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Diabetes, Vol 46, Issue 10 1648-1651, Copyright © 1997 by American Diabetes Association
Maturity-onset diabetes of the young due to a mutation in the hepatocyte nuclear factor-4 alpha binding site in the promoter of the hepatocyte nuclear factor-1 alpha gene
C Gragnoli, T Lindner, BN Cockburn, PJ Kaisaki, F Gragnoli, G Marozzi and GI Bell
Howard Hughes Medical Institute, University of Chicago, Illinois, USA.
Recent studies have shown that mutations in the transcription factor
hepatocyte nuclear factor (HNF)-1 alpha are the cause of one form of
maturity-onset diabetes of the young (MODY3). These studies have identified
mutations in the mRNA and protein coding regions of this gene that result
in the synthesis of an abnormal mRNA or protein. Here, we report an Italian
family in which an A-->C substitution at nucleotide-58 of the promoter
region of the HNF-1 alpha gene cosegregates with MODY. This mutation is
located in a highly conserved region of the promoter and disrupts the
binding site for the transcription factor HNF-4 alpha, mutations in the
gene encoding HNF-4 alpha being another cause of MODY (MODY1). This result
demonstrates that decreased levels of HNF-1 alpha per se can cause MODY.
Moreover, it indicates that both the promoter and coding regions of the
HNF-1 alpha gene should be screened for mutations in subjects thought to
have MODY because of mutations in this gene.

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Copyright © 1997 by the American Diabetes Association.
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