Identification and functional characterisation of novel glucokinase mutations causing maturity-onset diabetes of the young in Slovakia

Heterozygous glucokinase (GCK) mutations cause a subtype of maturity-onset diabetes of the young (GCK-MODY). Over 600 GCK mutations have been reported of which ∼65% are missense. In many cases co-segregation has not been established and despite the importance of functional studies in ascribing patho...

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Veröffentlicht in:PloS one 2012-04, Vol.7 (4), p.e34541-e34541
Hauptverfasser: Valentínová, Lucia, Beer, Nicola L, Staník, Juraj, Tribble, Nicholas D, van de Bunt, Martijn, Hučková, Miroslava, Barrett, Amy, Klimeš, Iwar, Gašperíková, Daniela, Gloyn, Anna L
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creator Valentínová, Lucia
Beer, Nicola L
Staník, Juraj
Tribble, Nicholas D
van de Bunt, Martijn
Hučková, Miroslava
Barrett, Amy
Klimeš, Iwar
Gašperíková, Daniela
Gloyn, Anna L
description Heterozygous glucokinase (GCK) mutations cause a subtype of maturity-onset diabetes of the young (GCK-MODY). Over 600 GCK mutations have been reported of which ∼65% are missense. In many cases co-segregation has not been established and despite the importance of functional studies in ascribing pathogenicity for missense variants these have only been performed for C, c.1113-1114delGC) were novel. Parental DNA was available for 22 probands (covering 14/22 mutations) and co-segregation established in all cases. Bioinformatic analysis predicted all missense mutations to be damaging. Nine (I110N, V200A, N204D, G223S, G258R, F419S, V244G, L315H, I436N) mutations were functionally evaluated. Basic kinetic analysis explained pathogenicity for 7 mutants which showed reduced glucokinase activity with relative activity indices (RAI) between 0.6 to
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Over 600 GCK mutations have been reported of which ∼65% are missense. In many cases co-segregation has not been established and despite the importance of functional studies in ascribing pathogenicity for missense variants these have only been performed for <10% of mutations. The aim of this study was to determine the minimum prevalence of GCK-MODY amongst diabetic subjects in Slovakia by sequencing GCK in 100 Slovakian probands with a phenotype consistent with GCK-MODY and to explore the pathogenicity of identified variants through family and functional studies. Twenty-two mutations were identified in 36 families (17 missense) of which 7 (I110N, V200A, N204D, G258R, F419S, c.580-2A>C, c.1113-1114delGC) were novel. Parental DNA was available for 22 probands (covering 14/22 mutations) and co-segregation established in all cases. Bioinformatic analysis predicted all missense mutations to be damaging. Nine (I110N, V200A, N204D, G223S, G258R, F419S, V244G, L315H, I436N) mutations were functionally evaluated. Basic kinetic analysis explained pathogenicity for 7 mutants which showed reduced glucokinase activity with relative activity indices (RAI) between 0.6 to <0.001 compared to wild-type GCK (1.0). For the remaining 2 mutants additional molecular mechanisms were investigated. Differences in glucokinase regulatory protein (GKRP) -mediated-inhibition of GCK were observed for both L315H & I436N when compared to wild type (IC(50) 14.6±0.1 mM & 20.3±1.6 mM vs.13.3±0.1 mM respectively [p<0.03]). Protein instability as assessed by thermal lability studies demonstrated that both L315H and I436N show marked thermal instability compared to wild-type GCK (RAI at 55°C 8.8±0.8% & 3.1±0.4% vs. 42.5±3.9% respectively [p<0.001]). The minimum prevalence of GCK-MODY amongst Slovakian patients with diabetes was 0.03%. In conclusion, we have identified 22 GCK mutations in 36 Slovakian probands and demonstrate that combining family, bioinformatic and functional studies can aid the interpretation of variants identified by molecular diagnostic screening.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0034541</identifier><identifier>PMID: 22493702</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Amino acids ; Analysis ; Biology ; Blood proteins ; Child ; Child, Preschool ; Deoxyribonucleic acid ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 2 - diagnosis ; Diabetes Mellitus, Type 2 - genetics ; Diabetics ; Diagnostic systems ; DNA ; DNA Mutational Analysis ; Endocrinology ; Enzyme kinetics ; Enzyme Stability ; Families &amp; family life ; Fasting ; Female ; Gene expression ; Genetic aspects ; Genetic Testing ; Genotype ; Glucokinase ; Glucokinase - genetics ; Glucose ; Heterozygote ; Humans ; Hyperglycemia ; Identification ; Insulin ; Isoenzymes ; Lability ; Male ; Medicine ; Metabolism ; Middle Aged ; Missense mutation ; Molecular modelling ; Mutants ; Mutation ; Mutation, Missense ; Parenting ; Pathogenicity ; Pathogens ; Pedigree ; Phenotype ; Phenotypes ; Science ; Slovakia ; Stability ; Stability analysis ; Studies ; Thermal instability ; Type 2 diabetes</subject><ispartof>PloS one, 2012-04, Vol.7 (4), p.e34541-e34541</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Valentínová et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Valentínová et al. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c691t-c82a4455e4d6cb5b2ccd47fa0fbf01c4c1596375e4b227ac79559cceb2b208323</citedby><cites>FETCH-LOGICAL-c691t-c82a4455e4d6cb5b2ccd47fa0fbf01c4c1596375e4b227ac79559cceb2b208323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3321013/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3321013/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22493702$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Valentínová, Lucia</creatorcontrib><creatorcontrib>Beer, Nicola L</creatorcontrib><creatorcontrib>Staník, Juraj</creatorcontrib><creatorcontrib>Tribble, Nicholas D</creatorcontrib><creatorcontrib>van de Bunt, Martijn</creatorcontrib><creatorcontrib>Hučková, Miroslava</creatorcontrib><creatorcontrib>Barrett, Amy</creatorcontrib><creatorcontrib>Klimeš, Iwar</creatorcontrib><creatorcontrib>Gašperíková, Daniela</creatorcontrib><creatorcontrib>Gloyn, Anna L</creatorcontrib><title>Identification and functional characterisation of novel glucokinase mutations causing maturity-onset diabetes of the young in Slovakia</title><title>PloS one</title><addtitle>PLoS One</addtitle><description><![CDATA[Heterozygous glucokinase (GCK) mutations cause a subtype of maturity-onset diabetes of the young (GCK-MODY). Over 600 GCK mutations have been reported of which ∼65% are missense. In many cases co-segregation has not been established and despite the importance of functional studies in ascribing pathogenicity for missense variants these have only been performed for <10% of mutations. The aim of this study was to determine the minimum prevalence of GCK-MODY amongst diabetic subjects in Slovakia by sequencing GCK in 100 Slovakian probands with a phenotype consistent with GCK-MODY and to explore the pathogenicity of identified variants through family and functional studies. Twenty-two mutations were identified in 36 families (17 missense) of which 7 (I110N, V200A, N204D, G258R, F419S, c.580-2A>C, c.1113-1114delGC) were novel. Parental DNA was available for 22 probands (covering 14/22 mutations) and co-segregation established in all cases. Bioinformatic analysis predicted all missense mutations to be damaging. Nine (I110N, V200A, N204D, G223S, G258R, F419S, V244G, L315H, I436N) mutations were functionally evaluated. Basic kinetic analysis explained pathogenicity for 7 mutants which showed reduced glucokinase activity with relative activity indices (RAI) between 0.6 to <0.001 compared to wild-type GCK (1.0). For the remaining 2 mutants additional molecular mechanisms were investigated. Differences in glucokinase regulatory protein (GKRP) -mediated-inhibition of GCK were observed for both L315H & I436N when compared to wild type (IC(50) 14.6±0.1 mM & 20.3±1.6 mM vs.13.3±0.1 mM respectively [p<0.03]). Protein instability as assessed by thermal lability studies demonstrated that both L315H and I436N show marked thermal instability compared to wild-type GCK (RAI at 55°C 8.8±0.8% & 3.1±0.4% vs. 42.5±3.9% respectively [p<0.001]). The minimum prevalence of GCK-MODY amongst Slovakian patients with diabetes was 0.03%. In conclusion, we have identified 22 GCK mutations in 36 Slovakian probands and demonstrate that combining family, bioinformatic and functional studies can aid the interpretation of variants identified by molecular diagnostic screening.]]></description><subject>Adolescent</subject><subject>Adult</subject><subject>Amino acids</subject><subject>Analysis</subject><subject>Biology</subject><subject>Blood proteins</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Deoxyribonucleic acid</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - diagnosis</subject><subject>Diabetes Mellitus, Type 2 - genetics</subject><subject>Diabetics</subject><subject>Diagnostic systems</subject><subject>DNA</subject><subject>DNA Mutational Analysis</subject><subject>Endocrinology</subject><subject>Enzyme kinetics</subject><subject>Enzyme Stability</subject><subject>Families &amp; family life</subject><subject>Fasting</subject><subject>Female</subject><subject>Gene expression</subject><subject>Genetic aspects</subject><subject>Genetic Testing</subject><subject>Genotype</subject><subject>Glucokinase</subject><subject>Glucokinase - genetics</subject><subject>Glucose</subject><subject>Heterozygote</subject><subject>Humans</subject><subject>Hyperglycemia</subject><subject>Identification</subject><subject>Insulin</subject><subject>Isoenzymes</subject><subject>Lability</subject><subject>Male</subject><subject>Medicine</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>Missense mutation</subject><subject>Molecular modelling</subject><subject>Mutants</subject><subject>Mutation</subject><subject>Mutation, 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Daniela</au><au>Gloyn, Anna L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identification and functional characterisation of novel glucokinase mutations causing maturity-onset diabetes of the young in Slovakia</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-04-06</date><risdate>2012</risdate><volume>7</volume><issue>4</issue><spage>e34541</spage><epage>e34541</epage><pages>e34541-e34541</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract><![CDATA[Heterozygous glucokinase (GCK) mutations cause a subtype of maturity-onset diabetes of the young (GCK-MODY). Over 600 GCK mutations have been reported of which ∼65% are missense. In many cases co-segregation has not been established and despite the importance of functional studies in ascribing pathogenicity for missense variants these have only been performed for <10% of mutations. The aim of this study was to determine the minimum prevalence of GCK-MODY amongst diabetic subjects in Slovakia by sequencing GCK in 100 Slovakian probands with a phenotype consistent with GCK-MODY and to explore the pathogenicity of identified variants through family and functional studies. Twenty-two mutations were identified in 36 families (17 missense) of which 7 (I110N, V200A, N204D, G258R, F419S, c.580-2A>C, c.1113-1114delGC) were novel. Parental DNA was available for 22 probands (covering 14/22 mutations) and co-segregation established in all cases. Bioinformatic analysis predicted all missense mutations to be damaging. Nine (I110N, V200A, N204D, G223S, G258R, F419S, V244G, L315H, I436N) mutations were functionally evaluated. Basic kinetic analysis explained pathogenicity for 7 mutants which showed reduced glucokinase activity with relative activity indices (RAI) between 0.6 to <0.001 compared to wild-type GCK (1.0). For the remaining 2 mutants additional molecular mechanisms were investigated. Differences in glucokinase regulatory protein (GKRP) -mediated-inhibition of GCK were observed for both L315H & I436N when compared to wild type (IC(50) 14.6±0.1 mM & 20.3±1.6 mM vs.13.3±0.1 mM respectively [p<0.03]). Protein instability as assessed by thermal lability studies demonstrated that both L315H and I436N show marked thermal instability compared to wild-type GCK (RAI at 55°C 8.8±0.8% & 3.1±0.4% vs. 42.5±3.9% respectively [p<0.001]). The minimum prevalence of GCK-MODY amongst Slovakian patients with diabetes was 0.03%. In conclusion, we have identified 22 GCK mutations in 36 Slovakian probands and demonstrate that combining family, bioinformatic and functional studies can aid the interpretation of variants identified by molecular diagnostic screening.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22493702</pmid><doi>10.1371/journal.pone.0034541</doi><tpages>e34541</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Amino acids
Analysis
Biology
Blood proteins
Child
Child, Preschool
Deoxyribonucleic acid
Diabetes
Diabetes mellitus
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - genetics
Diabetics
Diagnostic systems
DNA
DNA Mutational Analysis
Endocrinology
Enzyme kinetics
Enzyme Stability
Families & family life
Fasting
Female
Gene expression
Genetic aspects
Genetic Testing
Genotype
Glucokinase
Glucokinase - genetics
Glucose
Heterozygote
Humans
Hyperglycemia
Identification
Insulin
Isoenzymes
Lability
Male
Medicine
Metabolism
Middle Aged
Missense mutation
Molecular modelling
Mutants
Mutation
Mutation, Missense
Parenting
Pathogenicity
Pathogens
Pedigree
Phenotype
Phenotypes
Science
Slovakia
Stability
Stability analysis
Studies
Thermal instability
Type 2 diabetes
title Identification and functional characterisation of novel glucokinase mutations causing maturity-onset diabetes of the young in Slovakia
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