PMID- 10482964 OWN - NLM STAT- MEDLINE DCOM- 19991101 LR - 20091119 IS - 1018-4813 (Print) IS - 1018-4813 (Linking) VI - 7 IP - 6 DP - 1999 Sep TI - Non-penetrance in a MODY 3 family with a mutation in the hepatic nuclear factor 1alpha gene: implications for predictive testing. PG - 729-32 AB - The most common cause of maturity-onset diabetes of the young (MODY) is a mutation in the hepatic nuclear factor 1alpha (HNF1alpha) gene (MODY3). We describe a family in which a missense mutation causing a Thr-Ile substitution at codon 620 has been found in all affected members. The mutation is not fully penetrant as two family members aged 87 and 46 have the mutation but do not have diabetes. The severity and age of diagnosis of diabetes varies widely within the family, and most presented over the age of 25. HNF1alpha mutation screening should be considered in any family with autosomal dominant inheritance of diabetes where one member has presented with diabetes before the age of 25. Predictive testing is now possible within the majority of MODY families, and is of clinical benefit, but the possibility of non-penetrance should be addressed during counselling and interpretation of results. FAU - Miedzybrodzka, Z AU - Miedzybrodzka Z AD - Medical Genetics, University of Aberdeen Medical School, Scotland, UK. zosia@abdn.ac.uk FAU - Hattersley, A T AU - Hattersley AT FAU - Ellard, S AU - Ellard S FAU - Pearson, D AU - Pearson D FAU - de Silva, D AU - de Silva D FAU - Harvey, R AU - Harvey R FAU - Haites, N AU - Haites N LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Eur J Hum Genet JT - European journal of human genetics : EJHG JID - 9302235 RN - 0 (DNA-Binding Proteins) RN - 0 (HNF1A protein, human) RN - 0 (HNF1B protein, human) RN - 0 (Hepatocyte Nuclear Factor 1-alpha) RN - 0 (Nuclear Proteins) RN - 0 (Transcription Factors) RN - 126548-29-6 (Hepatocyte Nuclear Factor 1) RN - 138674-15-4 (Hepatocyte Nuclear Factor 1-beta) SB - IM MH - Adolescent MH - Adult MH - Age of Onset MH - Aged MH - Aged, 80 and over MH - DNA Mutational Analysis MH - *DNA-Binding Proteins MH - Diabetes Mellitus, Type 2/*genetics MH - Female MH - Genes, Dominant MH - Genetic Testing MH - Genetic Variation MH - Glucose Tolerance Test MH - Hepatocyte Nuclear Factor 1 MH - Hepatocyte Nuclear Factor 1-alpha MH - Hepatocyte Nuclear Factor 1-beta MH - Humans MH - Male MH - Middle Aged MH - *Mutation MH - Mutation, Missense MH - *Nuclear Proteins MH - Pedigree MH - *Penetrance MH - Phenotype MH - Transcription Factors/*genetics EDAT- 1999/09/14 00:00 MHDA- 1999/09/14 00:01 CRDT- 1999/09/14 00:00 PHST- 1999/09/14 00:00 [pubmed] PHST- 1999/09/14 00:01 [medline] PHST- 1999/09/14 00:00 [entrez] AID - 10.1038/sj.ejhg.5200358 [doi] PST - ppublish SO - Eur J Hum Genet. 1999 Sep;7(6):729-32. doi: 10.1038/sj.ejhg.5200358.