Exome sequencing is being increasingly used to identify disease-associated gene mutations. We used whole exome sequencing to determine the genetic basis of a syndrome of diabetes and renal disease affecting a mother and her son. We identified a mutation in the hepatocyte nuclear factor 1-b (HNF1B) gene that encoded a methionine to valine amino acid change (M160V) in the HNF1B protein. This leads us to the previously unappreciated diagnosis of maturity-onset diabetes of the young type 5 and provided a basis for genetic counselling of other family members.
Keywords: HNF1B; MODY5; glomerulocystic kidney disease; maturity-onset diabetes of the young; whole exome sequencing.
© 2014 The Authors; Internal Medicine Journal © 2014 Royal Australasian College of Physicians.