Mutations in the HNF1A gene as a cause of MODY3: a clinical case

Genetic dysfunction of the pancreatic β-cells and/ or factors participating in glucose metabolism can form the bases for monogenic types of diabetes mellitus. Diagnosis of MODY type of diabetes is difficult due to its rare identification in the real clinical practice and to the necessity of molecula...

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Main Authors: T. Yu. Demidova, E. Yu. Gritskevich, O. V. Balutina
Format: Article
Language:Russian
Published: MONIKI 2019-05-01
Series:Alʹmanah Kliničeskoj Mediciny
Subjects:
Online Access:https://www.almclinmed.ru/jour/article/view/1015
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author T. Yu. Demidova
E. Yu. Gritskevich
O. V. Balutina
author_facet T. Yu. Demidova
E. Yu. Gritskevich
O. V. Balutina
author_sort T. Yu. Demidova
collection DOAJ
description Genetic dysfunction of the pancreatic β-cells and/ or factors participating in glucose metabolism can form the bases for monogenic types of diabetes mellitus. Diagnosis of MODY type of diabetes is difficult due to its rare identification in the real clinical practice and to the necessity of molecular genetic testing for the confirmation of specific mutations. Errors in the diagnosis of diabetes mellitus may be misleading for the choice of hypoglycemic treatment, which is the key problem in the management of these patients. In the clinical case described, the diagnosis of MODY3 related to the mutations in the HNF1A transcriptional factor was confirmed during pregnancy of the patient, i.e. more than 15 years had passed from manifestation of the disease in childhood, despite typical clinical symptoms and specific familial history. Optimization of the early diagnosis and management of this patient cohort can be facilitated by accumulation of theoretical knowledge and practical experience, as well as improvement of diagnostic capacities, including higher availability of molecular genetic analysis.
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spelling doaj.art-af1597ea0934458bbe648aad47e849042022-12-21T21:46:45ZrusMONIKIAlʹmanah Kliničeskoj Mediciny2072-05052587-92942019-05-0147218018510.18786/2072-0505-2019-47-021624Mutations in the HNF1A gene as a cause of MODY3: a clinical caseT. Yu. Demidova0E. Yu. Gritskevich1O. V. Balutina2Pirogov Russian National Research Medical University (RNRMU)Pirogov Russian National Research Medical University (RNRMU)Pirogov Russian National Research Medical University (RNRMU)Genetic dysfunction of the pancreatic β-cells and/ or factors participating in glucose metabolism can form the bases for monogenic types of diabetes mellitus. Diagnosis of MODY type of diabetes is difficult due to its rare identification in the real clinical practice and to the necessity of molecular genetic testing for the confirmation of specific mutations. Errors in the diagnosis of diabetes mellitus may be misleading for the choice of hypoglycemic treatment, which is the key problem in the management of these patients. In the clinical case described, the diagnosis of MODY3 related to the mutations in the HNF1A transcriptional factor was confirmed during pregnancy of the patient, i.e. more than 15 years had passed from manifestation of the disease in childhood, despite typical clinical symptoms and specific familial history. Optimization of the early diagnosis and management of this patient cohort can be facilitated by accumulation of theoretical knowledge and practical experience, as well as improvement of diagnostic capacities, including higher availability of molecular genetic analysis.https://www.almclinmed.ru/jour/article/view/1015diabetes mellitusmodygenetic testingmutation
spellingShingle T. Yu. Demidova
E. Yu. Gritskevich
O. V. Balutina
Mutations in the HNF1A gene as a cause of MODY3: a clinical case
Alʹmanah Kliničeskoj Mediciny
diabetes mellitus
mody
genetic testing
mutation
title Mutations in the HNF1A gene as a cause of MODY3: a clinical case
title_full Mutations in the HNF1A gene as a cause of MODY3: a clinical case
title_fullStr Mutations in the HNF1A gene as a cause of MODY3: a clinical case
title_full_unstemmed Mutations in the HNF1A gene as a cause of MODY3: a clinical case
title_short Mutations in the HNF1A gene as a cause of MODY3: a clinical case
title_sort mutations in the hnf1a gene as a cause of mody3 a clinical case
topic diabetes mellitus
mody
genetic testing
mutation
url https://www.almclinmed.ru/jour/article/view/1015
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