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Publication : Identification of a SIRT1 mutation in a family with type 1 diabetes.

First Author  Biason-Lauber A Year  2013
Journal  Cell Metab Volume  17
Issue  3 Pages  448-455
PubMed ID  23473037 Mgi Jnum  J:198133
Mgi Id  MGI:5495577 Doi  10.1016/j.cmet.2013.02.001
Citation  Biason-Lauber A, et al. (2013) Identification of a SIRT1 mutation in a family with type 1 diabetes. Cell Metab 17(3):448-55
abstractText  Type 1 diabetes is caused by autoimmune-mediated beta cell destruction leading to insulin deficiency. The histone deacetylase SIRT1 plays an essential role in modulating several age-related diseases. Here we describe a family carrying a mutation in the SIRT1 gene, in which all five affected members developed an autoimmune disorder: four developed type 1 diabetes, and one developed ulcerative colitis. Initially, a 26-year-old man was diagnosed with the typical features of type 1 diabetes, including lean body mass, autoantibodies, T cell reactivity to beta cell antigens, and a rapid dependence on insulin. Direct and exome sequencing identified the presence of a T-to-C exchange in exon 1 of SIRT1, corresponding to a leucine-to-proline mutation at residue 107. Expression of SIRT1-L107P in insulin-producing cells resulted in overproduction of nitric oxide, cytokines, and chemokines. These observations identify a role for SIRT1 in human autoimmunity and unveil a monogenic form of type 1 diabetes.
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