Type 2 & other diabetes

Multisystem developmental abnormalities and insulin resistance in ADTKD ‐ HNF1B with the p. E105K variant: A clinical conundrum

Diabet MedPublished Case report

Authors' conclusion

This case suggests a possible expansion of the p.E105K phenotypic spectrum and indicates that insulin resistance in ADTKD-HNF1B is best interpreted as multifactorial and predominantly chronic kidney disease-driven rather than variant-specific.

Study context

Population
15-year-old male proband with CKD and multisystem developmental abnormalitiesproband
Participants
1 participants
Outcome
Phenotype and genotype of proband
Methodological detailstrio-based whole-exome sequencing, Variant classified by American College of Medical Genetics and Genomics/Association for Molecular Pathology criteria
  • Trio-based whole-exome sequencing
  • Variant classified by American College of Medical Genetics and Genomics/Association for Molecular Pathology criteria

Main finding

As reported in the abstract

OGTT: impaired glucose tolerance with postprandial hyperinsulinaemia and preserved β-cell function; 2-h insulin

3556 pmol/L

Further findings

Family segregation

Mother, with diabetes and normal renal morphology, carried the same variant

Original publication

Multisystem developmental abnormalities and insulin resistance in ADTKD ‐ HNF1B with the p. E105K variant: A clinical conundrum. Diabet Med. Published 30 September 2026. doi:10.1111/dme.70457

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