Evidence map›Paper›PMID 33046911›Full record

ArticleNature metabolism2020

Pathogenic variants in actionable MODY genes are associated with type 2 diabetes.

Amélie Bonnefond, Mathilde Boissel, Alexandre Bolze, Emmanuelle Durand, Bénédicte Toussaint, Emmanuel Vaillant, Stefan Gaget, Franck De Graeve, Aurélie Dechaume, Frédéric Allegaert and 17 more

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In one paragraph

Article in Nature metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 1% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Population Prevalence, Penetrance, and Mortality for Genetically Confirmed MODY.The Journal of clinical endocrinology and metabolism · 2026
    Article
  5. Article
  6. Novel Phenotype due toEuropean journal of case reports in internal medicine · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Actionability of Genetic Variants in Diabetes: Core Aspects and Applied Examples.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  11. Article
  12. Monogenic diabetes.Diabetology international · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Stress Induced Hyperglycemia in Early Childhood as a Clue for the Diagnosis of NEUROD1-MODYJournal of clinical research in pediatric endocrinology · 2024
    Article
  19. A synonymousMolecular genetics and metabolism reports · 2024
    Article
  20. Article
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

27 authors at 6 institutions in 4 countries.

Amélie BonnefondInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France. amelie.bonnefond@cnrs.fr.ORCID http://orcid.org/0000-0001-9976-3005
Mathilde Boissel *Inserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.ORCID http://orcid.org/0000-0001-5719-8749
Alexandre Bolze *Helix, San Mateo, CA, USA.
Emmanuelle Durand *Inserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
Bénédicte ToussaintInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
Emmanuel VaillantInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
Stefan GagetInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
Franck De GraeveInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
Aurélie DechaumeInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
Frédéric AllegaertInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
David Le GuilcherInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
Loïc YengoInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
Véronique DhenninInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
Jean-Michel BorysFleurbaix Laventie Association, Laventie, France.
James T LuHelix, San Mateo, CA, USA.ORCID http://orcid.org/0000-0002-1873-7049
Elizabeth T CirulliHelix, San Mateo, CA, USA.
Gai ElhananDesert Research Institute, Reno, NV, USA.
Ronan RousselDepartment of Diabetology Endocrinology Nutrition, Hôpital Bichat, DHU FIRE, Assistance Publique Hôpitaux de Paris, Paris, France.
Beverley BalkauInserm U1018, Institut Gustave Roussy, Center for Research in Epidemiology and Population Health, Villejuif, France.
Michel MarreInserm U1138, Centre de Recherche des Cordeliers, Paris, France.
Sylvia FrancCERITD (Centre d'Étude et de Recherche pour l'Intensification du Traitement du Diabète), Evry, France.
Guillaume CharpentierCERITD (Centre d'Étude et de Recherche pour l'Intensification du Traitement du Diabète), Evry, France.
Martine VaxillaireInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.
Mickaël CanouilInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France.ORCID http://orcid.org/0000-0002-3396-4549
Nicole L WashingtonHelix, San Mateo, CA, USA.
Joseph J GrzymskiDesert Research Institute, Reno, NV, USA.
Philippe FroguelInserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Université de Lille, Institut Pasteur de Lille, Lille University Hospital, Lille, France. p.froguel@imperial.ac.uk.ORCID http://orcid.org/0000-0003-2972-0784
Centre National de la Recherche Scientifique · FRHelix (United States) · USInserm · FRRenown Health · USCentre d'Etudes et de Recherches pour l'Intensification du Traitement du Diabète · FRCentre Hospitalier Sud Francilien · FR

Funding

Medical Research Council MR/R010676/1
6 · The paper itself

Abstract

Genome-wide association studies have identified 240 independent loci associated with type 2 diabetes (T2D) risk, but this knowledge has not advanced precision medicine. In contrast, the genetic diagnosis of monogenic forms of diabetes (including maturity-onset diabetes of the young (MODY)) are textbook cases of genomic medicine. Recent studies trying to bridge the gap between monogenic diabetes and T2D have been inconclusive. Here, we show a significant burden of pathogenic variants in genes linked with monogenic diabetes among people with common T2D, particularly in actionable MODY genes, thus implying that there should be a substantial change in care for carriers with T2D. We show that, among 74,629 individuals, this burden is probably driven by the pathogenic variants found in GCK, and to a lesser extent in HNF4A, KCNJ11, HNF1B and ABCC8. The carriers with T2D are leaner, which evidences a functional metabolic effect of these mutations. Pathogenic variants in actionable MODY genes are more frequent than was previously expected in common T2D. These results open avenues for future interventions assessing the clinical interest of these pathogenic mutations in precision medicine.

Indexed as

Computational BiologyDiabetes Mellitus, Type 2FemaleGenetic VariationGenome-Wide Association StudyGerminal Center KinasesHeterozygoteHumansMaleMiddle AgedMutationGerminal Center KinasesMAP4K2 protein, human

Identifiers

PMID33046911
OpenAlexW3092264509

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