Froguel Ph
CNRS-UPRESA 8090, Institut Pasteur F-59019 LILLE Cedex.
Ann Endocrinol (Paris). 2003 Jun;64(3 Suppl):S12-6.
Type 2 diabetes (T2D) is a complex multifactorial disease. Genetic susceptibility is clearly needed, but in most cases, is not sufficient to induce T2D. Environmental factors are determinant in most patients to develop T2D. Monogenic forms of diabetes such as the maturity-onset diabetes of the young (MODY) represent a model to study the genetic basis of T2D. Studies in MODY individuals and families lead to a genetic definition of MODY subtypes with profound implications for our understanding of gene mutations involved in the development of T2D through our understanding on the major role of these genes and on their transcriptional activity on b-cell development and function; and on the regulation of glucose and insulin metabolism. Our current knowledge on the heterogeneity of MODY diabetes and contribution to our comprehension of the molecular mechanisms involved in T2D are described.
2型糖尿病(T2D)是一种复杂的多因素疾病。遗传易感性显然是必要的,但在大多数情况下,并不足以诱发T2D。环境因素在大多数T2D患者的发病中起决定性作用。单基因糖尿病形式,如青年发病的成年型糖尿病(MODY),是研究T2D遗传基础的一个模型。对MODY个体和家系的研究得出了MODY亚型的遗传学定义,这对我们理解参与T2D发生发展的基因突变具有深远意义,这是通过我们对这些基因的主要作用及其对β细胞发育和功能的转录活性的理解;以及对葡萄糖和胰岛素代谢的调节来实现的。本文描述了我们目前对MODY糖尿病异质性的认识及其对我们理解T2D相关分子机制的贡献。