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Human Molecular Genetics, 2002, Vol. 11, No. 23 2951-2960
© 2002 Oxford University Press

Targeted disruption of Slc19a2, the gene encoding the high-affinity thiamin transporter Thtr-1, causes diabetes mellitus, sensorineural deafness and megaloblastosis in mice

Kimihiko Oishi1,2, Susanna Hofmann3, George A. Diaz1,2, Tartania Brown1,2, Deepa Manwani1, Lily Ng2, Randy Young4, Helen Vlassara3, Yiannis A. Ioannou2, Douglas Forrest2 and Bruce D. Gelb1,2,*

1Department of Pediatrics, 2Department of Human Genetics and 3Division of Diabetes and Aging, Mount Sinai School of Medicine, New York, NY 10029, USA and 4LabCorp, Research Triangle Park, NC 27709, USA

Received July 25, 2002; Accepted September 3, 2002

Thiamin-responsive megaloblastic anemia syndrome (TRMA) is characterized by diabetes mellitus, megaloblastic anemia and sensorineural deafness. Mutations in the thiamin transporter gene SLC19A2 cause TRMA. To generate a mouse model of TRMA, we developed an Slc19a2 targeting construct using transposon-mediated mutagenesis and disrupted the gene through homologous recombination in embryonic stem cells. Erythrocytes from Slc19a2-/- mice lacked the high-affinity component of thiamin transport. On a thiamin-free diet, Slc19a2-/- mice developed diabetes mellitus with reduced insulin secretion and an enhanced response to insulin. The diabetes mellitus resolved after 6 weeks of thiamin repletion. Auditory-evoked brainstem response thresholds were markedly elevated in Slc19a2-/- mice on a thiamin-free diet, but were normal in wild-type mice treated on that diet as well as thiamin-fed Slc19a2-/- mice. Bone marrows from thiamin-deficient Slc19a2-/- mice were abnormal, with a megaloblastosis affecting the erythroid, myeloid and megakaryocyte lines. Thus, Slc19a2-/- mice have provided new insights into the TRMA disease pathogenesis and will provide a tool for studying the role of thiamin homeostasis in diabetes mellitus more broadly.

* To whom correspondence should be addressed at: Departments of Pediatrics and Human Genetics, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1498, New York, NY 10029, USA. Tel: +1 2126596705; Fax: +1 2128492508; Email: bruce.gelb{at}mssm.edu


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