Evidence map›Paper›PMID 41747674›Full record

ArticleClinics (Sao Paulo, Brazil)2026

Low prevalence of GCK gene mutations in Chinese patients with gestational diabetes mellitus.

Zhixin Wang, Lili Huo, Ling Lan, Yongzeng Chen, Qingyao Zuo, Wei Deng

Abstract read
In one paragraph

Article in Clinics (Sao Paulo, Brazil), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Zhixin WangDepartment of Endocrinology and Metabolism, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Lili HuoDepartment of Endocrinology and Metabolism, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Ling LanDepartment of Endocrinology and Metabolism, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Yongzeng ChenDepartment of Cardiology and Macrovascular Disease, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Qingyao ZuoDepartment of Endocrinology and Metabolism, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Wei DengDepartment of Endocrinology and Metabolism, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China. Electronic address: dengwei95@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimAccumulating evidence suggests maturity onset diabetes of the young (MODY) caused by GCK gene mutations (GCK-MODY) is often misdiagnosed as Gestational Diabetes Mellitus (GDM) in pregnant women. This study investigated the prevalence and diagnostic value of GCK gene mutations in Chinese GDM patients.

methodsA retrospective analysis was conducted on 3394 pregnant women undergoing prenatal care or delivery at Beijing Jishuitan Hospital between April and December 2019. GDM was diagnosed in 474 women (14.0%) using the International Association of Diabetes and Pregnancy Study Groups (IADPSG, 2010) criteria via a 75 g Oral Glucose Tolerance Test (OGTT). Among these, 177 GDM patients with fasting blood glucose ≥5.1 mmoL/L underwent targeted GCK gene sequencing.

resultsTargeted sequencing identified eight rare GCK variants in nine individuals. None of the variant carriers met definitive diagnostic criteria for GCK-MODY. The prevalence of rare GCK variants in the screened GDM subgroup was 1.9% (9/474).

conclusionThe low prevalence (1.9%) of rare GCK variants and absence of confirmed GCK-MODY cases indicate limited utility of fasting glucose-based screening for GCK-MODY in Chinese GDM populations. These findings highlight challenges in distinguishing GCK-MODY from GDM through conventional glucose thresholds.

Indexed as

ChineseGCK GeneGestational diabetes mellitusMaturity onset diabetes of the young (MODY)

Identifiers

PMID41747674
PMCPMC12955188

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