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 |