» Articles » PMID: 36573710

Maturity-Onset Diabetes of the Young: Mutations, Physiological Consequences, and Treatment Options

Overview
Journal J Pers Med
Date 2022 Dec 27
PMID 36573710
Authors
Affiliations
Soon will be listed here.
Abstract

Maturity-Onset Diabetes of the Young (MODY) is a rare form of diabetes which affects between 1% and 5% of diagnosed diabetes cases. Clinical characterizations of MODY include onset of diabetes at an early age (before the age of 30), autosomal dominant inheritance pattern, impaired glucose-induced secretion of insulin, and hyperglycemia. Presently, 14 MODY subtypes have been identified. Within these subtypes are several mutations which contribute to the different MODY phenotypes. Despite the identification of these 14 subtypes, MODY is often misdiagnosed as type 1 or type 2 diabetes mellitus due to an overlap in clinical features, high cost and limited availability of genetic testing, and unfamiliarity with MODY outside of the medical profession. The primary aim of this review is to investigate the genetic characterization of the MODY subtypes. Additionally, this review will elucidate the link between the genetics, function, and clinical manifestations of MODY in each of the 14 subtypes. In providing this knowledge, we hope to assist in the accurate diagnosis of MODY patients and, subsequently, in ensuring they receive appropriate treatment.

Citing Articles

Genetic Structure of Hereditary Forms of Diabetes Mellitus in Russia.

Minniakhmetov I, Khusainova R, Laptev D, Yalaev B, Karpova Y, Deev R Int J Mol Sci. 2025; 26(2).

PMID: 39859454 PMC: 11766241. DOI: 10.3390/ijms26020740.


[Research advances in maturity-onset diabetes of the young].

Geng H, Wang Z Zhongguo Dang Dai Er Ke Za Zhi. 2025; 27(1):121-126.

PMID: 39825662 PMC: 11750248. DOI: 10.7499/j.issn.1008-8830.2408070.


[Clinical characteristics and genetic analysis of maturity-onset diabetes of the young type 2 diagnosed in childhood].

Ye J, Ye F, Hou L, Wu W, Luo X, Liang Y Zhongguo Dang Dai Er Ke Za Zhi. 2025; 27(1):94-100.

PMID: 39825658 PMC: 11750243. DOI: 10.7499/j.issn.1008-8830.2408032.


Case report: A novel variant linked to gestational diabetes, congenital hyperinsulinism, and diazoxide hypersensitivity.

Chandran S, Verma D, Rajadurai V, Yap F Front Endocrinol (Lausanne). 2024; 15:1471596.

PMID: 39421536 PMC: 11484256. DOI: 10.3389/fendo.2024.1471596.


A novel nonsense mutation c.747C>G in the NEUROD1 gene detected within a Chinese family affected by maturity-onset diabetes of the young type 6.

Li Y, Wen Q, Shao H, Hao M, Sun Y, Liu T J Diabetes. 2024; 16(9):e13607.

PMID: 39264012 PMC: 11391377. DOI: 10.1111/1753-0407.13607.


References
1.
Stoy J, Edghill E, Flanagan S, Ye H, Paz V, Pluzhnikov A . Insulin gene mutations as a cause of permanent neonatal diabetes. Proc Natl Acad Sci U S A. 2007; 104(38):15040-4. PMC: 1986609. DOI: 10.1073/pnas.0707291104. View

2.
Jiang X, Zhou Y, Wu K, Chen Z, Xu A, Cheng K . APPL1 prevents pancreatic beta cell death and inflammation by dampening NFκB activation in a mouse model of type 1 diabetes. Diabetologia. 2016; 60(3):464-474. DOI: 10.1007/s00125-016-4185-z. View

3.
Stoffel M, Duncan S . The maturity-onset diabetes of the young (MODY1) transcription factor HNF4alpha regulates expression of genes required for glucose transport and metabolism. Proc Natl Acad Sci U S A. 1997; 94(24):13209-14. PMC: 24288. DOI: 10.1073/pnas.94.24.13209. View

4.
Johansson B, Fjeld K, El Jellas K, Gravdal A, Dalva M, Tjora E . The role of the carboxyl ester lipase (CEL) gene in pancreatic disease. Pancreatology. 2017; 18(1):12-19. DOI: 10.1016/j.pan.2017.12.001. View

5.
George D, Chakraborty C, Haneef S, Nagasundaram N, Chen L, Zhu H . Evolution- and structure-based computational strategy reveals the impact of deleterious missense mutations on MODY 2 (maturity-onset diabetes of the young, type 2). Theranostics. 2014; 4(4):366-85. PMC: 3936290. DOI: 10.7150/thno.7473. View