We have sequenced the insulin gene in 72 unrelated Japanese subjects (52 wi
th type 2 diabetes mellitus and 20 with normal glucose tolerance). We ident
ified 6 mutations and all were found at a low frequency (1% to 4%). Three m
utations were new. These included a C-to-G substitution in the promoter reg
ion, a G-to-A substitution in codon-2 resulting in an Ala-to-Thr replacemen
t in amino acid -2 of the signal peptide, and a G-to-A substitution in intr
on 2. We have no evidence that any of the mutations that we found are the c
ause of diabetes. Thus, mutations in the insulin gene do not appear to be a
n important genetic factor contributing to the development of diabetes in t
his population. Copyright (C) 2001 by W.B. Saunders Company.