Molecular background and clinical characteristics of HNF1A MODY in a Polish population

J Skupien1, S Gorczynska-Kosiorz, T Klupa

  • 1Department of Metabolic Diseases, Jagiellonian University, Medical College, 15, Kopernika Street, 31-501 Krakow, Poland.

Diabetes & Metabolism
|October 8, 2008
PubMed
Abstract

Insights

Hepatocyte Nuclear Factor 1-Alpha (HNF1A) gene mutations are a common cause of monogenic diabetes (MODY) in Poland. This study found a high prevalence of diabetic complications and renal abnormalities in HNF1A mutation carriers.

Area of Science:

  • Genetics
  • Endocrinology
  • Nephrology

Background:

  • Monogenic diabetes, particularly Maturity-Onset Diabetes of the Young (MODY), has diverse genetic underpinnings.
  • Mutations in the HNF1A gene are the most common genetic cause of MODY worldwide.
  • Understanding the molecular basis of diabetes is crucial for effective clinical management.

Purpose of the Study:

  • To investigate the genetic and clinical features of HNF1A-MODY in the Polish population.
  • To determine the prevalence of diabetic complications in individuals with HNF1A mutations.
  • To assess the occurrence of renal malformations in HNF1A mutation carriers.

Main Methods:

  • Identified 47 families with early-onset, autosomal-dominant diabetes meeting MODY criteria.
  • Conducted direct sequencing of the HNF1A gene for mutation screening.
  • Collected clinical, anthropometric, and biochemical data from patients.
  • Performed ultrasound examinations to detect renal malformations in mutation carriers.

Main Results:

  • Identified 13 families with HNF1A-MODY, involving 56 mutation carriers (46 with diabetes).
  • Average HbA1c among diabetic patients was 7.5%.
  • Prevalence of diabetic retinopathy was 47.7%, and diabetic nephropathy was 25%.
  • Renal developmental malformations were found in 5 carriers (3.6%), including two with a single functioning kidney.

Conclusions:

  • HNF1A mutations are a frequent cause of MODY in the Polish population.
  • HNF1A mutation carriers in this cohort exhibited a high incidence of diabetic complications.
  • Renal developmental abnormalities are a notable finding in some HNF1A mutation carriers.

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