Type 2 & other diabetes

Prevalence and Clinical Characteristics of PDX1 Variant Induced Diabetes in Chinese Early-Onset Type 2 Diabetes

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Our study suggested that MODY4 was prevalent in 0.59% of patients with EOD in a Chinese population. It was more difficult to identify clinically than other MODY subtypes owning to its clinical similarity to EOD. Also, this study revealed that there is some relationship between genotype and phenotype.

Study context

Population
Chinese patients clinically diagnosed with early-onset T2D (EOD)
Participants
679 participants
Outcome
Prevalence of MODY4 (pathogenic or likely pathogenic PDX1 variant)
Methodological detailsgenetic screening by DNA sequencing, functional experiments, review of previously reported cases
  • Genetic screening by DNA sequencing
  • Functional experiments
  • Review of previously reported cases

Main finding

As reported in the abstract

MODY4 prevalence

Patients with MODY4

4

Prevalence of MODY4 in EOD cohort

0.59%

Observational data: associations, not effects.

Further findings

Homeodomain variants vs Transactivation domain variants

Age at diagnosis, homeodomain vs transactivation domain variant carriers (with previously reported cases) · diagnosed earlier with homeodomain variants

P < 0.001

Missense vs Nonsense or frameshift

Overweight or obese, missense vs nonsense or frameshift mutations (with previously reported cases) · higher with missense

P = 0.031

Original publication

Prevalence and Clinical Characteristics of PDX1 Variant Induced Diabetes in Chinese Early-Onset Type 2 Diabetes. J Clin Endocrinol Metab. Published 6 June 2023. doi:10.1210/clinem/dgad303

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