School of Laboratory Medicine, North Sichuan Medical College, Nanchong 637000, China.
Department of Endocrinology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China.
Yi Chuan. 2024 Mar 20;46(3):256-262. doi: 10.16288/j.yczz.23-274.
Hepatocyte nuclear factor 1α (HNF1α) is a transcription factor that is crucial for the regulation to maintain the function of pancreatic β-cell, hepatic lipid metabolism, and other processes. Mature-onset diabetes of the young type 3 is a monogenic form of diabetes caused by HNF1α mutations. Although several mutation sites have been reported, the specific mechanisms remain unclear, such hot-spot mutation as the P291fsinsC mutation and the P112L mutation and so on. In preliminary studies, we discovered one MODY3 patient carrying a mutation at the c.493T>C locus of the HNF1α gene. In this study, we analyzed the pathogenic of the mutation sites by using the Mutation Surveyor software and constructed the eukaryotic expression plasmids of the wild-type and mutant type of HNF1α to detect variations in the expression levels and stability of HNF1α protein by using Western blot. The analyses of the Mutation Surveyor software showed that the c.493T>C site mutation may be pathogenic gene and the results of Western blot showed that both the amount and stability of HNF1α protein expressed by the mutation type plasmid were reduced significantly compared to those by the wild type plasmid (P<0.05). This study suggests that the c.493T>C (p.Trp165Arg) mutation dramatically impacts HNF1α expression, which might be responsible for the development of the disease and offers fresh perspectives for the following in-depth exploration of MODY3's molecular pathogenic process.
肝细胞核因子 1α(HNF1α)是一种转录因子,对于调节维持胰腺β细胞功能、肝脏脂质代谢和其他过程至关重要。青年发病的成年型糖尿病 3 型是一种由 HNF1α 突变引起的单基因糖尿病形式。尽管已经报道了几个突变位点,但具体机制仍不清楚,例如热点突变 P291fsinsC 突变和 P112L 突变等。在初步研究中,我们发现了一名携带 HNF1α 基因 c.493T>C 位点突变的 MODY3 患者。在这项研究中,我们使用 Mutation Surveyor 软件分析了突变位点的致病性,并构建了野生型和突变型 HNF1α 的真核表达质粒,通过 Western blot 检测 HNF1α 蛋白表达水平和稳定性的变化。Mutation Surveyor 软件分析表明,c.493T>C 位点突变可能是致病基因,Western blot 结果表明,突变型质粒表达的 HNF1α 蛋白的量和稳定性均明显低于野生型质粒(P<0.05)。本研究提示 c.493T>C(p.Trp165Arg)突变显著影响 HNF1α 的表达,可能是导致疾病发生的原因,并为进一步深入探讨 MODY3 的分子发病机制提供了新的视角。