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10.1136/jmedgenet-2015-103220

http://scihub22266oqcxt.onion/10.1136/jmedgenet-2015-103220
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suck abstract from ncbi


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pmid26101329
      J+Med+Genet 2015 ; 52 (9 ): 612-6
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  • Continued lessons from the INS gene: an intronic mutation causing diabetes through a novel mechanism #MMPMID26101329
  • Carmody D ; Park SY ; Ye H ; Perrone ME ; Alkorta-Aranburu G ; Highland HM ; Hanis CL ; Philipson LH ; Bell GI ; Greeley SA
  • J Med Genet 2015[Sep]; 52 (9 ): 612-6 PMID26101329 show ga
  • BACKGROUND: Diabetes in neonates usually has a monogenic aetiology; however, the cause remains unknown in 20-30%. Heterozygous INS mutations represent one of the most common gene causes of neonatal diabetes mellitus. METHODS: Clinical and functional characterisation of a novel homozygous intronic mutation (c.187+241G>A) in the insulin gene in a child identified through the Monogenic Diabetes Registry (http://monogenicdiabetes.uchicago.edu). RESULTS: The proband had insulin-requiring diabetes from birth. Ultrasonography revealed a structurally normal pancreas and C-peptide was undetectable despite readily detectable amylin, suggesting the presence of dysfunctional ? cells. Whole-exome sequencing revealed the novel mutation. In silico analysis predicted a mutant mRNA product resulting from preferential recognition of a newly created splice site. Wild-type and mutant human insulin gene constructs were derived and transiently expressed in INS-1 cells. We confirmed the predicted transcript and found an additional transcript created via an ectopic splice acceptor site. CONCLUSIONS: Dominant INS mutations cause diabetes via a mutated translational product causing endoplasmic reticulum stress. We describe a novel mechanism of diabetes, without ? cell death, due to creation of two unstable mutant transcripts predicted to undergo nonsense and non-stop-mediated decay, respectively. Our discovery may have broader implications for those with insulin deficiency later in life.
  • |*Introns [MESH]
  • |*Mutation [MESH]
  • |Diabetes Mellitus/etiology/*genetics [MESH]
  • |Humans [MESH]
  • |Infant [MESH]
  • |Insulin, Regular, Human/*genetics [MESH]


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