PMID- 7883123 OWN - NLM STAT- MEDLINE DCOM- 19950412 LR - 20190515 IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 44 IP - 3 DP - 1995 Mar TI - Identification of four amino acid substitutions in hexokinase II and studies of relationships to NIDDM, glucose effectiveness, and insulin sensitivity. PG - 347-53 AB - Human hexokinase (HK) II, a glucose phosphorylating enzyme in muscle tissue, plays a central role in glucose metabolism. Since reduced insulin-stimulated glucose uptake and reduced glucose-6-phosphate content in muscle have been demonstrated in pre-non-insulin-dependent diabetes mellitus (pre-NIDDM) and NIDDM subjects, we have examined the coding region of the HKII gene in NIDDM patients to determine whether these patients show genetic polymorphisms that are associated with or contribute to the disease. Single-strand conformational polymorphism analysis and nucleotide sequencing were initially performed on the entire coding region of the HKII gene of 38 insulin-resistant NIDDM patients and 5 healthy control subjects. This analysis revealed four missense mutations at codons 142 (Gln to His), 148 (Leu to Phe), 497 (Arg to Gln), and 844 (Arg to Lys) and an additional six exon polymorphisms that did not predict any change in amino acid composition of the protein. One homozygous and nine heterozygous carriers of the codon 142 mutation were found among the NIDDM patients. The mutations at codons 148, 497, and 844 were each found in one diabetic subject and only on one allele. There were no carriers of compound heterozygous mutations. A subsequent study of 301 patients with NIDDM and 151 healthy control subjects revealed no additional mutations at codons 148, 497, or 844. The total frequency of the mutated allele at codon 142 was 18.9% among the control subjects and 17.0% among the NIDDM patients (chi 2 = 0.56, P = 0.45).(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Echwald, S M AU - Echwald SM AD - Steno Diabetes Center, Gentofte, Denmark. FAU - Bjorbaek, C AU - Bjorbaek C FAU - Hansen, T AU - Hansen T FAU - Clausen, J O AU - Clausen JO FAU - Vestergaard, H AU - Vestergaard H FAU - Zierath, J R AU - Zierath JR FAU - Printz, R L AU - Printz RL FAU - Granner, D K AU - Granner DK FAU - Pedersen, O AU - Pedersen O LA - eng GR - DK-46867/DK/NIDDK NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Blood Glucose) RN - 0 (Codon) RN - 0 (DNA Primers) RN - 0 (Insulin) RN - 982XCM1FOI (Tolbutamide) RN - EC 2.7.1.1 (Hexokinase) SB - IM GS - HKII MH - Adult MH - Alleles MH - Amino Acid Sequence MH - Anthropometry MH - Base Sequence MH - Blood Glucose/drug effects/metabolism MH - Body Mass Index MH - Codon/genetics MH - DNA Primers MH - Diabetes Mellitus, Type 2/enzymology/*genetics/physiopathology MH - Exons MH - Genetic Carrier Screening MH - Glucose Tolerance Test MH - Hexokinase/*genetics MH - Homozygote MH - Humans MH - Insulin/pharmacology MH - Molecular Sequence Data MH - Physical Fitness MH - *Point Mutation MH - Polymerase Chain Reaction MH - *Polymorphism, Genetic MH - Precancerous Conditions/genetics MH - Reference Values MH - Restriction Mapping MH - Tolbutamide/pharmacology EDAT- 1995/03/01 00:00 MHDA- 1995/03/01 00:01 CRDT- 1995/03/01 00:00 PHST- 1995/03/01 00:00 [pubmed] PHST- 1995/03/01 00:01 [medline] PHST- 1995/03/01 00:00 [entrez] AID - 10.2337/diab.44.3.347 [doi] PST - ppublish SO - Diabetes. 1995 Mar;44(3):347-53. doi: 10.2337/diab.44.3.347.