Pediatric endocrinology

Functional evaluation of pancreatic islets from patients with Beckwith–Wiedemann syndrome and congenital hyperinsulinism

J Clin Endocrinol MetabPublished Mechanistic study

Main findingResult — go to the resultKCNQ1 expression, fold reduction 3-fold

Authors' conclusion

Our expression analysis and functional evaluation of islets isolated from BWS-HI patients reveal the spectrum of insulin secretion responses found across BWS etiologies and suggest a potential role for loss of KCNQ1 expression in the complex pathophysiology responsible for the hyperinsulinism in BWS.

Study context

Population
Infants with severe hyperinsulinism (HI) and comorbid Beckwith-Wiedemann Syndrome (BWS) who required pancreatectomy for intractable hypoglycemia
Comparison
BWS-HI islets vs KATPHI islets and normal human islets
Outcome
Islet function and gene expression
Methodological detailscase series, Molecular testing for BWS by SNP array and chromosome 11p15 methylation analysis, Islet insulin secretion assessed by perifusion and cytosolic Ca2+ measurements
  • Case series
  • Molecular testing for BWS by SNP array and chromosome 11p15 methylation analysis
  • Islet insulin secretion assessed by perifusion and cytosolic Ca2+ measurements

Main finding

As reported in the abstract

KCNQ1 expression, fold reduction

3-fold

P = 4.5 × 10-7

Original publication

Functional evaluation of pancreatic islets from patients with Beckwith–Wiedemann syndrome and congenital hyperinsulinism. J Clin Endocrinol Metab. Published 15 February 2026. doi:10.1210/clinem/dgag050

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