Clinical follow-up of two Brazilian subjects with glucokinase-MODY (MODY2) with description of a novel mutation

Arq Bras Endocrinol Metabol. 2012 Nov;56(8):490-5. doi: 10.1590/s0004-27302012000800005.

Abstract

Mutations in the glucokinase gene (GCK) account for many cases of monogenic diabetes featuring maturity-onset diabetes of the young type 2 (MODY2). The clinical pattern of this form of hyperglycemia is rather stable, with a slight elevation in blood glucose, which is usually not progressive. Patients rarely require pharmacological interventions and microvascular complications related to diabetes are unusual. We describe the clinical follow-up of two cases of MODY2 with two different mutations in GCK gene, one in exon 7, p.Glu265Lys (c.793 G> A), which has been previously described, and a novel one, in exon 2, p.Ser69Stop (c. 206C> G). The clinical course of both cases shows similarity in metabolic control of this form of diabetes over the years.

MeSH terms

  • Brazil
  • Diabetes Mellitus, Type 2 / enzymology
  • Diabetes Mellitus, Type 2 / genetics*
  • Female
  • Glucokinase / genetics*
  • Heterozygote
  • Humans
  • Male
  • Mutation / genetics*
  • Phenotype

Substances

  • Glucokinase

Supplementary concepts

  • Maturity-Onset Diabetes of the Young, Type 2