Type 2 & other diabetes

Phenotypic features, prevalence of KCNJ11 ‐MODY in Chinese patients with early‐onset diabetes and a literature review

Clin Endocrinol (Oxf)Published Cross-sectional genetic screening study with literature review

Authors' conclusion

Some rare variants of KCNJ11 might contribute to the development of Chinese EOD, although available evidence has not enough power to support them as cause of KCNJ11-MODY. The clinical features of LOF variants were different from GOF variants in KCNJ11-MODY patients. It is necessary to evaluate the pathogenicity of VUS through function experiments.

Study context

Population
Chinese patients with early-onset T2D (EOD)
Participants
679 patients
Outcome
Prevalence and phenotypic features of KCNJ11-MODY
Methodological detailsnext-generation sequencing, ACMG guideline-based variant classification
  • Next-generation sequencing
  • ACMG guideline-based variant classification

Main finding

As reported in the abstract

Predicted deleterious rare KCNJ11 variants (all VUS)
EOD patients with predicted deleterious rare variants
6 (0.88%)
General Chinese population database
53/10,588, 0.50%
EOD cohort vs general Chinese population database, no significant difference
p = .268

Observational data: associations, not effects.

Further findings

Literature review: Loss-of-function (LOF) vs gain-of-function (GOF) variants in previously reported KCNJ11-MODY

Patients carrying LOF variants
23.8% (19/80)
LOF variants
9 (32.1%)
LOF carriers had significantly older age at diagnosis, higher birthweight and higher fasting C-peptide vs GOF
Many patients carrying VUS were not correctly diagnosed

Original publication

Phenotypic features, prevalence of KCNJ11 ‐MODY in Chinese patients with early‐onset diabetes and a literature review. Clin Endocrinol (Oxf). Published 27 August 2024. doi:10.1111/cen.15126

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