Two novel pathogenic PDX1 variants in two Japanese patients with maturity-onset diabetes of the young

Abstract Maturity-onset diabetes of the young type 4 (MODY4, PDX1-MODY) is a monogenic diabetes caused by the PDX1 gene. Here we detected two novel heterozygous missense variants, NM_000209.4(NP_000200.1):c.443G>T, p.(Arg148Leu) and c.442C>G p.(Arg148Gly), in two Japanese patients. Pathogenici...

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Main Authors: Satoshi Tanaka, Hiroyuki Akagawa, Michiyo Hase, Naoko Iwasaki
Format: Article
Language:English
Published: Nature Publishing Group 2025-05-01
Series:Human Genome Variation
Online Access:https://doi.org/10.1038/s41439-025-00312-4
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author Satoshi Tanaka
Hiroyuki Akagawa
Michiyo Hase
Naoko Iwasaki
author_facet Satoshi Tanaka
Hiroyuki Akagawa
Michiyo Hase
Naoko Iwasaki
author_sort Satoshi Tanaka
collection DOAJ
description Abstract Maturity-onset diabetes of the young type 4 (MODY4, PDX1-MODY) is a monogenic diabetes caused by the PDX1 gene. Here we detected two novel heterozygous missense variants, NM_000209.4(NP_000200.1):c.443G>T, p.(Arg148Leu) and c.442C>G p.(Arg148Gly), in two Japanese patients. Pathogenicity testing revealed a loss of function in both variants. Family members had severe diabetic complications, including proliferative retinopathy and overt nephropathy such as end-stage renal disease. Laboratory testing indicated persistently high glucose levels, at least partially caused by reduced postprandial insulin secretion.
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institution DOAJ
issn 2054-345X
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publishDate 2025-05-01
publisher Nature Publishing Group
record_format Article
series Human Genome Variation
spelling doaj-art-a9bc5b1ce54e45ccbbaf398668839f212025-08-20T03:10:20ZengNature Publishing GroupHuman Genome Variation2054-345X2025-05-011211410.1038/s41439-025-00312-4Two novel pathogenic PDX1 variants in two Japanese patients with maturity-onset diabetes of the youngSatoshi Tanaka0Hiroyuki Akagawa1Michiyo Hase2Naoko Iwasaki3Institute for Comprehensive Medical Sciences, Tokyo Women’s Medical UniversityInstitute for Comprehensive Medical Sciences, Tokyo Women’s Medical UniversityInstitute of Geriatrics, Tokyo Women’s Medical UniversityInstitute for Comprehensive Medical Sciences, Tokyo Women’s Medical UniversityAbstract Maturity-onset diabetes of the young type 4 (MODY4, PDX1-MODY) is a monogenic diabetes caused by the PDX1 gene. Here we detected two novel heterozygous missense variants, NM_000209.4(NP_000200.1):c.443G>T, p.(Arg148Leu) and c.442C>G p.(Arg148Gly), in two Japanese patients. Pathogenicity testing revealed a loss of function in both variants. Family members had severe diabetic complications, including proliferative retinopathy and overt nephropathy such as end-stage renal disease. Laboratory testing indicated persistently high glucose levels, at least partially caused by reduced postprandial insulin secretion.https://doi.org/10.1038/s41439-025-00312-4
spellingShingle Satoshi Tanaka
Hiroyuki Akagawa
Michiyo Hase
Naoko Iwasaki
Two novel pathogenic PDX1 variants in two Japanese patients with maturity-onset diabetes of the young
Human Genome Variation
title Two novel pathogenic PDX1 variants in two Japanese patients with maturity-onset diabetes of the young
title_full Two novel pathogenic PDX1 variants in two Japanese patients with maturity-onset diabetes of the young
title_fullStr Two novel pathogenic PDX1 variants in two Japanese patients with maturity-onset diabetes of the young
title_full_unstemmed Two novel pathogenic PDX1 variants in two Japanese patients with maturity-onset diabetes of the young
title_short Two novel pathogenic PDX1 variants in two Japanese patients with maturity-onset diabetes of the young
title_sort two novel pathogenic pdx1 variants in two japanese patients with maturity onset diabetes of the young
url https://doi.org/10.1038/s41439-025-00312-4
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