The Mutation Spectrum of Maturity Onset Diabetes of the Young (MODY)-Associated Genes among Western Siberia Patients.

The Mutation Spectrum of Maturity Onset Diabetes of the Young (MODY)-Associated Genes among Western Siberia Patients.
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DOI:
10.3390/jpm11010057
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发表时间:
2021-01-18
影响因子:
--
通讯作者:
Voevoda MI
Voevoda MI
中科院分区:
医学4区
文献类型:
--
作者:
Ivanoshchuk DE;Shakhtshneider EV;Rymar OD;Ovsyannikova AK;Mikhailova SV;Fishman VS;Valeev ES;Orlov PS;Voevoda MI

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青壮年型糖尿病(MODY)是一种先天性糖尿病,其特点是在年轻时发病,胰腺β细胞功能出现原发性缺陷。目前,已知有14种MODY亚型,每种亚型都与特定基因的突变有关:HNF4A、GCK、HNF1A、PDX1、HNF1B、NEUROD1、KLF11、CEL、PAX4、INS、BLK、KCNJ11、ABCC8和APPL1。最常见的MODY亚型与基因GCK、HNF1A、HNF4A和HNF1B的突变有关。其中,高达70%的病例是由GCK和HNF1A突变引起的。本文对西伯利亚西部178例MODY表型患者的14个MODY基因进行了分析。对随机选择的50例未检测到突变的患者的DNA样本进行多重连接依赖探针扩增分析,未发现MODY基因的大重排。178名受试者中有38名患者(37%为男性)在HNF4A、GCK、HNF1A和ABCC8中发现了突变。我们在GCK和Ser6Arg中发现了新的潜在致病突变p.Lys142*、Leu146Val、Ala173Glnfs*30、Val181Asp、Gly261Ala、IVS7 c.864−1G b> T、Cys371*和Glu443Lys,在HNF1A中发现了ivs2 c.526 + 1G b> T、IVS3 c.713 + 2t >A和Arg238Lys。
Maturity onset diabetes of the young (MODY) is a congenital form of diabetes characterized by onset at a young age and a primary defect in pancreatic-β-cell function. Currently, 14 subtypes of MODY are known, and each is associated with mutations in a specific gene: HNF4A, GCK, HNF1A, PDX1, HNF1B, NEUROD1, KLF11, CEL, PAX4, INS, BLK, KCNJ11, ABCC8, and APPL1. The most common subtypes of MODY are associated with mutations in the genes GCK, HNF1A, HNF4A, and HNF1B. Among them, up to 70% of cases are caused by mutations in GCK and HNF1A. Here, an analysis of 14 MODY genes was performed in 178 patients with a MODY phenotype in Western Siberia. Multiplex ligation-dependent probe amplification analysis of DNA samples from 50 randomly selected patients without detectable mutations did not reveal large rearrangements in the MODY genes. In 38 patients (37% males) among the 178 subjects, mutations were identified in HNF4A, GCK, HNF1A, and ABCC8. We identified novel potentially causative mutations p.Lys142*, Leu146Val, Ala173Glnfs*30, Val181Asp, Gly261Ala, IVS7 c.864 −1G>T, Cys371*, and Glu443Lys in GCK and Ser6Arg, IVS 2 c.526 +1 G>T, IVS3 c.713 +2 T>A, and Arg238Lys in HNF1A.
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