Diabetes, Vol 49, Issue 2 302-305, Copyright © 2000 by American Diabetes Association
Beta-cell transcription factors and diabetes: no evidence for diabetes-associated mutations in the hepatocyte nuclear factor-3beta gene (HNF3B) in Japanese patients with maturity-onset diabetes of the young
Y Hinokio, Y Horikawa, H Furuta, NJ Cox, N Iwasaki, M Honda, M Ogata, Y Iwamoto and GI Bell
Howard Hughes Medical Institute, Department of Biochemistry, University of Chicago, Illinois 60637, USA.
Mutations in the transcription factors hepatoctye nuclear factor
(HNF)-4alpha and -1alpha, insulin promoter factor-1, and HNF-1beta are the
causes of four forms of maturity-onset diabetes of the young (MODY1 and
3-5, respectively). The winged-helix transcription factor HNF-3beta has
been implicated in the regulation of expression of each of these MODY
genes, suggesting that mutations in the HNF-3beta gene (HNF3B) may also
cause MODY. We have tested this hypothesis by screening a panel of 57
unrelated Japanese subjects with a clinical diagnosis of MODY for mutations
in HNF3B. This analysis revealed four frequent polymorphisms that were not
associated with MODY, including one in the promoter region (-213A/G), two
silent mutations in the codons for Ala 97 (291C/T) and Gly 279 (837A/G),
and one in the 3'-untranslated region (1424C/T). Two rare substitutions in
the 5'-untranslated region, -156C/T and -67A/C, were found in a
heterozygous state in two subjects, and two subjects were heterozygous for
putative missense mutations, S109N (326G > A) and A328V (983C>T). The
two missense mutations were not found in 106 normal chromosomes from
nondiabetic subjects. It was not possible to test for co-segregation of
these mutations with diabetes and thus, it is unclear whether or not these
mutations can cause MODY. The results of our study suggest that mutations
in HNF3B are not a common cause of MODY in Japanese subjects.