Type 2 & other diabetes

Identification and characterization of novel PAX4 variants in patients with suspected MODY9

BMJ Open Diabetes Res CarePublished Mechanistic study

Authors' conclusion

This study expands the spectrum of PAX4 variants and provides novel mechanistic insights into the pathogenesis of MODY9. Our results highlight the importance of assessing protein-level consequences for variant interpretation and support the integration of functional assays into MODY genetic diagnostic workflows.

Study context

Population
3 unrelated patients with early-onset diabetes and family history of the disease, suspected maturity-onset diabetes of the young (MODY)
Participants
3 unrelated patients
Outcome
Novel PAX4 variants and their functional consequences
Methodological detailscase series, whole-exome and Sanger sequencing, in silico predictions, functional studies in MIN6 cells
  • Case series
  • Whole-exome and Sanger sequencing
  • In silico predictions
  • Functional studies in MIN6 cells

Main finding

As reported in the abstract

Three novel PAX4 variants identified: c.83delA; p.Gln28ArgfsTer6, c.35T>C; p.Leu12Pro, c.488G>C; p.Arg163Pro
3

Original publication

Identification and characterization of novel PAX4 variants in patients with suspected MODY9. BMJ Open Diabetes Res Care. Published 31 December 2025. doi:10.1136/bmjdrc-2025-005375

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