hrp0097fc9.5 | Diabetes and insulin 2 | ESPE2023

A case of NARS1 deficiency resulting in diabetes mellitus with liver cirrhosis and pancreatic atrophy

Higuchi Shinji , Kitayama Kana , Yorifuji Tohru , Mori Jun

Background: Aminoacyl tRNA synthetases (ARSs) are enzymes that bind amino acids to tRNAs, and many of their genetic variants are known to be pathogenic. Asparaginyl Aminoacyl tRNA synthetase (NARS1) deficiency was first reported as a cause of microcephaly in 2020. NARS1 deficiency is characterized by microcephaly, psychomotor retardation, epilepsy, congenital abnormalities of the limbs and skeleton, and a peculiar facial appearance. However, there have been no...