Demirci Deniz Kanca, Darendeliler Feyza, Poyrazoglu Sukran, Al Asli Derya Kardelen, Gul Nurdan, Tutuncu Yildiz, Gulfidan Gizem, Arga Kazim Yalcin, Cacina Canan, Ozturk Oguz, Aydogan Hulya Yilmaz, Satman Ilhan
Department of Molecular Biology and Genetics, Faculty of Arts and Sciences, Halic University, Istanbul, Turkey.
Department of Molecular Medicine, Aziz Sancar Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey.
OMICS. 2021 Jul;25(7):431-449. doi: 10.1089/omi.2021.0081. Epub 2021 Jun 25.
Diabetes is a common disorder with a heterogeneous clinical presentation and an enormous burden on health care worldwide. About 1-6% of patients with diabetes suffer from maturity-onset diabetes of the young (MODY), the most common form of monogenic diabetes with autosomal dominant inheritance. MODY is genetically and clinically heterogeneous and caused by genetic variations in pancreatic β-cell development and insulin secretion. We report here new findings from targeted next-generation sequencing (NGS) of 13 MODY-related genes. A sample of 22 unrelated pediatric patients with MODY and 13 unrelated healthy controls were recruited from a Turkish population. Targeted NGS was performed with Miseq 4000 (Illumina) to identify genetic variations in 13 MODY-related genes: , , , , , , , , , , , , and . The NGS data were analyzed adhering to the Genome Analysis ToolKit (GATK) best practices pipeline, and variant filtering and annotation were performed. In the patient sample, we identified 43 MODY-specific genetic variations that were not present in the control group, including 11 missense mutations and 4 synonymous mutations. Importantly, and to the best of our knowledge, the missense mutations p.D202E, p.R461Q, p.G248R, and p.S385F were first associated with MODY in the present study. These findings contribute to the worldwide knowledge base on MODY and molecular correlates of clinical heterogeneity in monogenic childhood diabetes. Further comparative population genetics and functional genomics studies are called for, with an eye to discovery of novel diagnostics and personalized medicine in MODY. Because MODY is often misdiagnosed as type 1 or type 2 diabetes mellitus, advances in MODY diagnostics with NGS stand to benefit diabetes overall clinical care as well.
糖尿病是一种常见疾病,临床表现具有异质性,给全球医疗保健带来了巨大负担。约1%-6%的糖尿病患者患有青年发病的成年型糖尿病(MODY),这是单基因糖尿病中最常见的形式,具有常染色体显性遗传特征。MODY在遗传和临床方面都具有异质性,由胰腺β细胞发育和胰岛素分泌的基因变异引起。我们在此报告对13个与MODY相关基因进行靶向新一代测序(NGS)的新发现。从土耳其人群中招募了22名无关的患有MODY的儿科患者样本和13名无关的健康对照。使用Miseq 4000(Illumina)进行靶向NGS,以鉴定13个与MODY相关基因中的基因变异: , , , , , , , , , , , ,和 。按照基因组分析工具包(GATK)的最佳实践流程对NGS数据进行分析,并进行变异过滤和注释。在患者样本中,我们鉴定出43种对照组中不存在的MODY特异性基因变异,包括11个错义突变和4个同义突变。重要的是,据我们所知,错义突变p.D202E、p.R461Q、p.G248R和p.S385F在本研究中首次与MODY相关联。这些发现有助于丰富全球关于MODY以及单基因儿童糖尿病临床异质性分子关联的知识库。需要进一步开展比较群体遗传学和功能基因组学研究,以期发现MODY的新型诊断方法和个性化医疗方案。由于MODY常被误诊为1型或2型糖尿病,利用NGS进行MODY诊断的进展也将有益于糖尿病的整体临床护理。
J Clin Res Pediatr Endocrinol. 2024-5-31
J Pediatr Endocrinol Metab. 2015-11-1
J Appl Genet. 2025-5
Mol Genet Metab Rep. 2023-12-26
Endocrinol Diabetes Metab. 2022-11
Front Endocrinol (Lausanne). 2022