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  1. Article: Case Report: Novel TRPM6 Mutations Cause Hereditary Hypomagnesemia With Secondary Hypocalcemia in a Chinese Family and a Literature Review.

    Han, Yiran / Zhao, Yajuan / Wang, Hua / Huo, Liang

    Frontiers in pediatrics

    2022  Volume 10, Page(s) 912524

    Abstract: Background: Hereditary hypomagnesemia with secondary hypocalcemia (HSH) is a rare autosomal ... of our study were 18 and 26 months old at onset.: Conclusion: We identified two novel TRPM6 mutations ... between May 28, 2002 to December 31, 2021 which reported a total of 88 patients with TRPM6 mutation ...

    Abstract Background: Hereditary hypomagnesemia with secondary hypocalcemia (HSH) is a rare autosomal recessive disease due to biallelic TRPM6 mutations. Although the reports of HSH caused by TRPM6 mutations are not very rare, the age of onset in previously reported HSH cases were <1 year.
    Methods: We collected and analyzed the clinical data of twin brothers with onset age over 1 year old and performed whole exome sequencing in the patients and their parents. Confirmed by Sanger sequencing, missense mutation was analyzed
    Results: The twin patients had canonical HSH phenotype with compound novel TRPM6 mutations, p.T87K and c.705dupT, inherited from their father and mother, respectively. T87 is a highly conserved site and T87K is predicted to cause hydrogen bond disruption. We identified 26 articles published between May 28, 2002 to December 31, 2021 which reported a total of 88 patients with TRPM6 mutation. We found that the most common clinical phenotypes were hypomagnesemia, hypocalcemia, and convulsions. However, the age of onset in HSH patients almost always occurred under 12 months old, the twin patients of our study were 18 and 26 months old at onset.
    Conclusion: We identified two novel TRPM6 mutations in a Chinses family with HSH, and showed that the age of onset with c.704c-c.705(exon7)insT and c.260(exon4)C>A mutation in TRPM6 was much later than other mutations and would be much less serious.
    Language English
    Publishing date 2022-07-12
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2022.912524
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Novel mutations in TRPM6 gene associated with primary hypomagnesemia with secondary hypocalcemia. Case report.

    Papez, Jan / Starha, Jiri / Slaba, Katerina / Hubacek, Jaroslav A / Pecl, Jakub / Aulicka, Stefania / Urik, Milan / Ceylaner, Serdar / Vesela, Petra / Slaby, Ondrej / Jabandziev, Petr

    Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia

    2021  Volume 165, Issue 4, Page(s) 454–457

    Abstract: Background: Primary hypomagnesemia with secondary hypocalcemia (HSH) is a rare genetic disorder ... revealed two novel mutations within the TRPM6 gene c.3308dupC (p.Pro1104Thrfs*28) (p.P1104Tfs*28) and c ... tonic-clonic seizures. Laboratory tests detected severe hypomagnesemia and hypocalcemia. The molecular genetic analysis ...

    Abstract Background: Primary hypomagnesemia with secondary hypocalcemia (HSH) is a rare genetic disorder. Dysfunctional transient receptor potential melastatin 6 causes impaired intestinal absorption of magnesium, leading to low serum levels accompanied by hypocalcemia. Typical signs at initial manifestation are generalized seizures, tetany, and/or muscle spasms.
    Case report: We present a 5 w/o female manifesting tonic-clonic seizures. Laboratory tests detected severe hypomagnesemia and hypocalcemia. The molecular genetic analysis revealed two novel mutations within the TRPM6 gene c.3308dupC (p.Pro1104Thrfs*28) (p.P1104Tfs*28) and c.3958C>T (p.Gln1302*) (p.Q1302*) and the patient was successfully treated with Mg supplementation.
    Conclusion: Ion disbalance should be taken into account in the differential diagnosis of infantile seizures. Accurate diagnosis of HSH together with appropriate treatment are crucial to prevent irreversible neurological outcomes.
    MeSH term(s) Female ; Humans ; Hypercalciuria ; Hypocalcemia/genetics ; Magnesium ; Magnesium Deficiency/congenital ; Magnesium Deficiency/genetics ; Mutation ; Nephrocalcinosis ; Renal Tubular Transport, Inborn Errors ; Seizures/genetics ; TRPM Cation Channels/genetics
    Chemical Substances TRPM Cation Channels ; TRPM6 protein, human ; Magnesium (I38ZP9992A)
    Language English
    Publishing date 2021-05-18
    Publishing country Czech Republic
    Document type Case Reports ; Journal Article
    ZDB-ID 17196-7
    ISSN 1804-7521 ; 1213-8118 ; 0231-5599 ; 0862-481X
    ISSN (online) 1804-7521
    ISSN 1213-8118 ; 0231-5599 ; 0862-481X
    DOI 10.5507/bp.2021.027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Novel mutations in TRPM6 gene associated with primary hypomagnesemia with secondary hypocalcemia. Case report

    Jan Papez / Jiri Starha / Katerina Slaba / Jaroslav A Hubacek / Jakub Pecl / Stefania Aulicka / Milan Urik / Serdar Ceylaner / Petra Vesela / Ondrej Slaby / Petr Jabandziev

    Biomedical Papers, Vol 165, Iss 4, Pp 454-

    2021  Volume 457

    Abstract: Background. Primary hypomagnesemia with secondary hypocalcemia (HSH) is a rare genetic disorder ... revealed two novel mutations within the TRPM6 gene c.3308dupC (p.Pro1104Thrfs*28) (p.P1104Tfs*28) and c ... tonic-clonic seizures. Laboratory tests detected severe hypomagnesemia and hypocalcemia. The molecular genetic analysis ...

    Abstract Background. Primary hypomagnesemia with secondary hypocalcemia (HSH) is a rare genetic disorder. Dysfunctional transient receptor potential melastatin 6 causes impaired intestinal absorption of magnesium, leading to low serum levels accompanied by hypocalcemia. Typical signs at initial manifestation are generalized seizures, tetany, and/or muscle spasms. Case report. We present a 5 w/o female manifesting tonic-clonic seizures. Laboratory tests detected severe hypomagnesemia and hypocalcemia. The molecular genetic analysis revealed two novel mutations within the TRPM6 gene c.3308dupC (p.Pro1104Thrfs*28) (p.P1104Tfs*28) and c.3958C>T (p.Gln1302*) (p.Q1302*) and the patient was successfully treated with Mg supplementation. Conclusion. Ion disbalance should be taken into account in the differential diagnosis of infantile seizures. Accurate diagnosis of HSH together with appropriate treatment are crucial to prevent irreversible neurological outcomes.
    Keywords hypomagnesemia ; hypocalcemia ; transient receptor potential melastatin 6 ; infantile seizures ; Medicine ; R
    Language English
    Publishing date 2021-11-01T00:00:00Z
    Publisher Palacký University Olomouc, Faculty of Medicine and Dentistry
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: A Rare Case of Neonatal Hypomagnesemia with Secondary Hypocalcemia Caused by a Novel Homozygous TRPM6 Gene Variant.

    Uddin, Mohammed Shahab / Alradhi, AlZahra Y / Alqathani, Fahad Mushbb N / Alessa, Othman Saleh / Alshammari, Ahmed Nawfal M / Tripathy, Ratna / Alomari, Mohammed Ahmed

    The American journal of case reports

    2024  Volume 25, Page(s) e942498

    Abstract: BACKGROUND Familial hypomagnesemia with secondary hypocalcemia (HSH) is a rare autosomal recessive ... SIDS). This report presents a case of familial HSH associated with the novel homozygous TRPM6 gene ... with hypomagnesemia. Laboratory examination of the infant demonstrated severe hypomagnesemia and hypocalcemia ...

    Abstract BACKGROUND Familial hypomagnesemia with secondary hypocalcemia (HSH) is a rare autosomal recessive disorder (OMIM# 602014) caused by mutations in the gene encoding transient receptor potential melastatin 6 (TRPM6)) on chromosome 9q22, a channel involved in epithelial magnesium resorption. While a plethora of studies have delineated various clinical manifestations pertinent to this mutation, the literature is devoid of connections between TRPM6 mutations and bleeding diathesis, or sudden infant death syndrome (SIDS). This report presents a case of familial HSH associated with the novel homozygous TRPM6 gene variant c.5281C>G p. (Arg1761Gly) chr9: 77354845. CASE REPORT This report details a 26-day-old neonate, born full term with optimal Apgar scores, who experienced an abrupt emergence of apnea, cyanosis, bilateral nasal bleeding, and diminished alertness. Despite the neonate's initially unremarkable clinical birth indicators, a meticulous assessment unveiled a pronounced family history of SIDS, including a sibling previously diagnosed with hypomagnesemia. Laboratory examination of the infant demonstrated severe hypomagnesemia and hypocalcemia, conditions which were promptly ameliorated following intravenous administration of magnesium and calcium. Whole-exome sequencing identified a homozygous TRPM6 gene mutation c.5281C>G p. (Arg1761Gly) at chr9: 77354845. This gene is crucial for magnesium regulation. The mutation involves a cytosine-to-guanine shift, resulting in an arginine to glycine amino acid substitution at position 1761 of the TRPM6 protein. CONCLUSIONS This report has highlighted that infantile hypomagnesemia may be associated with symptoms and signs that can mimic infection, or it can present with seizures. Although familial HSH is a rare genetic disorder that can be identified by genetic testing, correction of hypomagnesemia is the most important and immediate clinical management strategy.
    MeSH term(s) Infant ; Infant, Newborn ; Humans ; Magnesium ; Hypocalcemia/genetics ; Hypocalcemia/complications ; Hypocalcemia/diagnosis ; Sudden Infant Death ; Magnesium Deficiency/complications ; Magnesium Deficiency/diagnosis ; Magnesium Deficiency/genetics ; Magnesium Deficiency/congenital ; TRPM Cation Channels/genetics
    Chemical Substances Magnesium (I38ZP9992A) ; TRPM6 protein, human ; TRPM Cation Channels
    Language English
    Publishing date 2024-03-26
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2517183-5
    ISSN 1941-5923 ; 1941-5923
    ISSN (online) 1941-5923
    ISSN 1941-5923
    DOI 10.12659/AJCR.942498
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Case of hypomagnesemia with secondary hypocalcemia with a novel

    Lal, Naresh / Bhardwaj, Swati / Lalgudi Ganesan, Saptharishi / Sharma, Rachna / Jain, Puneet

    Neurology India

    2018  Volume 66, Issue 6, Page(s) 1795–1800

    MeSH term(s) Genetic Predisposition to Disease ; Humans ; Hypocalcemia/diagnosis ; Hypocalcemia/genetics ; Infant ; Magnesium ; Magnesium Deficiency/congenital ; Magnesium Deficiency/diagnosis ; Magnesium Deficiency/genetics ; Male ; Mutation/genetics ; TRPM Cation Channels/genetics
    Chemical Substances TRPM Cation Channels ; TRPM6 protein, human ; Magnesium (I38ZP9992A)
    Language English
    Publishing date 2018-12-01
    Publishing country India
    Document type Case Reports ; Letter ; Review
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.246240
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Treatment Difficulties in Hypomagnesemia Secondary to the Transient Receptor Potential Melastatin 6 Gene: A Case Report with Novel Mutation

    Yücel, Hüsniye / Genç Sel, Çiğdem / Kasapkara, Çiğdem Seher / Karacan Küçükali, Gülin / Savas Erdeve, Senay / Öztoprak, Ülkühan / Ceylaner, Serdar / Şenel, Saliha / Akçaboy, Meltem

    Journal of clinical research in pediatric endocrinology

    2020  Volume 13, Issue 1, Page(s) 114–118

    Abstract: ... hypomagnesemia with secondary hypocalcemia is a rare genetic cause of hypomagnesemia, due to variants in the ... intractable seizures and hypocalcemia in communities where consanguineous marriages are common. Familial ... Hypomagnesemia is a rare cause of seizures in childhood but should be kept in mind in recurrent and ...

    Abstract Hypomagnesemia is a rare cause of seizures in childhood but should be kept in mind in recurrent and intractable seizures and hypocalcemia in communities where consanguineous marriages are common. Familial hypomagnesemia with secondary hypocalcemia is a rare genetic cause of hypomagnesemia, due to variants in the
    MeSH term(s) Child, Preschool ; Humans ; Hypocalcemia/drug therapy ; Hypocalcemia/etiology ; Magnesium Deficiency/complications ; Magnesium Deficiency/drug therapy ; Magnesium Deficiency/genetics ; Magnesium Oxide/administration & dosage ; Magnesium Oxide/pharmacology ; Male ; TRPM Cation Channels/genetics
    Chemical Substances TRPM Cation Channels ; TRPM6 protein, human ; Magnesium Oxide (3A3U0GI71G)
    Language English
    Publishing date 2020-04-17
    Publishing country Turkey
    Document type Case Reports ; Journal Article
    ZDB-ID 2641608-6
    ISSN 1308-5735 ; 1308-5727
    ISSN (online) 1308-5735
    ISSN 1308-5727
    DOI 10.4274/jcrpe.galenos.2020.2020.0004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A Novel Homozygous Mutation in the Transient Receptor Potential Melastatin 6 Gene: A Case Report.

    Altıncık, Ayça / Schlingmann, Karl Peter / Tosun, Mahya Sultan

    Journal of clinical research in pediatric endocrinology

    2016  Volume 8, Issue 1, Page(s) 101–104

    Abstract: ... the clinical follow-up findings of a pediatric HSH case due to a novel mutation in the TRPM6 gene and highlight ... Hereditary hypomagnesemia with secondary hypocalcemia (HSH) is a rare autosomal recessive disease ... analysis, a novel homozygous frame-shift mutation (c.3447delT>p.F1149fs) was identified in the TRPM6 gene ...

    Abstract Hereditary hypomagnesemia with secondary hypocalcemia (HSH) is a rare autosomal recessive disease caused by mutations in the transient receptor potential melastatin 6 (TRPM6) gene. Affected individuals present in early infancy with seizures caused by the severe hypocalcemia and hypomagnesemia. By presenting this case report, we also aimed to highlight the need for molecular genetic analysis in inbred or familial cases with hypomagnesemia. A Turkish inbred girl, now aged six years, had presented to another hospital at age two months with seizures diagnosed to be due to hypomagnesemia. She was on magnesium replacement therapy when she was admitted to our clinic with complaints of chronic diarrhea at age 3.6 years. During her follow-up in our clinic, she showed an age-appropriate physical and neurological development. In molecular genetic analysis, a novel homozygous frame-shift mutation (c.3447delT>p.F1149fs) was identified in the TRPM6 gene. This mutation leads to a truncation of the TRPM6 protein, thereby complete loss of function. We present the clinical follow-up findings of a pediatric HSH case due to a novel mutation in the TRPM6 gene and highlight the need for molecular genetic analysis in inbred or familial cases with hypomagnesemia.
    MeSH term(s) Child, Preschool ; Female ; Frameshift Mutation/genetics ; Genetic Predisposition to Disease ; Heterozygote ; Homozygote ; Humans ; Hypocalcemia/genetics ; Hypocalcemia/pathology ; Magnesium Deficiency/congenital ; Magnesium Deficiency/genetics ; Magnesium Deficiency/pathology ; Prognosis ; TRPM Cation Channels/genetics
    Chemical Substances TRPM Cation Channels ; TRPM6 protein, human
    Language English
    Publishing date 2016-03-05
    Publishing country Turkey
    Document type Case Reports ; Journal Article
    ZDB-ID 2641608-6
    ISSN 1308-5735 ; 1308-5727
    ISSN (online) 1308-5735
    ISSN 1308-5727
    DOI 10.4274/jcrpe.2254
    Database MEDical Literature Analysis and Retrieval System OnLINE

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