The HNF1A, HNF1B and HNF4A genes are part of an autoregulatory network in mammalian pancreas, liver, kidney and gut. The layout of this network appears to be similar in rodents and humans, but inactivation of HNF1A, HNF1B or HNF4A genes in animal models cause divergent phenotypes to those seen in man. We hypothesised that some differences may arise from variation in the expression profile of alternatively processed isoforms between species.
We measured the expression of the major isoforms of the HNF1A, HNF1B and HNF4A genes in human and rodent pancreas, islet, liver and kidney by isoform-specific quantitative real-time PCR and compared their expression by the comparative Ct (ΔΔCt) method. We found major changes in the expression profiles of the HNF genes between humans and rodents. The principal difference lies in the expression of the HNF1A gene, which exists as three isoforms in man, but as a single isoform only in rodents. More subtle changes were to the balance of HNF1B and HNF4A isoforms between species; the repressor isoform HNF1B(C) comprised only 6% in human islets compared with 24–26% in rodents (p = 0.006) whereas HNF4A9 comprised 22% of HNF4A expression in human pancreas but only 11% in rodents (p = 0.001).
The differences we note in the isoform-specific expression of the human and rodent HNF1A, HNF1B and HNF4A genes may impact on the absolute activity of these genes, and therefore on the activity of the pancreatic transcription factor network as a whole. We conclude that alterations to expression of HNF isoforms may underlie some of the phenotypic variation caused by mutations in these genes.
Citation: Harries LW, Brown JE, Gloyn AL (2009) Species-Specific Differences in the Expression of the HNF1A, HNF1B and HNF4A Genes. PLoS ONE 4(11): e7855. https://doi.org/10.1371/journal.pone.0007855
Editor: Bernadette Breant, INSERM, France
Received: May 5, 2009; Accepted: October 21, 2009; Published: November 16, 2009
Copyright: © 2009 Harries et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: This study was funded in Exeter by The Wellcome Trust (grant number WT081278MA ), Diabetes UK (grant number BDA:RD03/0002667), and in Oxford by the Medical Research Council (grant number 81696). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
The hepatocyte nuclear factors genes, which code for a family of tissue-specific transcription factors, represent one group which exhibit phenotypic divergence between rodent and man. In humans, heterozygous mutations in the genes coding for the HNF1 homeobox A (HNF1A), hepatocyte nuclear factor -4 alpha (HNF4A) and HNF1 homeobox B (HNF1B) genes cause maturity-onset diabetes of the young subtypes HNF1A-MODY and HNF4A-MODY, and the renal cysts and diabetes (RCAD) syndrome respectively. MODY is characterised by progressive beta-cell failure and an inability to increase insulin secretion in response to hyperglycaemia , whereas RCAD is characterised by renal cystic disease, young-onset diabetes, pancreatic atrophy, abnormal liver function tests, and in some cases genital tract abnormalities .
Homozygous germline HNF1A, HNF1B or HNF4A mutations have not been found in humans , ; their associated phenotypes manifest in heterozygous state, whereas mice carrying only one defective copy of the HNF1A or HNF4A gene show no defects in glycolytic signalling or renal glucose reabsorption as do their human counterparts –. Similarly, the beta cell-specific conditional knockout mouse is only hyperglycaemic during an intraperitoneal glucose tolerance test, whereas RCAD patients have fasting plasma hyperglycemia . These animals also demonstrate no decrease in insulin sensitivity upon glucose challenge when compared to wild-type littermates , whereas RCAD patients are insulin resistant . HNF4A knockout mice demonstrate altered cholesterol and triglyceride profiles , whereas studies of these parameters in human HNF4A-MODY patients have been conflicting , .
Several factors may contribute to the differences in phenotype between the animal models, and human MODY/RCAD patients. Firstly, phenotypic may arise from the timing of gene knockout in the animal models. In the case of the HNF1B gene, the conditional deletion was been carried out in adult (or at least partly differentiated) mouse islets, since the insulin gene was used to target the beta cells for gene knockout . The majority of the developmental effects requiring HNF-1β activity would thus have occurred prior to gene knockout, whereas developing islets in RCAD patients would have been exposed to the effects of the mutation from fertilization. Secondly, since MODY is known to be a disorder of haploinsufficiency , , we cannot rule out the possibility that there may also be species-specific differences in the dosage of the HNF1A, HNF1B and HNF4A gene products that are required for full function.
Variation in expression could be also generated by species-specific differences in the amount and nature of mRNA transcripts produced. Although some alternate mRNA processing events are conserved between species, it has been suggested that a significant number of genes which are known to be alternatively processed in man, do not produce multiple isoforms in rodents . In man, the HNF1A, HNF1B and HNF4A genes produce three, three and nine isoforms respectively by a combination of alternate promoter usage, alternate splicing and differential use of polyadenylation sites; figures 1a–1c –. Although the existence of some of these isoforms have been noted in rodents –, to date there has been no systematic comparison of their spatial expression patterns between rodents and man. We therefore aimed to compare the expression patterns of HNF1A, HNF1B and HNF4A isoforms in mouse, rat and human islet, total pancreas, liver and kidney. Differences between species in the site and level of expression may help to explain the phenotypic differences seen in HNF gene knockout animal models and those observed in HNF1A-MODY, RCAD and HNF4A-MODY patients.
The structure of alternately processed isoforms of the HNF1A (1a), HNF1B (1b) and HNF4A (1c) genes is given. Exons are indicated in gray and numbered, and isoform-specific novel coding regions in black. The position of the isoform-specific probes are given by black bars.
Validation of Real-Time PCR for the Detection and Quantification of Alternatively Spliced Transcripts
Real-time PCR assays for human HNF1B isoforms and mouse and rat HNF1A, HNF1B and HNF4A isoforms all proved quantitative across a dynamic range of more than seven 1∶2 serial dilutions, with efficiencies of detection ranging from −3.24 to −3.79. The correlations between the crossing point and input template (r2 value) were also good with r2 values all above 0.90. Human HNF1A and HNF4A assays have been previously published , .
Expression Profile of the Human, Mouse and Rat HNF1A Gene
The human HNF1A gene produces three isoforms; HNF1A(A), HNF1A(B) and HNF1A[C], but in both rodent species the HNF1A(A) transcript was essentially the only isoform expressed in islet, pancreas, liver and kidney. The HNF1A(B) and HNF1A(C) transcripts were present but never comprising more than 3% of the rodent HNF1A transcriptome (figure 2a–2d). In all species, HNF1A expression was highest in islet and pancreas, and lowest in liver and kidney (figure 2a–2d). Levels of HNF1A(A) were markedly higher in rodent tissues than in human tissues.
The expression profile of the HNF1A gene in human, mouse and rat is given. The species is given on the X-axis and the relative quantification of each isoform relative to the B2M gene is given on the Y-axis. Each transcript is normalized to the levels of human HNF1A(A) in each tissue. HNF1A(A) is given by black bars, HNF1A(B) by grey bars and HNF1A(C) by white bars. Error bars indicate the upper and lower limits of transcript expression. a. islet, b. pancreas, c. liver, d. kidney.
Expression Profile of the Human, Mouse and Rat HNF1B Gene
Both human and rodent HNF1B genes produce three isoforms; HNF1B(A), HNF1B(B) and HNF1B(C) (figure 3a–3d). Rodent islets expressed less HNF1B(A) relative to human islets; comprising 50% and 49% of total HNF1B expression in mice and rats respectively, compared to 69% in man (figure 3a; p = 0.004). Rodent islets also had proportionally more HNF1B(C) than human islets (16 and 26% for mouse and rat respectively v/s 6% for human; p = 0.006). Overall HNF1B(B) was the predominant isoform in human pancreas (figure 3b), whereas in mouse, it was less abundant (44% in man v/s 9 and 31% in mouse and rat; p = 0.003, figure 3b). Although HNF1B was expressed only at low levels in liver, the HNF1B(A):HNF1B(B) balance is also altered in rodents compared with man (figure 3c). Rodent liver had proportionally more HNF1B(A); comprising 65 and 64% total HNF1B expression in mouse and rat liver respectively compared with 36% in man (p = 0.04).
The expression profile of the HNF1B gene in human, mouse and rat is given. The species and transcript identity identity is given on the X-axis and the relative quantification of each isoform relative to the B2M gene is given on the Y-axis. Each transcript is normalized to the levels of human HNF1A(A) in each tissue. Error bars indicate the upper and lower limits of transcript expression. a. islet, b. pancreas, c. liver, d. kidney.
Expression Profile of the Human, Mouse and Rat HNF4A Gene
We detected a total of six HNF4A isoforms in man, mouse and rat (figure 4a–4d). As noted for HNF1A transcripts, levels of HNF4A isoforms were markedly higher in rodent tissues than in human tissues. In rodent pancreatic and islet tissue, HNF4A expression was driven from the P2 promoter as it is in man (Figure 4a and 4b). In human and rat, HNF4A7, and HNF4A8 transcripts were present in approximately equal quantities in islets, whereas the HNF4A8 transcript was more prevalent in mouse, comprising 66% of HNF4A expression compared with 46% in human islet and 43% in rat; p = 0.003 (figure 4a). HNF4A9 transcripts comprised a minor transcript in rodent islets, as in human islets , although levels were slightly higher in rat comprising 22% of total islet HNF4A expression compared with 9% in man and 4% in mouse; p = 0.006. Human pancreatic tissue maintained the equal balance of HNF4A7 to HNF4A8 transcripts, comprising 36 and 42% of total HNF4A expression respectively (figure 4b), whereas both rat and mouse pancreas demonstrated higher levels of the HNF4A8 transcript which comprised 80% and 60% of total HNF4A expression in mouse and rat respectively compared with 42% in humans (p = 0.002). Human pancreas also contained more HNF4A9 transcript, relative to rodent pancreas (figure 4b; 22% in the human v/s 0 and 11% in mouse and rat respectively; p = 0.001). Transcripts from the P1 promoter also demonstrated species-specific differences in expression profile. In mouse liver, we found HNF4A1 transcripts to be more common in mouse than in humans or rats (present at 63% in mice v/s 37% in human and 42% in rat; p = 0.05) (figure 4c). We also noted that HNF4A3 expression was higher in human liver relative to rodent liver (17% v/s 0% in mouse and 1% total HNF4A expression in rat; p = 0.027). This was also evident in human kidney, compared to rodent kidney (figure 4d; HNF4A3 comprising 16% of total HNF4A expression in human, v/s 0% in mouse and 3% in rat; p = 0.039).
The expression profile of the HNF4A gene in human, mouse and rat is given. The species and transcript identity is given on the X-axis and the relative quantification of each isoform relative to the B2M gene is given on the Y-axis. Each transcript is normalized to the levels of human HNF1A(A) in each tissue. Error bars indicate the upper and lower limits of transcript expression. a. islet, b. pancreas, c. liver, d. kidney.
Effect of Dietary Fat and Carbohydrate on HNF Profiles in Rodent Liver
Differences in the HNF expression profile between species could arise from differences in the nature of the nutrient intake in rodent and human subjects. As we were not able to define these precisely, we assessed the possible effect of increased fat and reduced carbohydrate intake on the profile of HNF isoforms in rat liver. We found that dietary manipulation caused no differences in either the level or pattern of HNF1A, HNF1B or HNF4A gene expression.
We have identified significant differences in the expression profiles of the HNF1A, HNF1B and HNF4A genes between human and rodent species. The major difference we identified is in the expression of the rodent and human HNF1A genes, which code for three isoforms in humans, but was expressed as a sole isoform, HNF1A(A) in all tissues tested in rodents. One potential explanation for the lack of expression of HNF1A(B) and HNF1B(C) in rodent tissues may lie in sequence divergence from the human sequences in rodents in the area surrounding the polyadenylation signal. The human HNF1A(B) and HNF1A(C) isoforms utilize the same variant polyadenylation signal (AACAGA) , which is not present in the mouse or rat HNF1A genomic sequence. Thus, once transcribed, the partially-processed HNF1A(B) or HNF1A(C) transcripts would lack a poly-A tail, and thus be unstable.
We also detected more subtle differences in HNF1B and HNF4A profiles, particularly in the relative balance of HNF4A7 and HNF4A8 transcripts in the pancreas, and the greater abundance of HNF4A3 and HNF4A9 in human tissues. It is possible that that the differences we note could arise from alterations in the profile of HNF1A, HNF1B or HNF4A expression in response nutritional differences between man and rodent, but we found no evidence to suggest that high fat intake or reduced carbohydrate intake influence the HNF profiles.
Our HNF1B results also highlight some interesting differences. Previous studies have indicated that HNF1B expression is highest in the kidney and lowest in the liver. Our results indicate that both liver and islets contain significant amounts of HNF1B mRNA (Figure 3a–d). The reasons for this discrepancy are unclear. There are also indications that the HNF1B gene may be under post-transcriptional regulation; previous reports have suggested that although human islets contain significant amounts of HNF1B mRNA, levels of HNF-1β in these tissues are barely detectable . This may indicate targeting of HNF1B by small regulatory RNA species such as microRNAs.
HNF-1α, HNF-1β and HNF-4α proteins have key roles in embryonic development and in mature homeostasis. These factors exist in a tightly regulated feedback circuit in most tissues with expression, although the precise nature of co-operative regulation may differ between tissues . Therefore, even subtle differences in the relative activity of any of these genes may have profound consequences overall network activity. The relative balance of isoforms may be crucial, since the structural differences between transcripts result in proteins with different properties. Since HNF-1α and HNF1β act as dimers, even small amounts of the variant isoforms could modify total activity in vivo. The HNF1B(A) and HNF1B(B) isoforms are very similar in structure and could therefore demonstrate functional redundancy. Differences in their relative expression levels between species may not therefore have physiological consequences. However, the higher levels of the repressor molecule, HNF1B(C) we note in rodent islets compared to human islets, could potentially lead to lower relative HNF-1β activity levels in rodents. The presence of a sole HNF1A isoform in rodents may suggest that HNF1A(B) and HNF1A(C) are not absolutely necessary for function in rats and mice. However, our previous data suggests that HNF1A(B), HNF1A(C), HNF4A3 and HNF4A9 may have an important role in human beta cell function since their presence can modify MODY phenotype , .
MODY and RCAD are autosomal dominant disorders, thought to be mediated by a haploinsufficiency-based mechanism due to a reduced amount of HNF-1α, HNF-1β or HNF-4α proteins , . The levels of HNF transcription factors present in normal tissue are therefore likely to have an influence on the phenotype produced by inactivity of one or more alleles. Our finding that the overall levels of HNF1A and HNF4A transcripts were higher in rodent tissues than human tissues may therefore have significance. Since the absolute dosage of the genes in question is crucial, differences to the overall levels of these genes, regardless of isoform profiles, may also have an effect. It may prove to be the case that levels of HNF-1α and HNF-4α are sufficiently high in most mouse and rat tissues that they are above the threshold needed for exhibition of disease phenotype in these animal models.
The differences in HNF1A, HNF1B and HNF4A expression in normal human and rodent tissues has the potential to lead to subtle alterations activity of the transcription factor network. Under normal conditions, human and rodent tissues may not exhibit significant physiological differences. However, species-specific differences in phenotype may become apparent when the system is challenged by alterations to the transcription factor network, either through gene mutation or knockout.
We present here the first direct comparison of the expression patterns of the HNF1A, HNF1B and HNF4A genes in human and rodent species. These findings represent an important difference in mRNA processing of the HNF genes between rodents and man. We therefore hypothesise that some of the phenotypic differences between human MODY and the animal models may arise from alterations to the activity of the transcription factor network between species resulting from differential mRNA processing.
RNA samples were obtained from kidney (pooled from six Caucasian females, 28 – 52 yrs), liver (pooled from two male Caucasians 51 and 64 yrs), pancreas (pooled from five male and female Caucasians, 24 to 77 yrs) (Clontech, Oxford, UK), and isolated human islets (two male Caucasians 40 and 56 yrs) (NDRI, Philadelphia, USA) and have previously been profiled for the HNF1A and HNF4A genes , . All human samples were from non-diabetic individuals who had died as a result of trauma. Pooled rodent liver, kidney and total pancreas RNAs were from Wistar rats, aged 7–13 weeks or BALB/C mice aged 3–8 weeks old (AMS biotechnologies, Oxon, UK). Pooled mouse islet RNA was derived from NMRI mice aged 12–28 weeks old (n = 4). Pooled rat islet RNA was the gift of Professor Noel Morgan, and was derived from male Wistar rats (n = 6; 180–220 g). All animals had been fed on a standard chow diet. To determine whether dietary intake could have an effect on the expression of HNF isoforms, we also tested RNA from 12–18 week old Wistar rats fed for 10 weeks on either a standard diet (69% carbohydrate, 19% protein, 11% fat, 6.1% sat. fat; n = 3) or on a high fat diet (35% carbohydrate, 20% protein, 45% fat, 17.8% sat. fat; n = 4). RNA samples were DNAse treated prior to reverse transcription using the TURBO DNAse kit (Ambion, Huntingdon, UK).
Real-Rime PCR Assay Development
Assays to human HNF1A and HNF4A isoforms were previously published , . Assays to the three human HNF1B isoforms were designed to the reference sequences (available from http://www.ncbi.nlm.nih.gov). Assays to rodent HNF1A, HNF1B and HNF4A isoforms were designed from sequence alignments of the rat, mouse and human genes according to the Santa Cruz genome browser (http://genome.cse.ucsc.edu/cgi-bin/hgGateway). Primer and probe sequences are given in table 1. Real-time PCR assays were obtained from Applied Biosystems (Foster City, USA). The ubiquitously expressed beta-2 Microglobulin (β2M) gene was selected as an endogenous control on the basis that its expression does not differ between the tissues studied, according to publically-available expression data. Assays for this gene (human: Hs00187842_m1, mouse: Mm00437764_m1, rat: Rn00560865_m1) were obtained from Applied Biosystems (Foster City, USA). Assays were validated as previously described , .
Quantitative Real-Time PCR
Real-time PCR reactions were carried out in triplicate using the ABI Prism 7900HT platform (Applied Biosystems) and contained 5 µl TaqMan Fast Universal Mastermix (no AMPerase) (Applied Biosystems, Foster City, USA), 0.9 µM each primer, 0.25 µM probe and 2 µl cDNA reverse transcribed as above in a total volume of 10 µl. PCR conditions were a single cycle of 95°C for 20 seconds followed by 50 cycles of 95°C for 1 second and 60°C for 20 seconds. The relative expression level of each isoform was then determined relative to the B2M transcript by the comparative (ΔΔCt) method . Transcript abundance was normalized to human HNF1A(A) transcript present in each tissue. The expression profiles of the mouse and rat HNF1A, HNF1B and HNF4A genes were then compared with the corresponding profile in the human , .
All statistical analyses were carried out on pooled samples and measurements thus represent assay replicates rather than biological variation in these samples, which is a limitation of this study. Apparent differences in expression levels between species were tested for statistical significance using a three way comparison of the ΔΔCt values for the test transcript in each species by Kruskal-Wallis test. Pairwise comparisons were achieved using Mann Whitney-U test.
We are grateful to Professor Noel Morgan and Dr Harpal S Randeva for the kind gifts of the rat islet and diet-manipulated rat liver RNAs respectively. We thank Amy Barrett for excellent technical assistance. We would also like to thank Professors Sian Ellard and Andrew Hattersley, Mr. Jonathan Locke, Dr Karen Johnstone, Dr Emma Edghill and Dr Sarah Flanagan for critical review of the manuscript.
Conceived and designed the experiments: LWH. Performed the experiments: LWH. Analyzed the data: LWH. Contributed reagents/materials/analysis tools: LWH JEB ALG. Wrote the paper: LWH JEB.
- 1. Owen K, Hattersley AT (2001) Maturity-onset diabetes of the young: from clinical description to molecular genetic characterization. Best Pract Res Clin Endocrinol Metab 15: 309–323.
- 2. Edghill E, Bingham C, Ellard S, Hattersley A (2006) Mutations in hepatocyte nuclear factor-1beta and their related phenotypes. J med genetics 43: 84–90.
- 3. Ellard S, Colclough K (2006) Mutations in the genes encoding the transcription factors Hepatocyte Nuclear Factor 1 Alpha (HNF-1a) and 4 Alpha (HNF-4a) in Maturity-Onset Diabetes of the Young. Mutation Research 27: 854–869.
- 4. Dukes ID, Sreenan S, Roe MW, Levisetti M, Zhou YP, et al. (1998) Defective pancreatic beta-cell glycolytic signaling in hepatocyte nuclear factor-1alpha-deficient mice. Journal of Biological Chemistry 273: 24457–24464.
- 5. Pontoglio M, Prie D, Cheret C, Doyen A, Lero C, et al. (2000) HNF1 alpha controls renal glucose reabsorption in mouse and man. Embo Reports 1: 359–365.
- 6. Stoffel M, Duncan SA (1997) The maturity-onset diabetes of the young (MODY1) transcription factor HNF4alpha regulates expression of genes required for glucose transport and metabolism. Proc Natl Acad Sci U S A 94: 13209–13214.
- 7. Horikawa Y, Iwasaki N, Hara M, Furuta H, Hinokio Y, et al. (1997) Mutation in hepatocyte nuclear factor-1 beta gene (TCF2) associated with MODY. Nat Genet 17: 384–385.
- 8. Wang L, Coffinier C, Thomas M, Gresh L, Eddu G, et al. (2004) Selective deletion of the HNF1B (MODY5) gene in B-cells leads to altered gene expression and defective insulin release. Endocriniology 145: 3941–3949.
- 9. Pearson ER, Badman MK, Lockwood CR, Clark PM, Ellard S, et al. (2004) Contrasting diabetes phenotypes associated with hepatocyte nuclear factor-1alpha and -1beta mutations. Diabetes Care 27: 1102–1107.
- 10. Hayhurst GP, Lee YH, Lambert G, Ward JM, Gonzalez FJ (2001) Hepatocyte nuclear factor 4alpha (nuclear receptor 2A1) is essential for maintenance of hepatic gene expression and lipid homeostasis. Mol Cell Biol 21: 1393–1403.
- 11. Iwasaki N, Ogata M, Tomonaga O, Kuroki H, Kasahara T, et al. (1998) Liver and kidney function in Japanese patients with maturity-onset diabetes of the young. Diabetes Care 21: 2144–2148.
- 12. Shih DQ, Dansky HM, Fleisher M, Assmann G, Fajans SS, et al. (2000) Genotype/phenotype relationships in HNF-4alpha/MODY1: haploinsufficiency is associated with reduced apolipoprotein (AII), apolipoprotein (CIII), lipoprotein(a), and triglyceride levels. Diabetes 49: 832–837.
- 13. Thomas H, Badenberg B, Bulman M, Lemm I, Lausen J, et al. (2002) Evidence for haploinsufficiency of the HNF1[alpha] gene revealed by functional characterisation of MODY3-associated mutations. Biological Chemistry 383: 1691–1700.
- 14. Harries LW, Hattersley AT, Ellard S (2004) Messenger RNA transcripts of the hepatocyte nuclear factor-1alpha gene containing premature termination codons are subject to nonsense-mediated decay. Diabetes 53: 500–504.
- 15. Yeo GW, Van Nostrand E, Holste D, Poggio T, Burge CB (2005) Identification and analysis of alternative splicing events conserved in human and mouse. Proc Natl Acad Sci U S A 102: 2850–2855.
- 16. Harries L, Ellard S, Stride A, Morgan N, Hattersley A (2006) Isomers of the TCF1 gene encoding hepatocyte nuclear factor-1 alpha show differential expression in the pancreas and define the relationship between mutation position and clinical phenotype in monogenic diabetes. Human Molecular Genetics 15: 2216–2224.
- 17. Harries LW, Locke JM, Shields B, Hanley NA, Hanley KP, et al. (2008) The diabetic phenotype in HNF4A mutation carriers is moderated by the expression of HNF4A isoforms from the P1 promoter during fetal development. Diabetes 57: 1745–1752.
- 18. Bach I, Yaniv M (1993) More potent transcriptional activators or a transdominant inhibitor of the HNF1 homeoprotein family are generated by alternative RNA preocessing. The EMBO Journal 12: 4229–4242.
- 19. Cereghini S, Ott MO, Power S, Maury M (1992) Expression patterns of vHNF1 and HNF1 homeoproteins in early postimplantation embryos suggest distinct and sequential developmental roles. Development 116: 783–797.
- 20. Nakhei H, Lingott A, Lemm I, Ryffel GU (1998) An alternative splice variant of the tissue specific transcription factor HNF4α predominates in undifferentiated murine cell types. Nucleic Acids Res 26: 497–504.
- 21. Huang J, Karakucuk V, Levitsky LL, Rhoads DB (2008) Expression of HNF4alpha variants in pancreatic islets and Ins-1 beta cells. Diabetes Metab Res Rev.
- 22. Welters H, Senkel S, Klein-Hitpass L, Erdmann S, Thomas H, et al. (2006) HNF1B, the candidate gene product for MODY5, regulates the viability and functional competence of pancreatic -cells. Journal of Endocrinology 190: 171–181.
- 23. Ferrer J (2002) A genetic switch in pancreatic beta-cells: implications for differentiation and haploinsufficiency. Diabetes 51: 2355–2362.
- 24. Applied-Biosystems (2001) Relative quantitation of gene expression. User bulletin # 2: 11–15.