The ALMS1 gene, located on chromosome 2p codes for a protein with an unknown function. Since mutations in this gene result in Alstrom syndrome - a disorder characterized by obesity, type 2 diabetes, sensorineural hearing loss cone-rod dystrophy, and cardiomyopathy - researchers have suggested that the protein may play a role in hearing, vision, insulin regulation, regulation of body weight, and normal functioning of the vital organs. Some studies point towards a lack of normal ALMS1 protein in the brain causing overeating, and a loss of normal ALMS1 in the pancreas leading to insulin resistance. These two factors together could easily lead to insulin resistance, diabetes, and obesity.
The ALMS1 protein has been shown to be ubiquitously expressed and to localize subcellularly in the centromeres. The mouse ortholog of this gene has been shown to function in ciliogenesis in inner medullary collecting duct cells, leading to the proposal that ALMS1 is involved in the functioning of centrosomes or basal bodies, and for the proper formation and/or maintenance of the primary cilia.