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Erschienen in: Current Diabetes Reports 12/2015

01.12.2015 | Diabetes Epidemiology (NM Maruthur, Section Editor)

Undiagnosed MODY: Time for Action

verfasst von: Jeffrey W. Kleinberger, Toni I. Pollin

Erschienen in: Current Diabetes Reports | Ausgabe 12/2015

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Abstract

Maturity-onset diabetes of the young (MODY) is a monogenic form of diabetes that accounts for at least 1 % of all cases of diabetes mellitus. MODY classically presents as non-insulin-requiring diabetes in lean individuals typically younger than 25 with evidence of autosomal dominant inheritance, but these criteria do not capture all cases and can also overlap with other diabetes types. Genetic diagnosis of MODY is important for selecting the right treatment, yet ~95 % of MODY cases in the USA are misdiagnosed. MODY prevalence and characteristics have been well-studied in some populations, such as the UK and Norway, while other ethnicities, like African and Latino, need much more study. Emerging next-generation sequencing methods are making more widespread study and clinical diagnosis increasingly feasible; at the same time, they are detecting other mutations in the same genes of unknown clinical significance. This review will cover the current epidemiological studies of MODY and barriers and opportunities for moving toward a goal of access to an appropriate diagnosis for all affected individuals.
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Zurück zum Zitat Bellanne-Chantelot C, Clauin S, Chauveau D, et al. Large genomic rearrangements in the hepatocyte nuclear factor-1beta (TCF2) gene are the most frequent cause of maturity-onset diabetes of the young type 5. Diabetes. 2005;54(11):3126–32.CrossRefPubMed Bellanne-Chantelot C, Clauin S, Chauveau D, et al. Large genomic rearrangements in the hepatocyte nuclear factor-1beta (TCF2) gene are the most frequent cause of maturity-onset diabetes of the young type 5. Diabetes. 2005;54(11):3126–32.CrossRefPubMed
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Zurück zum Zitat Dubois-Laforgue D, Bellanne-Chantelot C, Subra JF, et al. Pectus excavatum is part of the clinical spectrum of HNF1B MODY5. Diabetes Care. 2014;37(4):e72–3.CrossRefPubMed Dubois-Laforgue D, Bellanne-Chantelot C, Subra JF, et al. Pectus excavatum is part of the clinical spectrum of HNF1B MODY5. Diabetes Care. 2014;37(4):e72–3.CrossRefPubMed
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Zurück zum Zitat Fendler W, Borowiec M, Antosik K, et al. HDL cholesterol as a diagnostic tool for clinical differentiation of GCK-MODY from HNF1A-MODY and type 1 diabetes in children and young adults. Clin Endocrinol (Oxf). 2011;75(3):321–7.CrossRef Fendler W, Borowiec M, Antosik K, et al. HDL cholesterol as a diagnostic tool for clinical differentiation of GCK-MODY from HNF1A-MODY and type 1 diabetes in children and young adults. Clin Endocrinol (Oxf). 2011;75(3):321–7.CrossRef
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Zurück zum Zitat Ridker PM, Pare G, Parker A, et al. Loci related to metabolic-syndrome pathways including LEPR, HNF1A, IL6R, and GCKR associate with plasma C-reactive protein: the Women’s Genome Health Study. Am J Hum Genet. 2008;82(5):1185–92.PubMedCentralCrossRefPubMed Ridker PM, Pare G, Parker A, et al. Loci related to metabolic-syndrome pathways including LEPR, HNF1A, IL6R, and GCKR associate with plasma C-reactive protein: the Women’s Genome Health Study. Am J Hum Genet. 2008;82(5):1185–92.PubMedCentralCrossRefPubMed
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Zurück zum Zitat Reiner AP, Barber MJ, Guan Y, et al. Polymorphisms of the HNF1A gene encoding hepatocyte nuclear factor-1 alpha are associated with C-reactive protein. Am J Hum Genet. 2008;82(5):1193–201.PubMedCentralCrossRefPubMed Reiner AP, Barber MJ, Guan Y, et al. Polymorphisms of the HNF1A gene encoding hepatocyte nuclear factor-1 alpha are associated with C-reactive protein. Am J Hum Genet. 2008;82(5):1193–201.PubMedCentralCrossRefPubMed
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Zurück zum Zitat Thanabalasingham G, Shah N, Vaxillaire M, et al. A large multi-centre European study validates high-sensitivity C-reactive protein (hsCRP) as a clinical biomarker for the diagnosis of diabetes subtypes. Diabetologia. 2011;54(11):2801–10.CrossRefPubMed Thanabalasingham G, Shah N, Vaxillaire M, et al. A large multi-centre European study validates high-sensitivity C-reactive protein (hsCRP) as a clinical biomarker for the diagnosis of diabetes subtypes. Diabetologia. 2011;54(11):2801–10.CrossRefPubMed
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Zurück zum Zitat Owen KR, Thanabalasingham G, James TJ, et al. Assessment of high-sensitivity C-reactive protein levels as diagnostic discriminator of maturity-onset diabetes of the young due to HNF1A mutations. Diabetes Care. 2010;33(9):1919–24.PubMedCentralCrossRefPubMed Owen KR, Thanabalasingham G, James TJ, et al. Assessment of high-sensitivity C-reactive protein levels as diagnostic discriminator of maturity-onset diabetes of the young due to HNF1A mutations. Diabetes Care. 2010;33(9):1919–24.PubMedCentralCrossRefPubMed
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Zurück zum Zitat Bacon S, Kyithar MP, Schmid J, et al. Circulating CD36 is reduced in HNF1A-MODY carriers. PLoS One. 2013;8(9):e74577. Bacon S, Kyithar MP, Schmid J, et al. Circulating CD36 is reduced in HNF1A-MODY carriers. PLoS One. 2013;8(9):e74577.
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Zurück zum Zitat Johansson S, Irgens H, Chudasama KK, et al. Exome sequencing and genetic testing for MODY. PLoS One. 2012;7(5):e38050. Johansson S, Irgens H, Chudasama KK, et al. Exome sequencing and genetic testing for MODY. PLoS One. 2012;7(5):e38050.
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Zurück zum Zitat Dusatkova P, Fang M, Pruhova S, et al. Lessons from whole-exome sequencing in MODYX families. Diabetes Res Clin Pract. 2014;104(3):e72–4.CrossRefPubMed Dusatkova P, Fang M, Pruhova S, et al. Lessons from whole-exome sequencing in MODYX families. Diabetes Res Clin Pract. 2014;104(3):e72–4.CrossRefPubMed
95.•
Zurück zum Zitat Stein SA, Maloney KL, Pollin TI. Genetic counseling for diabetes mellitus. Curr Genet Med Rep. 2014;2(2):56–67. Suggested approach for evaluating a family history for the likelihood of MODY vs. polygenic diabetes. PubMedCentralCrossRefPubMed Stein SA, Maloney KL, Pollin TI. Genetic counseling for diabetes mellitus. Curr Genet Med Rep. 2014;2(2):56–67. Suggested approach for evaluating a family history for the likelihood of MODY vs. polygenic diabetes. PubMedCentralCrossRefPubMed
Metadaten
Titel
Undiagnosed MODY: Time for Action
verfasst von
Jeffrey W. Kleinberger
Toni I. Pollin
Publikationsdatum
01.12.2015
Verlag
Springer US
Erschienen in
Current Diabetes Reports / Ausgabe 12/2015
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-015-0681-7

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