Hereditary Neurohypophyseal Diabetes Insipidus

Rutishauser, Jonas and Beuret, Nicole and Prescianotto-Baschong, Cristina and Spiess, Martin. (2019) Hereditary Neurohypophyseal Diabetes Insipidus. In: Genetics of Endocrine Diseases and Syndromes. Cham, pp. 299-315.

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Official URL: https://edoc.unibas.ch/82536/

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Neurohypophyseal diabetes insipidus (DI) is most often caused by trauma, including operations, and infiltrating processes in the hypothalamic-pituitary region. Irradiation, ischemia, infections, or autoimmunity can also underlie the disease. Since the middle of the 19th century, familial forms of neurohypophyseal DI have been described. Most commonly, the disease is transmitted in an autosomal-dominant fashion; very rarely, autosomal-recessive inheritance has been observed. Hereditary neurohypophyseal DI is caused by mutations in the gene encoding the antidiuretic hormone vasopressin (AVP) and its carrier protein neurophysin II (NPII). Symptoms result from the lack of hormone, or from the inability of mutant AVP to activate its renal receptor, and respond to treatment with desmopressin (DDAVP). Dominant mutations cause retention of the hormone precursor in the endoplasmic reticulum (ER) of vasopressinergic neurons in the hypothalamus, resulting in cellular dysfunction and eventually neuronal death. This so-called "neurotoxicity hypothesis" was initially established on the basis of autopsy studies in affected humans and has been supported by heterologous cell-culture expression experiments and murine knock-in models. Current data show that retained mutants fail to be eliminated by the cell's quality control system and accumulate in fibrillar aggregations within the ER. Autosomal-dominant neurohypophyseal DI may thus be viewed as a neurodegenerative disease confined to vasopressinergic neurons.
Faculties and Departments:05 Faculty of Science > Departement Biozentrum > Growth & Development > Biochemistry (Spiess)
UniBasel Contributors:Spiess, Martin
Item Type:Book Section
Book Section Subtype:Further Contribution in a Book
Publisher:Springer Nature Switzerland
Series Name:Experientia Supplementum
Issue Number:111
Note:Publication type according to Uni Basel Research Database: Book item
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Last Modified:07 Apr 2021 12:01
Deposited On:07 Apr 2021 11:59

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