2012
DOI: 10.1590/s0004-27302012000800019
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Maternally-inherited diabetes with deafness (MIDD) and hyporeninemic hypoaldosteronism

Abstract: SUMMARYMaternally-inherited diabetes with deafness (MIDD) is a rare form of monogenic diabetes that results, in most cases, from an A-to-G transition at position 3243 of mitochondrial DNA (m.3243A>G) in the mitochondrial-encoded tRNA leucine (UUA/G) gene. As the name suggests, this condition is characterized by maternally-inherited diabetes and bilateral neurosensory hearing impairment. A characteristic of mitochondrial cytopathies is the progressive multisystemic involvement with the development of more sympt… Show more

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Cited by 9 publications
(2 citation statements)
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“…Other less frequently reported mechanisms include hyperkalemia and/or hyponatremia due to deficiencies of mineralocorticoids or glucocorticoids or renal resistance to them 13,27,28,38,[50][51][52][53][54][55][56][57][58][59][60][61][62] ; hyponatremia due to syndrome of inappropriate antidiuretic hormone secretion, cerebral salt wasting, hypovolemia, or heart failure 28,[63][64][65][66][67][68][69][70][71] ; and calcium disturbances due to rhabdomyolysis. 24,72,73 Nine studies describe treatment-related adverse events, such as electrolyte disturbances due to L-arginine, succinate, coenzyme Q10 or Calcium beta-hydroxybutyrate, and Sodium beta-hydroxybutyrate.…”
Section: Evidence For Specific Pathophysiologic Mechanismsmentioning
confidence: 99%
“…Other less frequently reported mechanisms include hyperkalemia and/or hyponatremia due to deficiencies of mineralocorticoids or glucocorticoids or renal resistance to them 13,27,28,38,[50][51][52][53][54][55][56][57][58][59][60][61][62] ; hyponatremia due to syndrome of inappropriate antidiuretic hormone secretion, cerebral salt wasting, hypovolemia, or heart failure 28,[63][64][65][66][67][68][69][70][71] ; and calcium disturbances due to rhabdomyolysis. 24,72,73 Nine studies describe treatment-related adverse events, such as electrolyte disturbances due to L-arginine, succinate, coenzyme Q10 or Calcium beta-hydroxybutyrate, and Sodium beta-hydroxybutyrate.…”
Section: Evidence For Specific Pathophysiologic Mechanismsmentioning
confidence: 99%
“…In the two cases tested, adrenal antibodies were negative. There have been case reports of children with MELAS due to m.3243A>G, m.12015T>C, or m.8344A>G who had adrenal insufficiency [61][62][63]. In addition, both adrenal insufficiency and mitochondrial dysfunction are associated with several nuclear genes involved in steroidogenesis and steroid metabolism (TR4, STAR, CYP11A1), as well as genes involved in complex I assembly or mitochondrial protein import (NDUFAF5, MRPS7, QRSL1, GFER) [44].…”
Section: Adrenal Insufficiencymentioning
confidence: 99%