A Family with Severe Insulin Resistance and Diabetes Due to a Mutation in AKT2

Author:

George Stella12345,Rochford Justin J.12345,Wolfrum Christian12345,Gray Sarah L.12345,Schinner Sven12345,Wilson Jenny C.12345,Soos Maria A.12345,Murgatroyd Peter R.12345,Williams Rachel M.12345,Acerini Carlo L.12345,Dunger David B.12345,Barford David12345,Umpleby A. Margot12345,Wareham Nicholas J.12345,Davies Huw Alban12345,Schafer Alan J.12345,Stoffel Markus12345,O'Rahilly Stephen12345,Barroso Inês12345

Affiliation:

1. Department of Clinical Biochemistry, University of Cambridge, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK.

2. Department of Paediatrics, University of Cambridge, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK.

3. Laboratory of Metabolic Diseases, Rockefeller University, New York, NY 10021, USA.

4. Section of Structural Biology, Institute of Cancer Research, Chester Beatty Laboratories, London SW3 6JB, UK.

5. Department of Diabetes, Endocrinology and Internal Medicine, Guy's, King's and St. Thomas' School of Medicine, London, UK.

Abstract

Inherited defects in signaling pathways downstream of the insulin receptor have long been suggested to contribute to human type 2 diabetes mellitus. Here we describe a mutation in the gene encoding the protein kinase AKT2/PKBβ in a family that shows autosomal dominant inheritance of severe insulin resistance and diabetes mellitus. Expression of the mutant kinase in cultured cells disrupted insulin signaling to metabolic end points and inhibited the function of coexpressed, wild-type AKT. These findings demonstrate the central importance of AKT signaling to insulin sensitivity in humans.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

Reference20 articles.

1. The genetics of type 2 diabetes

2. Molecular diagnostics in monogenic and multifactorial forms of Type 2 diabetes

3. The PI3K–PDK1 connection: more than just a road to PKB

4. Ten years of protein kinase B signalling: a hard Akt to follow

5. Single-letter abbreviations for the amino acid residues are as follows: A Ala; C Cys; D Asp; E Glu; F Phe; G Gly; H His; I Ile; K Lys; L Leu; M Met; N Asn; P Pro; Q Gln; R Arg; S Ser; T Thr; V Val; W Trp; and Y Tyr.

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