Neonatal Diabetes (NDM) Genes

 

Gene Locus Inheritance Other clinical features
Abnormal pancreatic development:
PLAGL1/HYMAI 6q24 Variable (imprinting) TNDM ± macroglossia ± umbilical hernia
ZFP57 6p22.1 Recessive TNDM (multiple hypomethylation syndrome) ± macroglossia ± developmental delay ± umbilical defects ± congenital heart disease
PDX1 13q12.1 Recessive PNDM + pancreatic agenesis (steatorrhea)
PTF1A 10p12.2 Recessive PNDM + pancreatic agenesis (steatorrhea) + cerebellar hypoplasia/aplasia + central respiratory dysfunction
PTF1A enhancer 10p12.2 Recessive PNDM + pancreatic agenesis without CNS features
HNF1B 17q21.3 Dominant TNDM + pancreatic hypoplasia and renal cysts
RFX6 6q22.1 Recessive PNDM + intestinal atresia + gall bladder agenesis
GATA6 18q11.1‐q11.2 Dominant PNDM + pancreatic agenesis + congenital heart defects + biliary abnormalities
GATA4 8p23.1 Dominant PNDM + pancreatic agenesis + congenital heart defects
GLIS3 9p24.3‐p23 Recessive PNDM + congenital hypothyroidism + glaucoma + hepatic fibrosis + renal cysts
NEUROG3 10q21.3 Recessive PNDM + enteric anendocrinosis (malabsorptive diarrhea)
NEUROD1 2q32 Recessive PNDM + cerebellar hypoplasia + visual impairment + deafness
PAX6 11p13 Recessive PNDM + microphthalmia + brain malformations
MNX1 7q36.3 Recessive PNDM + developmental delay + sacral agenesis + imperforate anus
NKX2‐2 20p11.22 Recessive PNDM + developmental delay + hypotonia + short stature + deafness + constipation
CNOT1 16q21 Spontaneous PNDM + pancreatic agenesis + holoprosencephaly
ONECUT1 15q21.3 Recessive PNDM + pancreatic hypoplasia + gall bladder hypoplasia
Abnormal β‐cell function:
KCNJ11 11p15.1 Spontaneous or dominant PNDM/ TNDM ± DEND
ABCC8 11p15.1 Spontaneous, dominant or recessive TNDM/PNDM ± DEND
INS 11p15.5 Recessive Isolated PNDM or TNDM
GCK 7p15‐p13 Recessive Isolated PNDM
SLC2A2 (GLUT2) 3q26.1‐q26.3 Recessive Fanconi‐Bickel syndrome: PNDM + hypergalactosemia, liver dysfunction
SLC19A2 1q23.3 Recessive Roger’s syndrome: PNDM + thiamine‐responsive megaloblastic anemia, sensorineural deafness
KCNMA1 10q22.3 Spontaneous PNDM (not all cases) + developmental delay + intestinal malformations + cardiac malformations + bone dysplasia + dysmorphic features
Destruction of β cells:
INS 11p15.5 Spontaneous or dominant Isolated PNDM
EIF2AK3 2p11.2 Recessive Wolcott‐Rallison syndrome: PNDM + skeletal dysplasia + recurrent liver dysfunction
IER3IP1 18q21.2 Recessive PNDM + microcephaly + lissencephaly + epileptic encephalopathy
FOXP3 Xp11.23‐p13.3 X‐linked, recessive IPEX syndrome (autoimmune enteropathy, eczema, autoimmune hypothyroidism, elevated IgE)
WFS1 4p16.1 Recessive PNDM a  + optic atrophy ± diabetes insipidus ± deafness
WFS1 4p16.1 Dominant PNDM or infancy‐onset diabetes + congenital cataracts + deafness
EIF2B1 12q24.31 Spontaneous PNDM + episodic hepatic dysfunction
YIPF5 5q31.3 Recessive PNDM + severe microcephaly + epilepsy
STAT3 17q21.2 Spontaneous PNPM + enteropathy + other autoimmunity such as cytopenias
CTLA4 2q33.2 Spontaneous Lymphoproliferative syndrome + enteropathy + cytopenias + diabetes + thyroiditis
ITCH 20q11.22 Recessive PNDM + facial dysmorphism + multi‐system autoimmunity
IL2RA 10p15.1 Recessive Lymphoproliferation + multi‐system autoimmunity + diabetes
LRBA 4q31.3 Recessive PNDM + enteropathy + hypothyroidism + autoimmune hemolytic anemia