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Hepatocyte nuclear factor-4 alpha gene mutations in Japanese non-insulin dependent diabetes mellitus (NIDDM) patients
H Nakajima1, I Yoshiuchi, T Hamaguchi
1Second Department of Internal Medicine, Osaka University Medical School, Japan.
Abstract:
A mutation in the hepatocyte nuclear factor-4 alpha (HNF-4 alpha) gene has been recently reported to cause maturity-onset diabetes of the young (MODY) (Yamagata, Furuta, et al., 1996). The mutation can also be a good candidate for the responsible gene of non-insulin dependent diabetes mellitus (NIDDM). The existence of the mutated allele of Q268X (C to T substitution within the exon 7 of HNF-4 alpha gene) was searched in 514 alleles of Japanese NIDDM patients by polymerase chain reaction-restriction fragment length polymorphism analysis. No mutation was found in these patients. The result showed that the Q268X mutation of HNF-4 alpha gene was not frequent among general NIDDM patients and that it cannot serve as the major diabetogenic gene in the Japanese ethnic group.
Insights
A specific HNF-4 alpha gene mutation (Q268X) was investigated in Japanese patients with type 2 diabetes. This mutation was not found to be frequent, suggesting it is not a major cause of diabetes in this population.
Area of Science:
- Genetics
- Endocrinology
- Molecular Biology
Background:
- Hepatocyte nuclear factor-4 alpha (HNF-4 alpha) gene mutations are linked to maturity-onset diabetes of the young (MODY).
- The HNF-4 alpha gene is a potential candidate for causing non-insulin dependent diabetes mellitus (NIDDM).
Purpose of the Study:
- To investigate the frequency of the Q268X mutation in the HNF-4 alpha gene in Japanese NIDDM patients.
- To determine if the Q268X mutation is a significant diabetogenic factor in the Japanese population.
Main Methods:
- Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis was used.
- The Q268X mutation (C to T substitution in exon 7 of HNF-4 alpha) was screened in 514 alleles from Japanese NIDDM patients.
Main Results:
- No instances of the Q268X mutation were detected in the studied Japanese NIDDM patient cohort.
- The Q268X mutation of the HNF-4 alpha gene is infrequent among general NIDDM patients in Japan.
Conclusions:
- The Q268X mutation in the HNF-4 alpha gene is not a common cause of NIDDM in the Japanese population.
- This specific HNF-4 alpha gene mutation does not appear to be a major diabetogenic gene in Japanese individuals.