis, the citric acid cycle, and the electron transport chain, producing ATP. This increase in ATP concentration closes ATP-sensitive potassium channels, leading to depolarization of the membrane and the opening of...
5.0K
Diabetes Mellitus: Overview and Type I Subtype
2.7K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.7K


