A ONECUT1 regulatory, non-coding region in pancreatic development and diabetes

Sarah Merz, Valerie Senee, Anne Philippi, Franz Oswald, Mina Shaigan, Marita Fuehrer, Cosima Drewes, Chantal Allgoewer, Rupert Oellinger, Martin Heni, Anne Boland, Jean-Francois Deleuze, Franziska Birkhofer, Eduardo G Gusmao, Martin Wagner, Meike Hohwieler, Markus Breunig, Roland Rad, Reiner Siebert, David Alexander Christian Messerer, Ivan Gesteira Costa Filho, Fernando Alvarez, Cecile Julier, Sandra Heller, Alexander Kleger
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Abstract

In a patient with permanent neonatal syndromic diabetes clinically similar to cases with ONECUT1 biallelic mutations, we identified a disease-causing deletion located upstream of ONECUT1. Through genetic, genomic and functional studies we identified a crucial regulatory region acting as an enhancer of ONECUT1 specifically during pancreatic development. This enhancer region contains a low-frequency variant showing strong association with type 2 diabetes and other glycemic traits, thus extending the contribution of this region to common forms of diabetes. Clinical relevance is provided by experimentally tailored therapy options for patients carrying ONECUT1 coding or regulatory mutations.
胰腺发育和糖尿病中的 ONECUT1 非编码调控区
在一名患有永久性新生儿综合征糖尿病的患者身上,我们发现了一个位于 ONECUT1 上游的致病缺失区,其临床表现与 ONECUT1 双重突变病例相似。通过基因、基因组和功能研究,我们确定了一个关键的调控区域,它在胰腺发育过程中特别充当 ONECUT1 的增强子。该增强子区域包含一个低频变体,显示出与 2 型糖尿病和其他血糖特征的密切联系,从而扩大了该区域对常见糖尿病的贡献。对携带 ONECUT1 编码或调控突变的患者进行实验性定制治疗方案具有临床意义。
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