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Recent studies have shown that mutations in the transcription factor hepatocyte nuclear factor (HNF)-1 alpha are the cause of one form of maturity-onset diabetes of the young (MODY3). These studies have identified mutations in the mRNA and protein coding regions of this gene that result in the synthesis of an abnormal mRNA or protein. Here, we report an Italian family in which an A-->C substitution at nucleotide-58 of the promoter region of the HNF-1 alpha gene cosegregates with MODY. This mutation is located in a highly conserved region of the promoter and disrupts the binding site for the transcription factor HNF-4 alpha, mutations in the gene encoding HNF-4 alpha being another cause of MODY (MODY1). This result demonstrates that decreased levels of HNF-1 alpha per se can cause MODY. Moreover, it indicates that both the promoter and coding regions of the HNF-1 alpha gene should be screened for mutations in subjects thought to have MODY because of mutations in this gene.

Original publication

DOI

10.2337/diacare.46.10.1648

Type

Journal article

Journal

Diabetes

Publication Date

10/1997

Volume

46

Pages

1648 - 1651

Addresses

Howard Hughes Medical Institute, University of Chicago, Illinois, USA.

Keywords

Animals, Humans, Diabetes Mellitus, Type 2, DNA-Binding Proteins, Nuclear Proteins, Phosphoproteins, Transcription Factors, DNA, Polymerase Chain Reaction, Pedigree, Sequence Alignment, DNA Mutational Analysis, Binding Sites, Base Sequence, Mutation, Molecular Sequence Data, Italy, Female, Male, Hepatocyte Nuclear Factor 1, Hepatocyte Nuclear Factor 1-alpha, Hepatocyte Nuclear Factor 1-beta, Hepatocyte Nuclear Factor 4, Basic Helix-Loop-Helix Leucine Zipper Transcription Factors, Promoter Regions, Genetic, Genetic Linkage