Clinical, hormonal and molecular-genetic characteristics of monogenic diabetes mellitus associated with the mutations in the <i>INS</i> gene

Background: Currently more than 50 mutations of the INS gene are known to affect the various stages of insulin biosynthesis in the beta cells of the pancreas. However only individual cases of diabetes mellitus (DM) associated with heterozygous mutations in the coding region of the INS gene were repo...

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Main Authors: Yu. V. Tikhonovich, E. E. Petryaykina, A. V. Timofeev, N. A. Zubkova, A. A. Kolodkina, E. L. Sorkina, E. V. Vasiliev, V. M. Petrov, E. A. Andrianova, L. I. Zilberman, G. N. Svetlova, A. L. Кalinin, P. M. Rubtsov, S. L. Кiselev, A. V. Panova, E. V. Shreder, T. S. Krasnova, B. P. Kulieva, I. V. Gariaeva, I. G. Rybkina, O. A. Malievskiy, A. N. Tyulpakov
Format: Article
Language:English
Published: Endocrinology Research Centre 2022-01-01
Series:Сахарный диабет
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Online Access:https://www.dia-endojournals.ru/jour/article/view/12737
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author Yu. V. Tikhonovich
E. E. Petryaykina
A. V. Timofeev
N. A. Zubkova
A. A. Kolodkina
E. L. Sorkina
E. V. Vasiliev
V. M. Petrov
E. A. Andrianova
L. I. Zilberman
G. N. Svetlova
A. L. Кalinin
P. M. Rubtsov
S. L. Кiselev
A. V. Panova
E. V. Shreder
T. S. Krasnova
B. P. Kulieva
I. V. Gariaeva
I. G. Rybkina
O. A. Malievskiy
A. N. Tyulpakov
author_facet Yu. V. Tikhonovich
E. E. Petryaykina
A. V. Timofeev
N. A. Zubkova
A. A. Kolodkina
E. L. Sorkina
E. V. Vasiliev
V. M. Petrov
E. A. Andrianova
L. I. Zilberman
G. N. Svetlova
A. L. Кalinin
P. M. Rubtsov
S. L. Кiselev
A. V. Panova
E. V. Shreder
T. S. Krasnova
B. P. Kulieva
I. V. Gariaeva
I. G. Rybkina
O. A. Malievskiy
A. N. Tyulpakov
author_sort Yu. V. Tikhonovich
collection DOAJ
description Background: Currently more than 50 mutations of the INS gene are known to affect the various stages of insulin biosynthesis in the beta cells of the pancreas. However only individual cases of diabetes mellitus (DM) associated with heterozygous mutations in the coding region of the INS gene were reported in Russian Federation. We report a group of patients with a clinical manifestation of DM caused by mutations in both coding and non-coding regions of the INS gene. The patients with a mutation in the intron of the INS gene are reported for the first time in Russian FederationMaterials and methods: 60 patients with an isolated course of neonatal DM (NDM), 52 patients with a manifestation of DM at the age of 7–12 months and the absence of the main autoimmune markers of type 1 DM, 650 patients with the MODY phenotype were included in the study. NGS technology was used for molecular genetic research. Author’s panel of primers (Custom DNA Panel) was used for multiplex PCR and sequencing using Ion Ampliseq™ technology. The author’s panel “­Diabetes Mellitus” included 28 genes (13 candidate genes of MODY and other genes associated with DM).Results: 13 heterozygous mutations were identified in 16 probands and 9 relatives. The majority of mutations were detected in patients with PNDM (18.75%) and in patients with an onset of DM at the age of 7–12 months (9.6%). Mutations in the INS gene were detected in 2 patients (0.3%) in the group with the MODY phenotype. Mutations in the INS gene were not detected in patients with transient NDM (TNDM). Analysis of clinical data in patients with PND and onset of diabetes at the age of 7–12 months did not show significant differences in the course of the disease. The clinical characteristics of the cases of MODY10 and diabetes caused by a mutation in the intron of the INS gene are reported in details.Conclusion: The role of INS gene mutations in NDM, MODY, and DM with an onset at the age of 7–12 months was analyzed in a large group of patients. The clinical characteristics of DM due to a mutation in the intron of the INS gene are reported for the first time in the Russian Federation.
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spelling doaj.art-c8fca7154b1248a094e058083772590f2024-03-20T11:48:04ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782022-01-0124541442110.14341/DM1273710908Clinical, hormonal and molecular-genetic characteristics of monogenic diabetes mellitus associated with the mutations in the <i>INS</i> geneYu. V. Tikhonovich0E. E. Petryaykina1A. V. Timofeev2N. A. Zubkova3A. A. Kolodkina4E. L. Sorkina5E. V. Vasiliev6V. M. Petrov7E. A. Andrianova8L. I. Zilberman9G. N. Svetlova10A. L. Кalinin11P. M. Rubtsov12S. L. Кiselev13A. V. Panova14E. V. Shreder15T. S. Krasnova16B. P. Kulieva17I. V. Gariaeva18I. G. Rybkina19O. A. Malievskiy20A. N. Tyulpakov21Morozov Children’s Municipal Clinical Hospital; Sechenov First Moscow State Medical UniversityMorozov Children’s Municipal Clinical Hospital; Pirogov Russian National Research Medical UniversityMorozov Children’s Municipal Clinical Hospital; Pirogov Russian National Research Medical UniversityEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEngelhardt Institute of Molecular Biology of Russian Academy of SciencesVavilov Institute of General Genetics, Russian Academy of ScienceEndocrinology Research Centre; Vavilov Institute of General Genetics, Russian Academy of ScienceMorozov Children’s Municipal Clinical Hospital; Endocrinology Research CentreVavilov Institute of General Genetics, Russian Academy of ScienceEndocrinology Research CentreMorozov Children’s Municipal Clinical HospitalMorozov Children’s Municipal Clinical HospitalBashkir State Medical University, Ufa, RussiaMorozov Children’s Municipal Clinical Hospital; Academician N.P. Bochkov Research Centre of Medical Genetics (RCMG), Russian Academy of SciencesBackground: Currently more than 50 mutations of the INS gene are known to affect the various stages of insulin biosynthesis in the beta cells of the pancreas. However only individual cases of diabetes mellitus (DM) associated with heterozygous mutations in the coding region of the INS gene were reported in Russian Federation. We report a group of patients with a clinical manifestation of DM caused by mutations in both coding and non-coding regions of the INS gene. The patients with a mutation in the intron of the INS gene are reported for the first time in Russian FederationMaterials and methods: 60 patients with an isolated course of neonatal DM (NDM), 52 patients with a manifestation of DM at the age of 7–12 months and the absence of the main autoimmune markers of type 1 DM, 650 patients with the MODY phenotype were included in the study. NGS technology was used for molecular genetic research. Author’s panel of primers (Custom DNA Panel) was used for multiplex PCR and sequencing using Ion Ampliseq™ technology. The author’s panel “­Diabetes Mellitus” included 28 genes (13 candidate genes of MODY and other genes associated with DM).Results: 13 heterozygous mutations were identified in 16 probands and 9 relatives. The majority of mutations were detected in patients with PNDM (18.75%) and in patients with an onset of DM at the age of 7–12 months (9.6%). Mutations in the INS gene were detected in 2 patients (0.3%) in the group with the MODY phenotype. Mutations in the INS gene were not detected in patients with transient NDM (TNDM). Analysis of clinical data in patients with PND and onset of diabetes at the age of 7–12 months did not show significant differences in the course of the disease. The clinical characteristics of the cases of MODY10 and diabetes caused by a mutation in the intron of the INS gene are reported in details.Conclusion: The role of INS gene mutations in NDM, MODY, and DM with an onset at the age of 7–12 months was analyzed in a large group of patients. The clinical characteristics of DM due to a mutation in the intron of the INS gene are reported for the first time in the Russian Federation.https://www.dia-endojournals.ru/jour/article/view/12737neonatal diabetes mellitusmonogenic diabetes mellitusmody10ins gene
spellingShingle Yu. V. Tikhonovich
E. E. Petryaykina
A. V. Timofeev
N. A. Zubkova
A. A. Kolodkina
E. L. Sorkina
E. V. Vasiliev
V. M. Petrov
E. A. Andrianova
L. I. Zilberman
G. N. Svetlova
A. L. Кalinin
P. M. Rubtsov
S. L. Кiselev
A. V. Panova
E. V. Shreder
T. S. Krasnova
B. P. Kulieva
I. V. Gariaeva
I. G. Rybkina
O. A. Malievskiy
A. N. Tyulpakov
Clinical, hormonal and molecular-genetic characteristics of monogenic diabetes mellitus associated with the mutations in the <i>INS</i> gene
Сахарный диабет
neonatal diabetes mellitus
monogenic diabetes mellitus
mody10
ins gene
title Clinical, hormonal and molecular-genetic characteristics of monogenic diabetes mellitus associated with the mutations in the <i>INS</i> gene
title_full Clinical, hormonal and molecular-genetic characteristics of monogenic diabetes mellitus associated with the mutations in the <i>INS</i> gene
title_fullStr Clinical, hormonal and molecular-genetic characteristics of monogenic diabetes mellitus associated with the mutations in the <i>INS</i> gene
title_full_unstemmed Clinical, hormonal and molecular-genetic characteristics of monogenic diabetes mellitus associated with the mutations in the <i>INS</i> gene
title_short Clinical, hormonal and molecular-genetic characteristics of monogenic diabetes mellitus associated with the mutations in the <i>INS</i> gene
title_sort clinical hormonal and molecular genetic characteristics of monogenic diabetes mellitus associated with the mutations in the i ins i gene
topic neonatal diabetes mellitus
monogenic diabetes mellitus
mody10
ins gene
url https://www.dia-endojournals.ru/jour/article/view/12737
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