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肝酶升高:年轻型5型成年发病型糖尿病(MODY 5)中一项未被充分认识的发现。

Increased Liver Enzymes: An Under-Recognized Finding in Maturity-Onset Diabetes of the Young Type 5 (MODY 5).

作者信息

Veerareddy Sudiksha, Reddy Saigopala, Barreto Mauricio, Vedherey Niharika, Gopalareddy Vani V

机构信息

Mediciti Institute of Medical Sciences, Telangana, India.

University of North Carolina School of Medicine, Chapel Hill, NC.

出版信息

ACG Case Rep J. 2023 Oct 3;10(10):e01150. doi: 10.14309/crj.0000000000001150. eCollection 2023 Oct.

DOI:10.14309/crj.0000000000001150
PMID:37799485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10550013/
Abstract

Maturity-onset diabetes of the young type 5 (MODY 5) is characterized by a single gene mutation in the gene. This frequently leads to insulin resistance and presents as young-onset diabetes. Other manifestations can occur in organs expressing hepatocyte nuclear factor-1 beta. This case report highlights family members with MODY 5 presenting with increased liver enzymes with no etiology. The siblings and their mother had a point mutation p.Arg235Trp in gene located at 17q12. This variant is associated with autosomal dominant MODY 5 with renal cysts also known as renal cysts and diabetes syndrome.

摘要

青少年发病的成年型糖尿病5型(MODY 5)的特征是该基因存在单基因突变。这常导致胰岛素抵抗,并表现为青少年发病的糖尿病。在表达肝细胞核因子-1β的器官中可能出现其他表现。本病例报告重点介绍了患有MODY 5的家庭成员,他们出现肝酶升高但无病因。这些兄弟姐妹及其母亲在位于17q12的基因中存在一个点突变p.Arg235Trp。该变异与伴有肾囊肿的常染色体显性MODY 5相关,也称为肾囊肿和糖尿病综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f7/10550013/897acaf66092/ac9-10-e01150-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f7/10550013/13e9536eda46/ac9-10-e01150-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f7/10550013/897acaf66092/ac9-10-e01150-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f7/10550013/13e9536eda46/ac9-10-e01150-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f7/10550013/897acaf66092/ac9-10-e01150-g002.jpg

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本文引用的文献

1
Comprehensive genetic screening: The prevalence of maturity-onset diabetes of the young gene variants in a population-based childhood diabetes cohort.全面的基因筛查:基于人群的儿童糖尿病队列中年轻型糖尿病相关基因突变的流行率。
Pediatr Diabetes. 2019 Feb;20(1):57-64. doi: 10.1111/pedi.12766. Epub 2018 Nov 14.
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HNF1B-associated clinical phenotypes: the kidney and beyond.与肝细胞核因子1β相关的临床表型:肾脏及其他方面。
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Hepatic phenotypes of HNF1B gene mutations: a case of neonatal cholestasis requiring portoenterostomy and literature review.
HNF1B基因突变的肝脏表型:一例需要进行门肠吻合术的新生儿胆汁淤积症及文献综述
World J Gastroenterol. 2015 Feb 28;21(8):2550-7. doi: 10.3748/wjg.v21.i8.2550.
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Lessons from whole-exome sequencing in MODYX families.MODYX家族全外显子组测序的经验教训。
Diabetes Res Clin Pract. 2014 Jun;104(3):e72-4. doi: 10.1016/j.diabres.2014.03.008. Epub 2014 Mar 19.
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Increased liver enzyme levels and HNF-1beta gene mutation.肝酶水平升高和肝细胞核因子-1β基因突变。
Clin Gastroenterol Hepatol. 2008 Dec;6(12):A26. doi: 10.1016/j.cgh.2008.06.006.
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Clinical spectrum associated with hepatocyte nuclear factor-1beta mutations.与肝细胞核因子-1β突变相关的临床谱
Ann Intern Med. 2004 Apr 6;140(7):510-7. doi: 10.7326/0003-4819-140-7-200404060-00009.
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Molecular mechanisms and clinical pathophysiology of maturity-onset diabetes of the young.青年发病型成年糖尿病的分子机制与临床病理生理学
N Engl J Med. 2001 Sep 27;345(13):971-80. doi: 10.1056/NEJMra002168.
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Mutation in hepatocyte nuclear factor-1 beta gene (TCF2) associated with MODY.与青少年发病的成年型糖尿病相关的肝细胞核因子-1β基因(TCF2)突变。
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