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Med."],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A syndrome of young\u2010onset diabetes mellitus associated with microcephaly, epilepsy and intellectual disability caused by mutations in the <jats:styled-content style=\"fixed-case\">tRNA<\/jats:styled-content> methyltransferase 10 homologue A (<jats:italic><jats:styled-content style=\"fixed-case\">TRMT<\/jats:styled-content>10A<\/jats:italic>) gene has recently been described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case report<\/jats:title><jats:p>We report two siblings from the fourth family reported to have diabetes mellitus as a result of a <jats:italic><jats:styled-content style=\"fixed-case\">TRMT<\/jats:styled-content>10A<\/jats:italic> mutation. A homozygous nonsense mutation p.Glu27Ter in <jats:italic><jats:styled-content style=\"fixed-case\">TRMT<\/jats:styled-content>10A<\/jats:italic> was identified using targeted next\u2010generation sequencing and confirmed by <jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content>\/Sanger sequencing. Diabetes was diagnosed while the subjects were in their 20s and was characterized by insulin resistance. Epilepsy and intellectual disability were features in common. Mild microcephaly was present at birth but their final head circumferences were normal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our report provides independent confirmation of the role of <jats:italic><jats:styled-content style=\"fixed-case\">TRMT<\/jats:styled-content>10A<\/jats:italic> mutations in this syndrome and expands its phenotypic description. <jats:italic><jats:styled-content style=\"fixed-case\">TRMT<\/jats:styled-content>10A<\/jats:italic> sequencing should be considered in children or adults with young\u2010onset diabetes who have a history of intellectual disability, microcephaly and epilepsy. This report also shows the advantages of using a targeted panel to identify previously unsuspected monogenic diabetes among young\u2010onset non\u2010insulin\u2010dependent diabetes in the absence of obesity and autoimmunity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.13024","type":"journal-article","created":{"date-parts":[[2015,11,3]],"date-time":"2015-11-03T12:27:14Z","timestamp":1446553634000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["<scp>tRNA<\/scp> methyltransferase homologue gene <i><scp>TRMT<\/scp>10A<\/i> mutation in young adult\u2010onset diabetes with intellectual disability, microcephaly and epilepsy"],"prefix":"10.1111","volume":"33","author":[{"given":"T. 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