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Screening of Mutations in Maturity-onset Diabetes of the Young-related Genes and RFX6 in Children with Autoantibody-negative Type 1 Diabetes Mellitus.
Simsek, Enver; Cilingir, Oguz; Simsek, Tulay; Kocagil, Sinem; Erzurumluoglu Gokalp, Ebru; Demiral, Meliha; Binay, Cigdem.
Afiliación
  • Simsek E; Division of Pediatric Endocrinology, Department of Pediatrics, Eskisehir Osmangazi University School of Medicine, Eskisehir, Turkey.
  • Cilingir O; Department of Pediatrics, The Health Ministry of Turkish Republic, Ankara Research and Training Hospital, Ankara, Turkey.
  • Simsek T; Department of Medical Genetics, Eskisehir Osmangazi University School of Medicine, Eskisehir, Turkey.
  • Kocagil S; Department of Ophthalmology, Eskisehir Osmangazi University School of Medicine, Eskisehir, Turkey.
  • Erzurumluoglu Gokalp E; Department of Medical Genetics, Eskisehir Osmangazi University School of Medicine, Eskisehir, Turkey.
  • Demiral M; Department of Medical Genetics, Eskisehir Osmangazi University School of Medicine, Eskisehir, Turkey.
  • Binay C; Division of Pediatric Endocrinology, Department of Pediatrics, Eskisehir Osmangazi University School of Medicine, Eskisehir, Turkey.
Article en En | MEDLINE | ID: mdl-38054414
Objective: Maturity-onset diabetes of the young (MODY) is the most common type of monogenic diabetes. To date, mutations have been identified in 14 different genes of patients with a clinical diagnosis of MODY. This study screened mutations in 14 MODY-related genes and the regulator factor X6 (RFX6) gene in children. Materials and Methods: The presence of clinical features of MODY and negative results for three autoantibody markers of T1DM in children and adolescents were used as inclusion criteria for genetic testing. The screening panel for next-generation sequencing included 14 MODY-related genes (GCK, HNF4A, HNF1A, HNF1B, PDX1, NEUROD1, KLF11, CEL, PAX4, INS, BLK, ABCC8, KCNJ11, and APPL1) and the RFX6 gene. Results: Twenty-four different variants in MODY-related genes were identified in 49 children diagnosed with autoantibody-negative type 1 diabetes mellitus (T1DM). A 12 variants were classified as P/LP while 12 were interpreted as variant of unknown significance (VUS). Nine of the pathogenic or likely pathogenic variants were found in GCK, two in HNF1B, and one in ABCC8. Three variants were novel, and one was a de novo variant. All of the variants, except one, showed heterozygotic inheritance. Conclusion: This study screened mutations in the 14 MODY-related genes and the regulatory factor X6 (RFX6) gene in Turkish children diagnosed with autoantibody-negative type 1 diabetes mellitus (T1DM). The frequencies of the MODY subtypes differed from previous reports. Although GCK-MODY was the most frequent mutation in Turkish children, similar to previous studies, the second most prevalent MODY subtype was HNF1B-MODY. This study also established three additional novel mutations in different MODY genes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Res Pediatr Endocrinol Año: 2023 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Turquía

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Res Pediatr Endocrinol Año: 2023 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Turquía