HNF4A, hepatocyte nuclear factor 4 alpha, 3172

N. diseases: 340; N. variants: 74
Source: ALL
Disease Score gda Association Type Type Original DB Sentence supporting the association PMID PMID Year
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE This report describes GCK-MODY in a Chinese family and stresses that in managing this condition it is important to avoid unnecessary drug treatment and excessive anxiety about mild hyperglycemia. 31571622 2020
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE At diagnosis of pediatric diabetes, absence of all islet autoantibodies and modest hyperglycemia (HbA<sub>1c</sub> <7.5% [58 mmol/mol]) should result in testing for GCK, HNF1A, and HNF4A MODY. 31704690 2020
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE However, recent analyses have also demonstrated ABCC8 gene mutations in patients with monogenic diabetes (maturity onset diabetes of the young, MODY), with milder clinical phenotypes and later onset of hyperglycemia. 30734462 2019
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE GCK-MODY is characterized by mild hyperglycemia. 30535721 2019
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE This case raises the question as to whether hyperglycaemia in GCK-MODY may increase the risk of fetal caudal regression syndrome as reported in women with pre-existing diabetes mellitus. 30362177 2019
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE We assessed the contribution of hyperglycemia by comparing insulin sensitivity in control and GCK-MODY and the contribution of hyperinsulinemia by comparing GCK-MODY and type 1 diabetes. 31092478 2019
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE Eleven children with asymptomatic hyperglycemia and clinically suspected GCK-MODY were identified from the database of children with diabetes in the biggest children's hospital in South China. 29510678 2018
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE The findings leading to the diagnosis were impaired fasting glucose (IFG) (15/37), symptoms of hyperglycemia (4/37), and a GCK-MODY family history (18/37). 28663157 2017
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 CausalMutation disease CLINVAR Characteristics of maturity onset diabetes of the young in a large diabetes center. 26059258 2016
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE GCK-MODY leads to mildly elevated blood glucose typically not requiring therapy. 27106716 2016
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE People with GCK-MODY have a defect in glucose sensing; hence, glucose homeostasis is maintained at a higher set point resulting in mild, asymptomatic fasting hyperglycemia (5.4-8.3 mmol/L, HbA1c range 5.8-7.6% [40-60 mmol/mol]), which is present from birth and shows slight deterioration with age. 26106223 2015
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 GeneticVariation disease BEFREE However, mutations in the HNF1A and HNF4A cause a progressive pancreatic β-cell dysfunction and hyperglycemia that can result in microvascular complications. 25581748 2015
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 CausalMutation disease CLINVAR Clinical heterogeneity of abnormal glucose homeostasis associated with the HNF4A R311H mutation. 24947580 2014
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE MODY generally occurs in non-obese patients with negative autoantibodies presenting with mild to moderate hyperglycemia. 25372588 2014
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE Out of these 78 people with GCK-MODY and 40 additional family members with hyperglycaemia whose genetic status was unknown, only one had diabetic nephropathy. 24804978 2014
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 GeneticVariation disease BEFREE Family history for mild hyperglycaemia and GADA fluctuation alerted us to a possible MODY diagnosis which was confirmed by detection of GCK mutation c.626C>T; p.T209M. 23352578 2013
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 GeneticVariation disease CLINVAR Mutations in the genes encoding the transcription factors hepatocyte nuclear factor 1 alpha and 4 alpha in maturity-onset diabetes of the young and hyperinsulinemic hypoglycemia. 23348805 2013
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 CausalMutation disease CLINVAR Mutations in the genes encoding the transcription factors hepatocyte nuclear factor 1 alpha and 4 alpha in maturity-onset diabetes of the young and hyperinsulinemic hypoglycemia. 23348805 2013
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 CausalMutation disease CLINVAR Multidomain integration in the structure of the HNF-4α nuclear receptor complex. 23485969 2013
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 Biomarker disease BEFREE In contrast, mutations in the genes encoding the transcription factors HNF1A and HNF4A cause a progressive insulin secretory defect and hyperglycaemia that can lead to vascular complications. 23878349 2013
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 GeneticVariation disease BEFREE MODY1 and MODY3 mutations may interact by chance to give a more severe form of diabetes (younger age at presentation and early need of insulin therapy to control hyperglycemia). 20705777 2010
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 CausalMutation disease CLINVAR Macrosomia and hyperinsulinaemic hypoglycaemia in patients with heterozygous mutations in the HNF4A gene. 17407387 2007
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 GeneticVariation disease BEFREE We genetically analyzed four families of young children with fasting hyperglycemia with family histories of diabetes for mutations in the genes for hepatocyte nuclear factor 4 alpha (HNF4alpha), glucokinase (GCK), and hepatocyte nuclear factor 1 alpha (HNF1alpha), the genes responsible for MODY1, MODY2, and MODY3, respectively. 16444761 2006
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 CausalMutation disease CLINVAR Mutations in the genes encoding the transcription factors hepatocyte nuclear factor 1 alpha (HNF1A) and 4 alpha (HNF4A) in maturity-onset diabetes of the young. 16917892 2006
CUI: C0020456
Disease: Hyperglycemia
Hyperglycemia
0.200 CausalMutation disease CLINVAR Molecular genetics and phenotypic characteristics of MODY caused by hepatocyte nuclear factor 4alpha mutations in a large European collection. 15830177 2005