Maturity-onset diabetes of the young resulting from a novel mutation in the HNF-4α gene

Kazuo Hara, Mitsuhiko Noda, Hironori Waki, Kazuyuki Tobe, Toshimasa Yamauchi, Hiroko Kadowaki, Hiroaki Satou, Kazuhisa Tsukamoto, Shinya Nagamatsu, Kazuhiro Yamagata, Yuji Matsuzawa, Yasuo Akanuma, Satoshi Kimura, Takashi Kadowaki*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

A 52-year-old woman with early-onset diabetes mellitus, severe diabetic retinopathy, and a family history of a dominant inheritance pattern was referred to our hospital. Direct sequencing revealed a novel mutation in the HNF-4α gene (R244Q). The position of the mutation in the amino-acid sequence of the gene is well conserved among species and transcriptional activity of the mutant gene was significantly reduced. Therefore, a diagnosis of maturity-onset diabetes of the young (MODY)-1 was made. Genetic testing enabled early diagnosis of diabetes in the patient's 20-year-old daughter, which we consider to be important for the prevention of diabetic complications.

Original languageEnglish
Pages (from-to)848-852
Number of pages5
JournalInternal Medicine
Volume41
Issue number10
DOIs
StatePublished - 2002/10/01

Keywords

  • Direct sequencing
  • Genetic counseling
  • Genetic testing
  • Transcriptional activity
  • β-cell function

ASJC Scopus subject areas

  • Internal Medicine

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