Genomic landscape of Mexican patients with maturity onset diabetes of the young: beyond mutations in MODY-known genes - Report - MDSpire

Genomic landscape of Mexican patients with maturity onset diabetes of the young: beyond mutations in MODY-known genes

  • By

  • Alberto Moscona-Nissan

  • Daniel Marrero-Rodríguez

  • Sergio Andonegui-Elguera

  • Eduardo Salif Luna-Ávila

  • Florencia Martínez-Mendoza

  • Sandra Vela-Patiño

  • Itzel Ramírez-Ramos

  • Silvia Hinojosa-Alvarez

  • Jesus Hernandez-Perez

  • Rocio A. Chavez-Santoscoy

  • Sophia Mercado-Medrez

  • Kapy S. León-Wu

  • Regina De Miguel-Ibáñez

  • Moisés Mercado

  • Keiko Taniguchi-Ponciano

  • Aldo Ferreira-Hermosillo

  • July 1, 2026

  • 0 min

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Genomic Insights into Maturity Onset Diabetes of the Young in Mexican Patients

Overview

This study characterizes the genomic landscape of Maturity Onset Diabetes of the Young (MODY) in a Mexican cohort using Whole Exome Sequencing (WES). It identifies 14 genes with variants that can distinguish MODY from Type 2 Diabetes Mellitus (T2DM) and healthy controls.

Background

MODY is a genetically heterogeneous form of diabetes that is often misdiagnosed, leading to inappropriate treatment. Accurate diagnosis is crucial for effective management and prevention of complications. This study aims to address the understanding of the genetic basis of MODY in Latino populations.

Data Highlights

GroupMODY VariantsT2DM VariantsHC Variants
MODY75-100%Similar frequenciesSimilar frequencies

Key Findings

  • 14 genes were identified with variants that distinguish MODY from T2DM and healthy controls.
  • Variants in MAP2K3, SYT15, KCNJ12, PEX5, and TPTE were present in 75-100% of MODY cases.
  • MODY genes showed low discrimination utility in the studied cohort.
  • Enrichment analysis indicated involvement in synaptic vesicle trafficking and insulin signaling pathways.
  • Up to 77% of patients may not have variants in known MODY genes.

Clinical Implications

The findings indicate that current diagnostic tools may not adequately identify MODY in non-Caucasian populations.

Conclusion

This study highlights the complex genetic architecture of MODY in the Mexican population.

Related Resources & Content

  1. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Prevalence, Penetrance, and Mortality Rates in Genetically Diagnosed MODY Cases
  2. Frontiers in Endocrinology, 2023 -- Molecular impact of a novel HNF1B missense variant in childhood-onset MODY5: a case report and functional study
  3. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Assessment of the MODY Risk Calculator Reveals Overestimation of Maturity-Onset Diabetes Probability in Hispanic Adolescents
  4. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Genetic and Clinical Characteristics of Pediatric Monogenic Diabetes Subtypes: In-Depth Analysis of 138 Cases
  5. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2026 - PMC
  6. 2026 Standards of Care in Diabetes
  7. ClinGen Monogenic Diabetes Expert Panel Specifications
  8. MODY Calculator and Clinical Features Routinely Used to Distinguish MODY From Type 2 Diabetes in Adults Perform Poorly for Youth Clinically Diagnosed With Type 2 Diabetes | Diabetes Care | American Diabetes Association

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