Table 1.
Various categories of monogenic diabetes with genes involved in the pathogenesis and the clinical features, with special emphasis on monogenic diabetes other than maturity-onset diabetes of the young and neonatal diabetes mellitus
|
Types
|
Subtypes/varieties
|
Gene/protein
|
Clinical features
|
Inheritance
|
| MODY | MODY 1 to 14 | See Table 2 | See Table 2 | |
| Neonatal diabetes | Permanent NDM | See Table 2 | See Table 2 | |
| Transient NDM | See Table 2 | See Table 2 | ||
| Other monogenic diabetes with defective insulin synthesis and secretion | Mitochondrial DM | m.3243A > G | Maternally inherited diabetes and deafness | Maternal |
| Wolfram syndrome 1 or 2 | WFS1 or CISD2 | DIDMOAD 1 or 2 diabetes insipidus, diabetes mellitus, optic atrophy and deafness | AR | |
| Rogers syndrome | SLC19A2 | Thiamine-responsive megaloblastic anaemia, deafness, and diabetes | AR | |
| H or PHID syndrome | SLC29A3 | H syndrome: Hyperpigmentation, hypertrichosis, hepatosplenomegaly, heart anomaly, hearing loss, low height, hypogonadism and hyperglycaemia; PHID syndrome | AR | |
| Monogenic autoimmune diabetes syndromes | IPEX syndrome | FOXP3 | IPEX syndrome | XR |
| LRBA | Common variable immunodeficiency 8 | AR | ||
| STAT3 | Infancy-onset multi-system autoimmune disease type 1 | AD | ||
| APECED syndrome | AIRE | Autoimmune polyendocrinopathy syndrome type 1 | AR | |
| IL2RA | Immunodeficiency 41 with lymphoproliferation and autoimmunity | AR | ||
| IPEX-like syndrome | STAT1 | IPEX-like syndrome | AD | |
| STAT5B | Growth defect, primary immunodeficiency, and endocrine abnormalities | AR | ||
| Insulin resistance syndromes | Congenital generalized lipodystrophy (Seip-Berardinelli syndrome) | AGPAT2 | CGL1-acromegalic features | AR |
| BSCL2 | CGL2-cardiomyopathy, polyneuropathy, mental retardation | AR | ||
| CAV1 | CGL3-short stature, pulmonary arterial hypertension, and vitamin D resistance | AR | ||
| PTRF | CGL4-congenital myopathy, pyloric stenosis, cardiomyopathy, atlantoaxial instability | AR | ||
| Partial lipodystrophy | LMNA | FPLD2-fat loss from limbs; fat deposition in face, neck and perineum (Dunnigan variety) | AD | |
| PPARG | FPLD3-loss of subcutaneous fat from distal extremities | AD | ||
| PLIN1 | FPLD4-loss of subcutaneous fat from extremities | AD | ||
| AKT2 | AKT2 linked FPLD-loss of subcutaneous fat from extremities | AD | ||
| CIDEC | FPLD5-fat loss of lower limbs and abdomen, and multilocular lipid droplets | AR | ||
| LIPE | FPLD6-upper body pseudo-lipomatosis, fat loss from limbs, and muscle atrophy in some cases | AR | ||
| LMNA | Mandibuloacral dysplasia A syndrome-skeletal anomaly, loss of extremity fat, neuropathy, premature ageing | AR | ||
| ZMPST24 | Mandibuloacral dysplasia B syndrome-skeletal anomaly, loss of fat, premature renal failure, progeroid | AR | ||
| PIK3R1 | SHORT syndrome | AD | ||
| POLD1 | MDPL syndrome | De novo | ||
| WRN | Werner syndrome-progeria and cataract | AR |
MODY: Maturity-onset diabetes of the young; DM: Diabetes mellitus; NDM: Neonatal diabetes mellitus; IPEX syndrome: Immuno-dysregulation, polyendocrinopathy, enteropathy, X-linked; PHID: Pigmented hypertrichosis and insulin-dependent diabetes mellitus; APECED: Autoimmune polyendocrinopathy candidiasis ectodermal dystrophy; DIDMOAD: Diabetes insipidus, diabetes mellitus, optic atrophy and deafness; AD: Autosomal dominant; AR: Autosomal recessive; XR: X-linked recessive; CGL: Congenital generalized lipodystrophy; FPLD: Familial partial lipodystrophy; SHORT: Short stature, hyperextensibility, hernia, ocular depression, Rieger anomaly and teething delay; MDPL: Mandibular hypoplasia, deafness, progeroid features, and lipodystrophy syndrome.