PMID- 10588527 OWN - NLM STAT- MEDLINE DCOM- 19991228 LR - 20220321 IS - 0742-3071 (Print) IS - 0742-3071 (Linking) VI - 16 IP - 11 DP - 1999 Nov TI - Molecular genetics of diabetes mellitus in Chinese subjects: identification of mutations in glucokinase and hepatocyte nuclear factor-1alpha genes in patients with early-onset type 2 diabetes mellitus/MODY. PG - 956-63 AB - AIMS: To examine the prevalence of identified MODY-related genes in Chinese subjects with early onset Type 2 diabetes mellitus and a positive family history of diabetes and to look for possible associations between the gene mutations and the development of diabetes. METHODS: Ninety-two unrelated Chinese subjects with diabetes diagnosed before the age of 40 years who had a positive family history of diabetes were screened for mutations in hepatocyte nuclear factors (HNF-1alpha and HNF-4alpha) and glucokinase genes by direct sequencing. The family members of patients with mutations and 100 healthy controls were also examined. RESULTS: Mutations in the HNF-1alpha and the glucokinase genes were found in 5% and 3% of the diabetic subjects, respectively but no mutations were found in the coding region of the HNF-4alpha gene. Three mutations found in the glucokinase gene were novel missense mutations (I110T, A119D and G385V). The mutations in the HNF-1alpha gene were also new and included four missense mutations (G20R, R203H, S432C, I618M) and one splice acceptor site mutation (IVS2nt-1G-->A). Patients with mutations in these genes were clinically heterogeneous with respect to phenotype and basal pancreatic beta cell function. CONCLUSIONS: Genetic factors such as mutations in the HNF-1alpha and glucokinase genes may be important in the development of diabetes in Chinese people, especially when the disease is of early onset. FAU - Ng, M C AU - Ng MC AD - Department of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong. b770727@mailserv.cuhk.edu.hk FAU - Cockburn, B N AU - Cockburn BN FAU - Lindner, T H AU - Lindner TH FAU - Yeung, V T AU - Yeung VT FAU - Chow, C C AU - Chow CC FAU - So, W Y AU - So WY FAU - Li, J K AU - Li JK FAU - Lo, Y M AU - Lo YM FAU - Lee, Z S AU - Lee ZS FAU - Cockram, C S AU - Cockram CS FAU - Critchley, J A AU - Critchley JA FAU - Bell, G I AU - Bell GI FAU - Chan, J C AU - Chan JC LA - eng GR - DK-20595/DK/NIDDK NIH HHS/United States GR - DK-44840/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Diabet Med JT - Diabetic medicine : a journal of the British Diabetic Association JID - 8500858 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) RN - EC 2.7.1.2 (Glucokinase) SB - IM MH - Adolescent MH - Adult MH - Age of Onset MH - Amino Acid Substitution MH - Asians/*genetics MH - Child MH - China MH - *DNA-Binding Proteins MH - Diabetes Mellitus, Type 2/*genetics MH - Exons MH - Family MH - Female MH - Glucokinase/*genetics MH - Hepatocyte Nuclear Factor 1 MH - Hepatocyte Nuclear Factor 1-alpha MH - Hepatocyte Nuclear Factor 1-beta MH - Humans MH - Introns MH - Male MH - Middle Aged MH - *Mutation, Missense MH - *Nuclear Proteins MH - *Point Mutation MH - Transcription Factors/*genetics EDAT- 1999/12/10 00:00 MHDA- 1999/12/10 00:01 CRDT- 1999/12/10 00:00 PHST- 1999/12/10 00:00 [pubmed] PHST- 1999/12/10 00:01 [medline] PHST- 1999/12/10 00:00 [entrez] AID - 10.1046/j.1464-5491.1999.00188.x [doi] PST - ppublish SO - Diabet Med. 1999 Nov;16(11):956-63. doi: 10.1046/j.1464-5491.1999.00188.x.