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单基因儿童糖尿病:通过下一代测序剖析青年成熟期糖尿病的临床异质性。

Monogenic Childhood Diabetes: Dissecting Clinical Heterogeneity by Next-Generation Sequencing in Maturity-Onset Diabetes of the Young.

作者信息

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

机构信息

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.

出版信息

OMICS. 2021 Jul;25(7):431-449. doi: 10.1089/omi.2021.0081. Epub 2021 Jun 25.


DOI:10.1089/omi.2021.0081
PMID:34171966
Abstract

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.

摘要

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。

相似文献

[1]
Monogenic Childhood Diabetes: Dissecting Clinical Heterogeneity by Next-Generation Sequencing in Maturity-Onset Diabetes of the Young.

OMICS. 2021-7

[2]
Precision Diagnosis of Maturity-Onset Diabetes of the Young with Next-Generation Sequencing: Findings from the MODY-IST Study in Adult Patients.

OMICS. 2022-4

[3]
Study of ten causal genes in Turkish patients with clinically suspected maturity-onset diabetes of the young (MODY) using a targeted next-generation sequencing panel.

Mol Biol Rep. 2022-8

[4]
The Mutation Spectrum of Maturity Onset Diabetes of the Young (MODY)-Associated Genes among Western Siberia Patients.

J Pers Med. 2021-1-18

[5]
Screening of Mutations in Maturity-onset Diabetes of the Young-related Genes and in Children with Autoantibody-negative Type 1 Diabetes Mellitus.

J Clin Res Pediatr Endocrinol. 2024-5-31

[6]
Molecular diagnosis of maturity-onset diabetes of the young (MODY) in Turkish children by using targeted next-generation sequencing.

J Pediatr Endocrinol Metab. 2015-11-1

[7]
[Molecular genetics of maturity-onset diabetes of the young].

Ter Arkh. 2016

[8]
Maturity onset diabetes of the young in India - a distinctive mutation pattern identified through targeted next-generation sequencing.

Clin Endocrinol (Oxf). 2015-4

[9]
Unraveling the genetic basis of MODY: insights from next-generation sequencing.

J Appl Genet. 2025-5

[10]
The Mutation Spectrum of Rare Variants in the Gene of Adenosine Triphosphate (ATP)-Binding Cassette Subfamily C Member 8 in Patients with a MODY Phenotype in Western Siberia.

J Pers Med. 2023-1-19

引用本文的文献

[1]
Emerging phenotype: Maturity-onset diabetes of the young type 5 (MODY-5) - mechanisms, clinical spectrum, and unmet needs.

Diabetol Metab Syndr. 2025-7-3

[2]
Prevalence and Clinical Characteristics of NEUROD1-MODY in Chinese Early-Onset Type 2 Diabetes Mellitus and a Literature Review.

J Diabetes. 2025-4

[3]
A novel nonsense mutation c.747C>G in the NEUROD1 gene detected within a Chinese family affected by maturity-onset diabetes of the young type 6.

J Diabetes. 2024-9

[4]
Identification of gene mutations associated with type 1 diabetes by next-generation sequencing in affected Palestinian families.

Front Genet. 2024-1-11

[5]
A synonymous variant leading to MODY13: A case report and literature review.

Mol Genet Metab Rep. 2023-12-26

[6]
Clinical and genetic characteristics of CEL-MODY (MODY8): a literature review and screening in Chinese individuals diagnosed with early-onset type 2 diabetes.

Endocrine. 2024-1

[7]
Maturity-Onset Diabetes of the Young: Mutations, Physiological Consequences, and Treatment Options.

J Pers Med. 2022-10-25

[8]
Statistical evidence for high-penetrance MODY-causing genes in a large population-based cohort.

Endocrinol Diabetes Metab. 2022-11

[9]
Cytokine Profile in Patients With Maturity-onset Diabetes of the Young (MODY).

In Vivo. 2022

[10]
Diabetes Mellitus Diagnosed in Childhood and Adolescence With Negative Autoimmunity: Results of Genetic Investigation.

Front Endocrinol (Lausanne). 2022

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