Abstract

Congenital Hyperinsulinism is a condition with a number of genetic causes, but for the majority of patients, the underlying aetiology is unknown. We present here a rational argument for the use of computational biology as a valuable resource for identifying new candidate genes which may cause disease and for understanding the complex mechanisms which define the pathophysiology of this rare disease.

Highlights

  • Congenital Hyperinsulinism is a condition with a number of genetic causes, but for the majority of patients, the underlying aetiology is unknown

  • Under normal physiological conditions, cells function correctly because there is a high degree of interdependency between individual biochemical components (DNA, RNA, proteins and metabolites) and their complex interactions (DNA-protein interactions, protein-protein interactions, metabolic and biochemical pathways, etc.), and tissues function in a co-ordinated manner because there is

  • It is not possible to identify at diagnosis which patients require curative surgery from those who could be successfully managed by short or long-term medical therapy. For these reasons we believe an innovative approach to Congenital Hyperinsulinism (CHI) is required – one which can identify new causes and new mechanisms of dysfunction. One such approach is the use of network biology, first to summate the various interactions and interdependencies between gene networks, and second to identify critical components and pathways which may contribute to the pathophysiology of CHI

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Summary

Introduction

Congenital Hyperinsulinism is a condition with a number of genetic causes, but for the majority of patients, the underlying aetiology is unknown. Our current approach to the classification and treatment of CHI is based largely upon observational correlations between the pathological analysis of candidate gene defects and clinical symptoms of hypoglycaemia [1,2,3].

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