青少年发病的成人型糖尿病(MODY)是一组青年起病的常染色体显性遗传病.目前,MODY按致病基因至少可分为13型:MODY1(肝细胞核因子4α,HNF4α),MODY2(葡萄糖激酶,GCK),MODY3(肝细胞核因子1α,HNF1α),MODY4(胰岛素启动因子1,IPF1),MODY5(肝细胞核因子1β,HNF1β),MODY6(神经元分化因子1,NEUROD1),MODY7(kruppel样因子11,KLF11),MODY8 (羧基酯脂肪酶,CEL),MODY9(成对盒基因4,PAX4),MODY10(胰岛素基因),MODY11(B淋巴细胞激酶,BLK),MODY12(ATP结合C家族8因子,ABCC8)和MODY13(内向整流性钾离子通道J家族11因子,KCNJ11).其发病机制、临床表现和治疗方法各有不同.
Maturity-onset diabetes of the young (MODY) is a young-onset diabetes mellitus with a autosomal-dominant mode of transmission.At least thirteen subtypes with distinct genetic aetiologies have been reported:MODY1 (hepatocyte nuclear factor 4α,HNF4α),MODY2 (glucokinase,GCK),MODY3 (hepatocyte nuclear factor 1α,HNF1α),MODY4 (insulin promoter factor 1,IPF1),MODY5 (hepatocyte nuclear factor 1β,HNF1β),MODY6 (neurogenic differentiation factor 1,NEUROD 1),MODY7 (kruppel-like factor 11,KLF11),MODY8 (carboxyl-ester lipase,CEL),MODY9 (paired-homeodomain transcription factor,PAX4),MODY10 (insulin gene),MODY1 1 (B-lymphocyte kinase,BLK),MODY1 2 (ATP-binding cassette,sub-family C member 8,ABCC8,and MODY13 (potassium inwardly-rectifying channel,subfamily J,member 11,KCNJ11).The etiopathogenisis,clinic phenotype and treatment of them are different.