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一例早发性糖尿病患者的基因及基因变异病例报告。

A case report of gene and gene variations in a patient with early-onset diabetes.

作者信息

Cui Tao, Ju Hai-Bing, Liu Peng-Fei, Ma Yun-Jun, Zhang Fu-Xian

机构信息

Department of Endocrine, 920th Hospital of Joint Logistics Support Force of the Chinese People's Libration Army, Xishan District, Kunming 650032, China.

Department of Ophthalmology, Western Theater Command Air Force Hospital, Chengdu 610000, China.

出版信息

Open Life Sci. 2022 Apr 6;17(1):344-350. doi: 10.1515/biol-2022-0026. eCollection 2022.

Abstract

Complex forms of diabetes are the ultimate common pathway involving multiple genetic variations and multiple environmental factors. Type 2 diabetes (T2DM) is classified as complex diabetes. Varying degrees of insulin deficiency and tissue insulin resistance are two key links to T2DM. The islet β cell dysfunction plays a crucial role in the pathogenesis of T2DM. The decompensation of the islet β cell to insulin resistance is a common mechanism leading to the pathogenesis of T2DM. Available data show that genetic factors mainly affect cell function. At present, a number of susceptibility genes related to T2DM have been reported at home and abroad. In this study, the diabetes-related genes in the case of early-onset diabetes with a significant family history were examined, and our results showed the presence of the intron mutations of catalase () gene and hepatocyte nuclear factor 1β () gene. The patient enrolled in this study was observed and analyzed, thus, increasing further understanding of the genes associated with diabetes and exploring the pathogenesis of diabetes from the molecular level. This is significant for guiding the prevention, treatment, and prognosis evaluation of diabetes.

摘要

复杂形式的糖尿病是涉及多种基因变异和多种环境因素的最终共同途径。2型糖尿病(T2DM)被归类为复杂糖尿病。不同程度的胰岛素缺乏和组织胰岛素抵抗是T2DM的两个关键环节。胰岛β细胞功能障碍在T2DM的发病机制中起关键作用。胰岛β细胞对胰岛素抵抗的失代偿是导致T2DM发病的常见机制。现有数据表明,遗传因素主要影响细胞功能。目前,国内外已报道了一些与T2DM相关的易感基因。在本研究中,对具有显著家族史的早发糖尿病病例中的糖尿病相关基因进行了检测,我们的结果显示存在过氧化氢酶()基因和肝细胞核因子1β()基因的内含子突变。对纳入本研究的患者进行了观察和分析,从而进一步加深了对与糖尿病相关基因的理解,并从分子水平探索糖尿病的发病机制。这对指导糖尿病的预防、治疗和预后评估具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd4c/8989158/b81cc7992fff/j_biol-2022-0026-fig001.jpg

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