Human Molecular Genetics Advance Access originally published online on June 7, 2006
Human Molecular Genetics 2006 15(14):2216-2224; doi:10.1093/hmg/ddl147
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Isomers of the TCF1 gene encoding hepatocyte nuclear factor-1 alpha show differential expression in the pancreas and define the relationship between mutation position and clinical phenotype in monogenic diabetes
1 Institute of Biomedical and Clinical Sciences, Peninsula Medical School, Barrack Road, Exeter, Devon, UK and 2 Institute of Biomedical and Clinical Sciences, Peninsula Medical School, Research Way, Plymouth. Devon, UK
* To whom correspondence should be addressed: Department of Molecular Genetics, Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter EX2 5DW, UK. Tel: +44 1392 06121; Fax: +44 1392 402946; Email: l.w.harries{at}exeter.ac.uk
Received April 25, 2006; Revised May 23, 2006; Accepted June 1, 2006
The generation of multiple transcripts by mRNA processing has the potential to moderate differences in gene expression both between tissues and at different stages of development. Where gene function is compromised by mutation, the presence of multiple isoforms may influence the resulting phenotype. Heterozygous mutations in the transcription factor hepatocyte nuclear factor-1 alpha (HNF1A or TCF1 gene) result in early-onset diabetes as a result of pancreatic beta-cell dysfunction. We investigated the expression of the three alternatively processed isoforms of the HNF1A gene and their impact on the phenotype associated with mutations. Real-time PCR demonstrated variation in tissue expression of HNF1A isomers: HNF1A(A), with the lowest transactivation activity compared with the truncated isoforms HNF1A(B) and HNF1A(C), is the major isomer in liver (54%) and kidney (67%) but not in adult pancreas (24%) and islets (26%). However, in fetal pancreas HNF1A(A) is the major transcript (84%), which supports developmental regulation of isomer expression. We examined whether the isomers affected by the mutation altered the diabetes phenotype in 564 subjects with 123 mutations in HNF1A. Mutations that affected only isomer HNF1A(A) (exons 8–10) were diagnosed later (25.5 years) than mutations affecting all three isomers (exons 1–6) (18.0 years) (P=0.006). This first genotype/phenotype relationship described for patients with HNF1A mutations is explained by isomer structure and not by either mutation type or functional domain. We conclude that all three isomers may be critical for beta-cell function and could play a role in both the developing and mature beta cell.
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