Maturity‐onset diabetes of the young (MODY) due to PDX1 mutation in a sib‐pair diabetes family from Qatar

Haris, Basma; Mohammed, Idris; Syed, Najeeb; Fakhro, Khalid; Hussain, Khalid

doi:10.1002/ccr3.5141

Cited by 7 publications

(1 citation statement)

References 10 publications

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“…GATA6 haploinsufficiency 20 , 21 , 22 and GATA4 mutations 23 were reported to result in a wide phenotypic spectrum of diabetes (from PNDM to adult‐onset diabetes), exocrine pancreatic affection, and variable heart defects in individuals carrying the same mutation. There are also few reports of variable presentation of diabetes in patients carrying the exact same PDX‐1 genotypic mutation (from early‐onset MODY 4 diabetes, gestational diabetes progressing to type 2 diabetes, or later‐onset MODY‐diabetes) 24 , 25 . Interestingly, the two male cases with MNX1 mutations causing diabetes had a syndromic presentation whereas the female case had isolated PNDM.…”

Section: Patient and Methodsmentioning

confidence: 99%

MNX1 mutations causing neonatal diabetes: Review of the literature and report of a case with extra‐pancreatic congenital defects presenting in severe diabetic ketoacidosis

Aly

Franco

Flanagan

et al. 2022

J of Diabetes Invest

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The MNX1 gene encodes a homeobox transcription factor found to be important for pancreatic beta cell differentiation and development. Mutations of the MNX1 gene that cause permanent neonatal diabetes mellitus (PNDM) are rare and have been reported in only two cases. Both cases presented with hyperglycemia, with one case having isolated PNDM while the other had PNDM and multiple neurologic, skeletal, lung, and urologic congenital anomalies resulting in death in early infancy. We describe the genetic and clinical features of a preterm male infant with a homozygous [c.816C > A p.(Phe272Leu)] MNX1 mutation. Our proband is the first case to present in severe diabetic ketoacidosis (DKA), indicating severe insulin deficiency. Unlike the previously reported female case who had the same mutation and presented with isolated PNDM, our proband had hypospadias and congenital umbilical hernia and showed poor growth on follow up. Our case suggests that MNX1 mutations causing NDM can result in a range of extra‐pancreatic features and a variable phenotype, similar to other transcription factors causing NDM such as GATA6 and GATA4 mutations. We also cannot exclude the possibility of sex‐biased expression of MNX1 gene (which was recently reported for other monogenic/neonatal diabetes genes such as the NEUROD1 and HNF4A in humans) since the two male cases had associated multiple anomalies while the female case had isolated PNDM. Our report further defines the phenotype caused by recessive homozygous MNX1 mutations and explores potential new mechanisms regulating MNX1 gene expression which should be further explored.

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