The Type and the Position of HNF1A Mutation Modulate Age at Diagnosis of Diabetes in Patients with Maturity-Onset Diabetes of the Young (MODY)-3

The Type and the Position of HNF1A Mutation Modulate Age at Diagnosis of Diabetes in Patients with Maturity-Onset Diabetes of the Young (MODY)-3 Christine Bellanné-Chantelot 1 , Claire Carette 2 , Jean-Pierre Riveline 3 , René Valéro 4 , Jean-François Gautier 5 , Etienne Larger 6 9 , Yves Reznik 7 ,...

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Veröffentlicht in:Diabetes (New York, N.Y.) N.Y.), 2008-02, Vol.57 (2), p.503-508
Hauptverfasser: BELLANNE-CHANTELOT, Christine, CARETTE, Claire, LECOMTE, Pierre, CHAILLOUS, Lucy, LALOI-MICHEFIN, Marie, WILHEM, Jean-Marie, CUNY, Pierre, DURON, Francoise, GUERCI, Bruno, JEANDIDIER, Nathalie, MOSNIER-PUDAR, Helen, ASSAYAG, Michel, RIVELINE, Jean-Pierre, DUBOIS-LAFORGUE, Danièle, VELHO, Gilberto, TIMSIT, José, VALERO, René, GAUTIER, Jean-Francois, LARGER, Etienne, REZNIK, Yves, DUCLUZEAU, Pierre-Henri, SOLA, Agnès, HARTEMANN-HEURTIER, Agnès
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container_title Diabetes (New York, N.Y.)
container_volume 57
creator BELLANNE-CHANTELOT, Christine
CARETTE, Claire
LECOMTE, Pierre
CHAILLOUS, Lucy
LALOI-MICHEFIN, Marie
WILHEM, Jean-Marie
CUNY, Pierre
DURON, Francoise
GUERCI, Bruno
JEANDIDIER, Nathalie
MOSNIER-PUDAR, Helen
ASSAYAG, Michel
RIVELINE, Jean-Pierre
DUBOIS-LAFORGUE, Danièle
VELHO, Gilberto
TIMSIT, José
VALERO, René
GAUTIER, Jean-Francois
LARGER, Etienne
REZNIK, Yves
DUCLUZEAU, Pierre-Henri
SOLA, Agnès
HARTEMANN-HEURTIER, Agnès
description The Type and the Position of HNF1A Mutation Modulate Age at Diagnosis of Diabetes in Patients with Maturity-Onset Diabetes of the Young (MODY)-3 Christine Bellanné-Chantelot 1 , Claire Carette 2 , Jean-Pierre Riveline 3 , René Valéro 4 , Jean-François Gautier 5 , Etienne Larger 6 9 , Yves Reznik 7 , Pierre-Henri Ducluzeau 8 , Agnès Sola 9 , Agnès Hartemann-Heurtier 10 , Pierre Lecomte 11 , Lucy Chaillous 12 , Marie Laloi-Michelin 13 , Jean-Marie Wilhem 14 , Pierre Cuny 15 , Françoise Duron 16 , Bruno Guerci 17 , Nathalie Jeandidier 18 , Helen Mosnier-Pudar 19 , Michel Assayag 20 , Danièle Dubois-Laforgue 2 , Gilberto Velho 21 and José Timsit 2 1 Department of Genetics, AP-HP Groupe Hospitalier Pitié-Salpétrière, Université Pierre et Marie Curie-Paris6, Paris, France 2 Department of Immunology and Diabetology, AP-HP Hôpital Cochin, Université René Descartes- Paris5, and Inserm, Research Unit 561, Paris, France 3 Department of Endocrinology, Centre Hospitalier Sud Francilien, Corbeil-Essonnes, France 4 Department of Nutrition-Metabolic Diseases-Endocrinology, AP-HM CHU de la Timone, Marseille, France 5 Department of Endocrinology, AP-HP Hôpital Saint-Louis, Université Denis Diderot-Paris7, Paris, France 6 Department of Diabetology, AP-HP Hôpital Bichat, Paris, France 7 Department of Endocrinology, CHU Caen, Caen, France 8 Department of Endocrinology, CHU Angers, Angers, France 9 Department of Diabetology, AP-HP Hôpital Hôtel Dieu, Paris, France 10 Department of Diabetology, AP-HP Groupe Hospitalier Pitié-Salpétrière, Université Pierre et Marie Curie-Paris6, Paris, France 11 Department of Endocrinology, CHU Bretonneau, Tours, France 12 Department of Endocrinology, CHU Nantes, Nantes, France 13 Department of Internal Medicine, AP-HP Hôpital Lariboisière, Paris, France 14 Department of Internal Medicine, Centre Hospitalier Saint-Morand, Altkirch, France 15 Department of Diabetology, Hôpital Beauregard, Thionville, France 16 Department of Endocrinology, AP-HP Hôpital Saint-Antoine, Paris, France 17 Department of Diabetology, CHU Nancy, Nancy, France 18 Department of Diabetology, CHU Strasbourg, Strasbourg, France 19 Department of Endocrinology, AP-HP Hôpital Cochin, Université Paris 5, Paris, France 20 Department of Internal Medicine, Centre Hospitalier Compiègne, Compiègne, France 21 Inserm, Research Unit 695, Paris, France Address correspondence and reprint requests to Christine Bellanné-Chantelot, Département de Génétique, Groupe Hospitalier Pitié-Salpétrière
doi_str_mv 10.2337/db07-0859
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CARETTE, Claire ; LECOMTE, Pierre ; CHAILLOUS, Lucy ; LALOI-MICHEFIN, Marie ; WILHEM, Jean-Marie ; CUNY, Pierre ; DURON, Francoise ; GUERCI, Bruno ; JEANDIDIER, Nathalie ; MOSNIER-PUDAR, Helen ; ASSAYAG, Michel ; RIVELINE, Jean-Pierre ; DUBOIS-LAFORGUE, Danièle ; VELHO, Gilberto ; TIMSIT, José ; VALERO, René ; GAUTIER, Jean-Francois ; LARGER, Etienne ; REZNIK, Yves ; DUCLUZEAU, Pierre-Henri ; SOLA, Agnès ; HARTEMANN-HEURTIER, Agnès</creator><creatorcontrib>BELLANNE-CHANTELOT, Christine ; CARETTE, Claire ; LECOMTE, Pierre ; CHAILLOUS, Lucy ; LALOI-MICHEFIN, Marie ; WILHEM, Jean-Marie ; CUNY, Pierre ; DURON, Francoise ; GUERCI, Bruno ; JEANDIDIER, Nathalie ; MOSNIER-PUDAR, Helen ; ASSAYAG, Michel ; RIVELINE, Jean-Pierre ; DUBOIS-LAFORGUE, Danièle ; VELHO, Gilberto ; TIMSIT, José ; VALERO, René ; GAUTIER, Jean-Francois ; LARGER, Etienne ; REZNIK, Yves ; DUCLUZEAU, Pierre-Henri ; SOLA, Agnès ; HARTEMANN-HEURTIER, Agnès</creatorcontrib><description>The Type and the Position of HNF1A Mutation Modulate Age at Diagnosis of Diabetes in Patients with Maturity-Onset Diabetes of the Young (MODY)-3 Christine Bellanné-Chantelot 1 , Claire Carette 2 , Jean-Pierre Riveline 3 , René Valéro 4 , Jean-François Gautier 5 , Etienne Larger 6 9 , Yves Reznik 7 , Pierre-Henri Ducluzeau 8 , Agnès Sola 9 , Agnès Hartemann-Heurtier 10 , Pierre Lecomte 11 , Lucy Chaillous 12 , Marie Laloi-Michelin 13 , Jean-Marie Wilhem 14 , Pierre Cuny 15 , Françoise Duron 16 , Bruno Guerci 17 , Nathalie Jeandidier 18 , Helen Mosnier-Pudar 19 , Michel Assayag 20 , Danièle Dubois-Laforgue 2 , Gilberto Velho 21 and José Timsit 2 1 Department of Genetics, AP-HP Groupe Hospitalier Pitié-Salpétrière, Université Pierre et Marie Curie-Paris6, Paris, France 2 Department of Immunology and Diabetology, AP-HP Hôpital Cochin, Université René Descartes- Paris5, and Inserm, Research Unit 561, Paris, France 3 Department of Endocrinology, Centre Hospitalier Sud Francilien, Corbeil-Essonnes, France 4 Department of Nutrition-Metabolic Diseases-Endocrinology, AP-HM CHU de la Timone, Marseille, France 5 Department of Endocrinology, AP-HP Hôpital Saint-Louis, Université Denis Diderot-Paris7, Paris, France 6 Department of Diabetology, AP-HP Hôpital Bichat, Paris, France 7 Department of Endocrinology, CHU Caen, Caen, France 8 Department of Endocrinology, CHU Angers, Angers, France 9 Department of Diabetology, AP-HP Hôpital Hôtel Dieu, Paris, France 10 Department of Diabetology, AP-HP Groupe Hospitalier Pitié-Salpétrière, Université Pierre et Marie Curie-Paris6, Paris, France 11 Department of Endocrinology, CHU Bretonneau, Tours, France 12 Department of Endocrinology, CHU Nantes, Nantes, France 13 Department of Internal Medicine, AP-HP Hôpital Lariboisière, Paris, France 14 Department of Internal Medicine, Centre Hospitalier Saint-Morand, Altkirch, France 15 Department of Diabetology, Hôpital Beauregard, Thionville, France 16 Department of Endocrinology, AP-HP Hôpital Saint-Antoine, Paris, France 17 Department of Diabetology, CHU Nancy, Nancy, France 18 Department of Diabetology, CHU Strasbourg, Strasbourg, France 19 Department of Endocrinology, AP-HP Hôpital Cochin, Université Paris 5, Paris, France 20 Department of Internal Medicine, Centre Hospitalier Compiègne, Compiègne, France 21 Inserm, Research Unit 695, Paris, France Address correspondence and reprint requests to Christine Bellanné-Chantelot, Département de Génétique, Groupe Hospitalier Pitié-Salpétrière, Bât 6 rue Lapeyronie, 47/83 Boulevard de l’Hôpital, 75651 Paris Cedex 13, France. E-mail: christine.bellanne-chantelot{at}psl.aphp.fr Abstract OBJECTIVE— The clinical expression of maturity-onset diabetes of the young (MODY)-3 is highly variable. This may be due to environmental and/or genetic factors, including molecular characteristics of the hepatocyte nuclear factor 1-α ( HNF1A ) gene mutation. RESEARCH DESIGN AND METHODS— We analyzed the mutations identified in 356 unrelated MODY3 patients, including 118 novel mutations, and searched for correlations between the genotype and age at diagnosis of diabetes. RESULTS— Missense mutations prevailed in the dimerization and DNA-binding domains (74%), while truncating mutations were predominant in the transactivation domain (62%). The majority (83%) of the mutations were located in exons 1- 6, thus affecting the three HNF1A isoforms. Age at diagnosis of diabetes was lower in patients with truncating mutations than in those with missense mutations (18 vs. 22 years, P = 0.005). Missense mutations affecting the dimerization/DNA-binding domains were associated with a lower age at diagnosis than those affecting the transactivation domain (20 vs. 30 years, P = 10 −4 ). Patients with missense mutations affecting the three isoforms were younger at diagnosis than those with missense mutations involving one or two isoforms ( P = 0.03). CONCLUSIONS— These data show that part of the variability of the clinical expression in MODY3 patients may be explained by the type and the location of HNF1A mutations. These findings should be considered in studies for the search of additional modifier genetic factors. HNF1A, hepatocyte nuclear factor 1-α MODY, maturity-onset diabetes of the young Footnotes Published ahead of print at http://diabetes.diabetesjournals.org on 14 November 2007. DOI: 10.2337/db07-0859. Additional information for this article can be found in an online appendix at http://dx.doi.org/10.2337/db07-0859 . The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Accepted November 7, 2007. Received June 26, 2007. DIABETES</description><identifier>ISSN: 0012-1797</identifier><identifier>EISSN: 1939-327X</identifier><identifier>DOI: 10.2337/db07-0859</identifier><identifier>PMID: 18003757</identifier><identifier>CODEN: DIAEAZ</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adolescent ; Adult ; Age ; Age of Onset ; Aged ; Alternative Splicing ; Amino Acid Substitution ; Amino acids ; Binding Sites ; Biological and medical sciences ; Child ; Child, Preschool ; Demographic aspects ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 2 - genetics ; Diabetes. Impaired glucose tolerance ; Diagnosis ; DNA binding proteins ; DNA Mutational Analysis ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Exons ; Gene mutation ; Gene mutations ; Genetic aspects ; Genetic testing ; Genetic Variation ; Hepatocyte Nuclear Factor 1-alpha - genetics ; Humans ; Insulin ; Life Sciences ; Medical sciences ; Middle Aged ; Mutation ; Mutation, Missense ; Research design ; Sequence Deletion</subject><ispartof>Diabetes (New York, N.Y.), 2008-02, Vol.57 (2), p.503-508</ispartof><rights>2008 INIST-CNRS</rights><rights>COPYRIGHT 2008 American Diabetes Association</rights><rights>Copyright American Diabetes Association Feb 2008</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c624t-f2672895e89f5902d315e8df183553ad2290eb7a54ef929575aa29c347f58b953</citedby><cites>FETCH-LOGICAL-c624t-f2672895e89f5902d315e8df183553ad2290eb7a54ef929575aa29c347f58b953</cites><orcidid>0000-0001-8415-6771 ; 0000-0002-1017-1845 ; 0000-0002-2176-3280 ; 0000-0002-8175-0369 ; 0000-0002-6211-464X ; 0000-0001-7991-0741</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20181233$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18003757$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://univ-angers.hal.science/hal-03275383$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>BELLANNE-CHANTELOT, Christine</creatorcontrib><creatorcontrib>CARETTE, Claire</creatorcontrib><creatorcontrib>LECOMTE, Pierre</creatorcontrib><creatorcontrib>CHAILLOUS, Lucy</creatorcontrib><creatorcontrib>LALOI-MICHEFIN, Marie</creatorcontrib><creatorcontrib>WILHEM, Jean-Marie</creatorcontrib><creatorcontrib>CUNY, Pierre</creatorcontrib><creatorcontrib>DURON, Francoise</creatorcontrib><creatorcontrib>GUERCI, Bruno</creatorcontrib><creatorcontrib>JEANDIDIER, Nathalie</creatorcontrib><creatorcontrib>MOSNIER-PUDAR, Helen</creatorcontrib><creatorcontrib>ASSAYAG, Michel</creatorcontrib><creatorcontrib>RIVELINE, Jean-Pierre</creatorcontrib><creatorcontrib>DUBOIS-LAFORGUE, Danièle</creatorcontrib><creatorcontrib>VELHO, Gilberto</creatorcontrib><creatorcontrib>TIMSIT, José</creatorcontrib><creatorcontrib>VALERO, René</creatorcontrib><creatorcontrib>GAUTIER, Jean-Francois</creatorcontrib><creatorcontrib>LARGER, Etienne</creatorcontrib><creatorcontrib>REZNIK, Yves</creatorcontrib><creatorcontrib>DUCLUZEAU, Pierre-Henri</creatorcontrib><creatorcontrib>SOLA, Agnès</creatorcontrib><creatorcontrib>HARTEMANN-HEURTIER, Agnès</creatorcontrib><title>The Type and the Position of HNF1A Mutation Modulate Age at Diagnosis of Diabetes in Patients with Maturity-Onset Diabetes of the Young (MODY)-3</title><title>Diabetes (New York, N.Y.)</title><addtitle>Diabetes</addtitle><description>The Type and the Position of HNF1A Mutation Modulate Age at Diagnosis of Diabetes in Patients with Maturity-Onset Diabetes of the Young (MODY)-3 Christine Bellanné-Chantelot 1 , Claire Carette 2 , Jean-Pierre Riveline 3 , René Valéro 4 , Jean-François Gautier 5 , Etienne Larger 6 9 , Yves Reznik 7 , Pierre-Henri Ducluzeau 8 , Agnès Sola 9 , Agnès Hartemann-Heurtier 10 , Pierre Lecomte 11 , Lucy Chaillous 12 , Marie Laloi-Michelin 13 , Jean-Marie Wilhem 14 , Pierre Cuny 15 , Françoise Duron 16 , Bruno Guerci 17 , Nathalie Jeandidier 18 , Helen Mosnier-Pudar 19 , Michel Assayag 20 , Danièle Dubois-Laforgue 2 , Gilberto Velho 21 and José Timsit 2 1 Department of Genetics, AP-HP Groupe Hospitalier Pitié-Salpétrière, Université Pierre et Marie Curie-Paris6, Paris, France 2 Department of Immunology and Diabetology, AP-HP Hôpital Cochin, Université René Descartes- Paris5, and Inserm, Research Unit 561, Paris, France 3 Department of Endocrinology, Centre Hospitalier Sud Francilien, Corbeil-Essonnes, France 4 Department of Nutrition-Metabolic Diseases-Endocrinology, AP-HM CHU de la Timone, Marseille, France 5 Department of Endocrinology, AP-HP Hôpital Saint-Louis, Université Denis Diderot-Paris7, Paris, France 6 Department of Diabetology, AP-HP Hôpital Bichat, Paris, France 7 Department of Endocrinology, CHU Caen, Caen, France 8 Department of Endocrinology, CHU Angers, Angers, France 9 Department of Diabetology, AP-HP Hôpital Hôtel Dieu, Paris, France 10 Department of Diabetology, AP-HP Groupe Hospitalier Pitié-Salpétrière, Université Pierre et Marie Curie-Paris6, Paris, France 11 Department of Endocrinology, CHU Bretonneau, Tours, France 12 Department of Endocrinology, CHU Nantes, Nantes, France 13 Department of Internal Medicine, AP-HP Hôpital Lariboisière, Paris, France 14 Department of Internal Medicine, Centre Hospitalier Saint-Morand, Altkirch, France 15 Department of Diabetology, Hôpital Beauregard, Thionville, France 16 Department of Endocrinology, AP-HP Hôpital Saint-Antoine, Paris, France 17 Department of Diabetology, CHU Nancy, Nancy, France 18 Department of Diabetology, CHU Strasbourg, Strasbourg, France 19 Department of Endocrinology, AP-HP Hôpital Cochin, Université Paris 5, Paris, France 20 Department of Internal Medicine, Centre Hospitalier Compiègne, Compiègne, France 21 Inserm, Research Unit 695, Paris, France Address correspondence and reprint requests to Christine Bellanné-Chantelot, Département de Génétique, Groupe Hospitalier Pitié-Salpétrière, Bât 6 rue Lapeyronie, 47/83 Boulevard de l’Hôpital, 75651 Paris Cedex 13, France. E-mail: christine.bellanne-chantelot{at}psl.aphp.fr Abstract OBJECTIVE— The clinical expression of maturity-onset diabetes of the young (MODY)-3 is highly variable. This may be due to environmental and/or genetic factors, including molecular characteristics of the hepatocyte nuclear factor 1-α ( HNF1A ) gene mutation. RESEARCH DESIGN AND METHODS— We analyzed the mutations identified in 356 unrelated MODY3 patients, including 118 novel mutations, and searched for correlations between the genotype and age at diagnosis of diabetes. RESULTS— Missense mutations prevailed in the dimerization and DNA-binding domains (74%), while truncating mutations were predominant in the transactivation domain (62%). The majority (83%) of the mutations were located in exons 1- 6, thus affecting the three HNF1A isoforms. Age at diagnosis of diabetes was lower in patients with truncating mutations than in those with missense mutations (18 vs. 22 years, P = 0.005). Missense mutations affecting the dimerization/DNA-binding domains were associated with a lower age at diagnosis than those affecting the transactivation domain (20 vs. 30 years, P = 10 −4 ). Patients with missense mutations affecting the three isoforms were younger at diagnosis than those with missense mutations involving one or two isoforms ( P = 0.03). CONCLUSIONS— These data show that part of the variability of the clinical expression in MODY3 patients may be explained by the type and the location of HNF1A mutations. These findings should be considered in studies for the search of additional modifier genetic factors. HNF1A, hepatocyte nuclear factor 1-α MODY, maturity-onset diabetes of the young Footnotes Published ahead of print at http://diabetes.diabetesjournals.org on 14 November 2007. DOI: 10.2337/db07-0859. Additional information for this article can be found in an online appendix at http://dx.doi.org/10.2337/db07-0859 . The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Accepted November 7, 2007. Received June 26, 2007. DIABETES</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age of Onset</subject><subject>Aged</subject><subject>Alternative Splicing</subject><subject>Amino Acid Substitution</subject><subject>Amino acids</subject><subject>Binding Sites</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Demographic aspects</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - genetics</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diagnosis</subject><subject>DNA binding proteins</subject><subject>DNA Mutational Analysis</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Exons</subject><subject>Gene mutation</subject><subject>Gene mutations</subject><subject>Genetic aspects</subject><subject>Genetic testing</subject><subject>Genetic Variation</subject><subject>Hepatocyte Nuclear Factor 1-alpha - genetics</subject><subject>Humans</subject><subject>Insulin</subject><subject>Life Sciences</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mutation</subject><subject>Mutation, Missense</subject><subject>Research design</subject><subject>Sequence Deletion</subject><issn>0012-1797</issn><issn>1939-327X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqF0l9v0zAQAPAIgdgYPPAFkIUEokgZ_hPX9mPVsQ2ppXsoEnuy3OSSekrtEjuMfQs-Mg6tNg1VQn6IffrdWTlflr0m-JQyJj5VKyxyLLl6kh0TxVTOqPj-NDvGmNCcCCWOshch3GCMx2k9z46IxJgJLo6z38s1oOXdFpBxFYrpcOWDjdY75Gt0-fWcTNC8j-ZvZO6rvjUR0KRJPqIzaxqXeBhsOqwgQkDWoavkwcWAbm1co7mJfWfjXb5wAeIDTEnDhde-dw36MF-cXY9y9jJ7Vps2wKv99yT7dv55Ob3MZ4uLL9PJLC_HtIh5TceCSsVBqporTCtG0r6qiWScM1NRqjCshOEF1IoqLrgxVJWsEDWXK8XZSTba1V2bVm87uzHdnfbG6svJTA8xnJrImWQ_SbLvd3bb-R89hKg3NpTQtsaB74MWmBapn_K_kGKJlRiLBN_-A29837n0w5qScSGpZAPKd6gxLWjrah87UzbgoDOtd1DbFJ4QIQUpCC6SPz3g06pgY8uDCaNHCclE-BUb04eg5cXssc0P2dK3LTSg09tMFwdrl50PoYP6vskE62Fq9TC1epjaZN_su9GvNlA9yP2YJvBuD0woTVt3xpU23DuKiSSpZnIf949qm_Wt7UBX-2F72HChqeaYsT_kPfwL</recordid><startdate>20080201</startdate><enddate>20080201</enddate><creator>BELLANNE-CHANTELOT, Christine</creator><creator>CARETTE, Claire</creator><creator>LECOMTE, Pierre</creator><creator>CHAILLOUS, Lucy</creator><creator>LALOI-MICHEFIN, Marie</creator><creator>WILHEM, Jean-Marie</creator><creator>CUNY, Pierre</creator><creator>DURON, Francoise</creator><creator>GUERCI, Bruno</creator><creator>JEANDIDIER, Nathalie</creator><creator>MOSNIER-PUDAR, Helen</creator><creator>ASSAYAG, Michel</creator><creator>RIVELINE, Jean-Pierre</creator><creator>DUBOIS-LAFORGUE, Danièle</creator><creator>VELHO, Gilberto</creator><creator>TIMSIT, José</creator><creator>VALERO, René</creator><creator>GAUTIER, Jean-Francois</creator><creator>LARGER, Etienne</creator><creator>REZNIK, Yves</creator><creator>DUCLUZEAU, Pierre-Henri</creator><creator>SOLA, Agnès</creator><creator>HARTEMANN-HEURTIER, Agnès</creator><general>American Diabetes Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7TM</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0001-8415-6771</orcidid><orcidid>https://orcid.org/0000-0002-1017-1845</orcidid><orcidid>https://orcid.org/0000-0002-2176-3280</orcidid><orcidid>https://orcid.org/0000-0002-8175-0369</orcidid><orcidid>https://orcid.org/0000-0002-6211-464X</orcidid><orcidid>https://orcid.org/0000-0001-7991-0741</orcidid></search><sort><creationdate>20080201</creationdate><title>The Type and the Position of HNF1A Mutation Modulate Age at Diagnosis of Diabetes in Patients with Maturity-Onset Diabetes of the Young (MODY)-3</title><author>BELLANNE-CHANTELOT, Christine ; CARETTE, Claire ; LECOMTE, Pierre ; CHAILLOUS, Lucy ; LALOI-MICHEFIN, Marie ; WILHEM, Jean-Marie ; CUNY, Pierre ; DURON, Francoise ; GUERCI, Bruno ; JEANDIDIER, Nathalie ; MOSNIER-PUDAR, Helen ; ASSAYAG, Michel ; RIVELINE, Jean-Pierre ; DUBOIS-LAFORGUE, Danièle ; VELHO, Gilberto ; TIMSIT, José ; VALERO, René ; GAUTIER, Jean-Francois ; LARGER, Etienne ; REZNIK, Yves ; DUCLUZEAU, Pierre-Henri ; SOLA, Agnès ; HARTEMANN-HEURTIER, Agnès</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c624t-f2672895e89f5902d315e8df183553ad2290eb7a54ef929575aa29c347f58b953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age of Onset</topic><topic>Aged</topic><topic>Alternative Splicing</topic><topic>Amino Acid Substitution</topic><topic>Amino acids</topic><topic>Binding Sites</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Demographic aspects</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Type 2 - genetics</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diagnosis</topic><topic>DNA binding proteins</topic><topic>DNA Mutational Analysis</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Exons</topic><topic>Gene mutation</topic><topic>Gene mutations</topic><topic>Genetic aspects</topic><topic>Genetic testing</topic><topic>Genetic Variation</topic><topic>Hepatocyte Nuclear Factor 1-alpha - genetics</topic><topic>Humans</topic><topic>Insulin</topic><topic>Life Sciences</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mutation</topic><topic>Mutation, Missense</topic><topic>Research design</topic><topic>Sequence Deletion</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BELLANNE-CHANTELOT, Christine</creatorcontrib><creatorcontrib>CARETTE, Claire</creatorcontrib><creatorcontrib>LECOMTE, Pierre</creatorcontrib><creatorcontrib>CHAILLOUS, Lucy</creatorcontrib><creatorcontrib>LALOI-MICHEFIN, Marie</creatorcontrib><creatorcontrib>WILHEM, Jean-Marie</creatorcontrib><creatorcontrib>CUNY, Pierre</creatorcontrib><creatorcontrib>DURON, Francoise</creatorcontrib><creatorcontrib>GUERCI, Bruno</creatorcontrib><creatorcontrib>JEANDIDIER, Nathalie</creatorcontrib><creatorcontrib>MOSNIER-PUDAR, Helen</creatorcontrib><creatorcontrib>ASSAYAG, Michel</creatorcontrib><creatorcontrib>RIVELINE, Jean-Pierre</creatorcontrib><creatorcontrib>DUBOIS-LAFORGUE, Danièle</creatorcontrib><creatorcontrib>VELHO, Gilberto</creatorcontrib><creatorcontrib>TIMSIT, José</creatorcontrib><creatorcontrib>VALERO, René</creatorcontrib><creatorcontrib>GAUTIER, Jean-Francois</creatorcontrib><creatorcontrib>LARGER, Etienne</creatorcontrib><creatorcontrib>REZNIK, Yves</creatorcontrib><creatorcontrib>DUCLUZEAU, Pierre-Henri</creatorcontrib><creatorcontrib>SOLA, Agnès</creatorcontrib><creatorcontrib>HARTEMANN-HEURTIER, Agnès</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>Nucleic Acids Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Diabetes (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BELLANNE-CHANTELOT, Christine</au><au>CARETTE, Claire</au><au>LECOMTE, Pierre</au><au>CHAILLOUS, Lucy</au><au>LALOI-MICHEFIN, Marie</au><au>WILHEM, Jean-Marie</au><au>CUNY, Pierre</au><au>DURON, Francoise</au><au>GUERCI, Bruno</au><au>JEANDIDIER, Nathalie</au><au>MOSNIER-PUDAR, Helen</au><au>ASSAYAG, Michel</au><au>RIVELINE, Jean-Pierre</au><au>DUBOIS-LAFORGUE, Danièle</au><au>VELHO, Gilberto</au><au>TIMSIT, José</au><au>VALERO, René</au><au>GAUTIER, Jean-Francois</au><au>LARGER, Etienne</au><au>REZNIK, Yves</au><au>DUCLUZEAU, Pierre-Henri</au><au>SOLA, Agnès</au><au>HARTEMANN-HEURTIER, Agnès</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Type and the Position of HNF1A Mutation Modulate Age at Diagnosis of Diabetes in Patients with Maturity-Onset Diabetes of the Young (MODY)-3</atitle><jtitle>Diabetes (New York, N.Y.)</jtitle><addtitle>Diabetes</addtitle><date>2008-02-01</date><risdate>2008</risdate><volume>57</volume><issue>2</issue><spage>503</spage><epage>508</epage><pages>503-508</pages><issn>0012-1797</issn><eissn>1939-327X</eissn><coden>DIAEAZ</coden><abstract>The Type and the Position of HNF1A Mutation Modulate Age at Diagnosis of Diabetes in Patients with Maturity-Onset Diabetes of the Young (MODY)-3 Christine Bellanné-Chantelot 1 , Claire Carette 2 , Jean-Pierre Riveline 3 , René Valéro 4 , Jean-François Gautier 5 , Etienne Larger 6 9 , Yves Reznik 7 , Pierre-Henri Ducluzeau 8 , Agnès Sola 9 , Agnès Hartemann-Heurtier 10 , Pierre Lecomte 11 , Lucy Chaillous 12 , Marie Laloi-Michelin 13 , Jean-Marie Wilhem 14 , Pierre Cuny 15 , Françoise Duron 16 , Bruno Guerci 17 , Nathalie Jeandidier 18 , Helen Mosnier-Pudar 19 , Michel Assayag 20 , Danièle Dubois-Laforgue 2 , Gilberto Velho 21 and José Timsit 2 1 Department of Genetics, AP-HP Groupe Hospitalier Pitié-Salpétrière, Université Pierre et Marie Curie-Paris6, Paris, France 2 Department of Immunology and Diabetology, AP-HP Hôpital Cochin, Université René Descartes- Paris5, and Inserm, Research Unit 561, Paris, France 3 Department of Endocrinology, Centre Hospitalier Sud Francilien, Corbeil-Essonnes, France 4 Department of Nutrition-Metabolic Diseases-Endocrinology, AP-HM CHU de la Timone, Marseille, France 5 Department of Endocrinology, AP-HP Hôpital Saint-Louis, Université Denis Diderot-Paris7, Paris, France 6 Department of Diabetology, AP-HP Hôpital Bichat, Paris, France 7 Department of Endocrinology, CHU Caen, Caen, France 8 Department of Endocrinology, CHU Angers, Angers, France 9 Department of Diabetology, AP-HP Hôpital Hôtel Dieu, Paris, France 10 Department of Diabetology, AP-HP Groupe Hospitalier Pitié-Salpétrière, Université Pierre et Marie Curie-Paris6, Paris, France 11 Department of Endocrinology, CHU Bretonneau, Tours, France 12 Department of Endocrinology, CHU Nantes, Nantes, France 13 Department of Internal Medicine, AP-HP Hôpital Lariboisière, Paris, France 14 Department of Internal Medicine, Centre Hospitalier Saint-Morand, Altkirch, France 15 Department of Diabetology, Hôpital Beauregard, Thionville, France 16 Department of Endocrinology, AP-HP Hôpital Saint-Antoine, Paris, France 17 Department of Diabetology, CHU Nancy, Nancy, France 18 Department of Diabetology, CHU Strasbourg, Strasbourg, France 19 Department of Endocrinology, AP-HP Hôpital Cochin, Université Paris 5, Paris, France 20 Department of Internal Medicine, Centre Hospitalier Compiègne, Compiègne, France 21 Inserm, Research Unit 695, Paris, France Address correspondence and reprint requests to Christine Bellanné-Chantelot, Département de Génétique, Groupe Hospitalier Pitié-Salpétrière, Bât 6 rue Lapeyronie, 47/83 Boulevard de l’Hôpital, 75651 Paris Cedex 13, France. E-mail: christine.bellanne-chantelot{at}psl.aphp.fr Abstract OBJECTIVE— The clinical expression of maturity-onset diabetes of the young (MODY)-3 is highly variable. This may be due to environmental and/or genetic factors, including molecular characteristics of the hepatocyte nuclear factor 1-α ( HNF1A ) gene mutation. RESEARCH DESIGN AND METHODS— We analyzed the mutations identified in 356 unrelated MODY3 patients, including 118 novel mutations, and searched for correlations between the genotype and age at diagnosis of diabetes. RESULTS— Missense mutations prevailed in the dimerization and DNA-binding domains (74%), while truncating mutations were predominant in the transactivation domain (62%). The majority (83%) of the mutations were located in exons 1- 6, thus affecting the three HNF1A isoforms. Age at diagnosis of diabetes was lower in patients with truncating mutations than in those with missense mutations (18 vs. 22 years, P = 0.005). Missense mutations affecting the dimerization/DNA-binding domains were associated with a lower age at diagnosis than those affecting the transactivation domain (20 vs. 30 years, P = 10 −4 ). Patients with missense mutations affecting the three isoforms were younger at diagnosis than those with missense mutations involving one or two isoforms ( P = 0.03). CONCLUSIONS— These data show that part of the variability of the clinical expression in MODY3 patients may be explained by the type and the location of HNF1A mutations. These findings should be considered in studies for the search of additional modifier genetic factors. HNF1A, hepatocyte nuclear factor 1-α MODY, maturity-onset diabetes of the young Footnotes Published ahead of print at http://diabetes.diabetesjournals.org on 14 November 2007. DOI: 10.2337/db07-0859. Additional information for this article can be found in an online appendix at http://dx.doi.org/10.2337/db07-0859 . The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Accepted November 7, 2007. Received June 26, 2007. DIABETES</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>18003757</pmid><doi>10.2337/db07-0859</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-8415-6771</orcidid><orcidid>https://orcid.org/0000-0002-1017-1845</orcidid><orcidid>https://orcid.org/0000-0002-2176-3280</orcidid><orcidid>https://orcid.org/0000-0002-8175-0369</orcidid><orcidid>https://orcid.org/0000-0002-6211-464X</orcidid><orcidid>https://orcid.org/0000-0001-7991-0741</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Age
Age of Onset
Aged
Alternative Splicing
Amino Acid Substitution
Amino acids
Binding Sites
Biological and medical sciences
Child
Child, Preschool
Demographic aspects
Diabetes
Diabetes mellitus
Diabetes Mellitus, Type 2 - genetics
Diabetes. Impaired glucose tolerance
Diagnosis
DNA binding proteins
DNA Mutational Analysis
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Exons
Gene mutation
Gene mutations
Genetic aspects
Genetic testing
Genetic Variation
Hepatocyte Nuclear Factor 1-alpha - genetics
Humans
Insulin
Life Sciences
Medical sciences
Middle Aged
Mutation
Mutation, Missense
Research design
Sequence Deletion
title The Type and the Position of HNF1A Mutation Modulate Age at Diagnosis of Diabetes in Patients with Maturity-Onset Diabetes of the Young (MODY)-3
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