Evidence map›Paper›PMID 29193502›Full record

ArticlePediatric diabetes2018

FOXP3 mutations causing early-onset insulin-requiring diabetes but without other features of immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome.

Jessica L Hwang, Soo-Young Park, Honggang Ye, May Sanyoura, Ashley N Pastore, David Carmody, Daniela Del Gaudio, Janna F Wilson, Craig L Hanis, Xiaoming Liu and 5 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Pediatric diabetes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 39 citations in OpenAlex.

  1. International journal of molecular sciences · 2026
    Review
  2. Article
  3. A novel FOXP3 gene variant causing neonatal diabetes and fatal enteropathy.Annals of pediatric endocrinology & metabolism · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Journal of pediatric genetics · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Growth and development in monogenic forms of neonatal diabetes.Current opinion in endocrinology, diabetes, and obesity · 2022
    Review
  14. Review
  15. Review
  16. Review
  17. IL-2 Signaling Axis Defects: How Many Faces?Frontiers in pediatrics · 2021
    Review
  18. Review
  19. Evidence-based complementary and alternative medicine : eCAM · 2019
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 3 countries.

Jessica L HwangSection of Adult and Pediatric Endocrinology, Diabetes and Metabolism and Kovler Diabetes Center, The University of Chicago, Chicago, Illinois.
Soo-Young ParkSection of Adult and Pediatric Endocrinology, Diabetes and Metabolism and Kovler Diabetes Center, The University of Chicago, Chicago, Illinois.
Honggang YeSection of Adult and Pediatric Endocrinology, Diabetes and Metabolism and Kovler Diabetes Center, The University of Chicago, Chicago, Illinois.
May SanyouraSection of Adult and Pediatric Endocrinology, Diabetes and Metabolism and Kovler Diabetes Center, The University of Chicago, Chicago, Illinois.
Ashley N PastoreSection of Adult and Pediatric Endocrinology, Diabetes and Metabolism and Kovler Diabetes Center, The University of Chicago, Chicago, Illinois.
David CarmodySection of Adult and Pediatric Endocrinology, Diabetes and Metabolism and Kovler Diabetes Center, The University of Chicago, Chicago, Illinois.
Daniela Del GaudioDepartment of Human Genetics, The University of Chicago, Chicago, Illinois.
Janna F WilsonWomen's and Children's Hospital, Lafayette, Louisiana.
Craig L HanisGenetics Center, University of Texas Health Science Center at Houston, Houston, Texas.
Xiaoming LiuGenetics Center, University of Texas Health Science Center at Houston, Houston, Texas.
Gil AtzmonDepartments of Medicine and Genetics, Albert Einstein College of Medicine, New York City, New York.
Benjamin GlaserDepartment of Internal Medicine, Hadassah-Hebrew Medical Center, Jerusalem, Israel.
Louis H PhilipsonSection of Adult and Pediatric Endocrinology, Diabetes and Metabolism and Kovler Diabetes Center, The University of Chicago, Chicago, Illinois.
Siri Atma W GreeleySection of Adult and Pediatric Endocrinology, Diabetes and Metabolism and Kovler Diabetes Center, The University of Chicago, Chicago, Illinois.ORCID 0000-0002-0741-3567
T2D-Genes Consortium
Diabetes Australia · AUThe University of Texas Health Science Center at Houston · USAlbert Einstein College of Medicine · USHadassah Medical Center · ILUniversity of Chicago · USWomen's and Children's Hospital · AU

Funding

The Human Genome Sequencing CenterU54HG003273 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI GIBBS, RICHARD A · 2004 to 2015
$341.3M
Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
TRANSLATIONAL RESEARCH UNIVERSITY OF CHICAGO: CLINICAL TRIALSUL1RR024999 · NCRR · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2007 to 2011
$25.3M
Pilot and Feasibility ProgramP30DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI Matthew J Brady · 2013 to 2026
$20.9M
Multiethnic Study of Type 2 Diabetes GenesU01DK085526 · NIDDK · BROAD INSTITUTE, INC. · PI ALTSHULER, DAVID, JABLONSKI, KATHLEEN ANN · 2009 to 2014
$15.7M
Baylor-Johns Hopkins Center for Mendelian GeneticsU54HG006542 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 2012 to 2015
$15.6M
Discovery of Functional Variants in Type 2 Diabetes Genes in Mexican AmericansU01DK085524 · NIDDK · UNIVERSITY OF TEXAS RIO GRANDE VALLEY · PI BLANGERO, JOHN, DEFRONZO, RALPH A · 2009 to 2019
$5.9M
Monogenic Diabetes: Next Generation Diagnosis, Treatment and ComplicationsR01DK104942 · NIDDK · UNIVERSITY OF CHICAGO · PI GREELEY, SIRI ATMA W., PHILIPSON, LOUIS H. · 2016 to 2024
$4.7M
Identifying T2D Variants by DNA Sequencing in Multiethnic SamplesU01DK085584 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ABECASIS, GONCALO, BOEHNKE, MICHAEL L · 2009 to 2013
$4.1M
Identifying variants causal for Type 2 Diabetes in Major human populationsU01DK085545 · NIDDK · UNIVERSITY OF OXFORD · PI CHAN, JULIANA CN, EBRAHIM, SHAH BRIAN · 2009 to 2013
$2.8M
Identification and Replication of Type 2 Diabetes Genes in Mexican AmericansU01DK085501 · NIDDK · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI HANIS, CRAIG L · 2009 to 2013
$2.7M
Incretin Regulation of Insulin Secretion in Human Neonatal DiabetesK23DK094866 · NIDDK · UNIVERSITY OF CHICAGO · PI GREELEY, SIRI ATMA W. · 2012 to 2014
$515k
NCRR NIH HHS UL1 RR024999NHGRI NIH HHS U54 HG003273NHGRI NIH HHS U54 HG006542NIDDK NIH HHS K23 DK094866NIDDK NIH HHS P30 DK020541NIDDK NIH HHS P30 DK020595NIDDK NIH HHS R01 DK104942NIDDK NIH HHS R03 DK103096NIDDK NIH HHS U01 DK085501NIDDK NIH HHS U01 DK085524NIDDK NIH HHS U01 DK085526NIDDK NIH HHS U01 DK085545NIDDK NIH HHS U01 DK085584
6 · The paper itself

Abstract

Diabetes occurs in 1/90 000 to 1/160 000 births and when diagnosed under 6 months of age is very likely to have a primary genetic cause. FOXP3 encodes a transcription factor critical for T regulatory cell function and mutations are known to cause "immune dysregulation, polyendocrinopathy (including insulin-requiring diabetes), enteropathy, X-linked" (IPEX) syndrome. This condition is often fatal unless patients receive a bone-marrow transplant. Here we describe the phenotype of male neonates and infants who had insulin-requiring diabetes without other features of IPEX syndrome and were found to have mutations in FOXP3. Whole-exome or next generation sequencing of genes of interest was carried out in subjects with isolated neonatal diabetes without a known genetic cause. RT-PCR was carried out to investigate the effects on RNA splicing of a novel intronic splice-site variant. Four male subjects were found to have FOXP3 variants in the hemizygous state: p.Arg114Trp, p.Arg347His, p.Lys393Met, and c.1044+5G>A which was detected in 2 unrelated probands and in a brother diagnosed with diabetes at 2.1 years of age. Of these, p.Arg114Trp is likely a benign rare variant found in individuals of Ashkenazi Jewish ancestry and p.Arg347His has been previously described in patients with classic IPEX syndrome. The p.Lys393Met and c.1044+5G>A variants are novel to this study. RT-PCR studies of the c.1044+5G>A splice variant confirmed it affected RNA splicing by generating both a wild type and truncated transcript. We conclude that FOXP3 mutations can cause early-onset insulin-requiring diabetes with or without other features of IPEX syndrome.

Indexed as

RegistriesDiabetes MellitusDiabetes Mellitus, Type 1DiarrheaForkhead Transcription FactorsGenetic Diseases, X-LinkedHumansImmune System DiseasesInfantInfant, NewbornMaleForkhead Transcription FactorsFOXP3 protein, humanautoimmunityFOXP3monogenic diabetessplice mutationT cell

Identifiers

PMID29193502
PMCPMC5918222
OpenAlexW2768961391

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.