Pediatric endocrinology

Noncoding Variants in Intron 2 of HK1 Associated With Hyperinsulinism With Variable Clinical Phenotype

J Clin Endocrinol MetabPublished Genetic sequencing study

Authors' conclusion

Noncoding variants in intron 2 of the HK1 gene have now been associated with HI in a growing number of cases. Our findings suggest that a significant proportion of individuals with negative genetics in genes currently known to be associated with HI may harbor HK1 intron 2 variants.

Study context

Population
Individuals with genetics-negative congenital hyperinsulinism (HI)
Participants
281 individuals
Outcome
Non-coding variants in a 350 bp region of HK1 intron 2

Main finding

As reported in the abstract

Non-coding HK1 intron 2 variants

Individuals with HK1 intron 2 variants

18/281, 6.4%

Unique non-coding variants identified

16

Further findings

Inheritance of HK1 variant

Inherited from a parent (2 maternal, 5 paternal); 2 parents known affected with HI
7/18, 39%
De novo
9/18, 50%

Clinical phenotype

Age at presentation of HI
day of life 1 to 21 months
Diazoxide-responsive HI
7/18, 39%
Diazoxide unresponsive
11/18, 61%
Underwent pancreatectomy (ages 6 months to 3 years)
5

Original publication

Noncoding Variants in Intron 2 of HK1 Associated With Hyperinsulinism With Variable Clinical Phenotype. J Clin Endocrinol Metab. Published 10 March 2026. doi:10.1210/clinem/dgag108

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