PMID- 10646853 OWN - NLM STAT- MEDLINE DCOM- 20000204 LR - 20051117 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 60 IP - 1 DP - 2000 Jan 1 TI - Identical clonality of sporadic gastrinomas at multiple sites. PG - 60-3 AB - Gastrinomas are neuroendocrine neoplasms that occur sporadically and in patients with multiple endocrine neoplasia type 1 (MEN1). In MEN1, multiple gastrinomas have been shown to arise by independent clonal events (Debelenko, et al., Cancer Res., 57: 2238-2243, 1997). The purpose of the present study was to analyze clonality in 20 sporadic gastrinomas from eight patients in whom the tumor was present in at least two separate sites. A combination of methods was used to assess clonality, including MEN1 gene mutation analysis, loss of heterozygosity analysis of the MEN1 locus, and analysis of X-chromosome inactivation at the human androgen receptor locus (human androgen receptor analysis). In three patients, a somantic MEN1 gene mutation was detected in the tumor. Identical mutations were found in other tumors at different sites within the same patients. Human androgen receptor analysis in three informative patients and loss of heterozygosity analysis in five patients revealed identical clonal patterns in the tumors from multiple sites in each patient. We conclude that sporadic gastrinomas at multiple sites are monoclonal and that MEN1 gene alterations in gastrinomas occur before the development of tumor metastases. FAU - Goebel, S U AU - Goebel SU AD - Digestive Diseases Branch, National Institute of Diabetes, Digestive and Kidney Diseases, NIH, Bethesda, MD 20892, USA. FAU - Vortmeyer, A O AU - Vortmeyer AO FAU - Zhuang, Z AU - Zhuang Z FAU - Serrano, J AU - Serrano J FAU - Jensen, R T AU - Jensen RT FAU - Lubensky, I A AU - Lubensky IA LA - eng PT - Journal Article PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (DNA, Neoplasm) RN - 0 (Genetic Markers) SB - IM MH - Adult MH - DNA Mutational Analysis MH - DNA, Neoplasm/*genetics MH - Dosage Compensation, Genetic MH - Female MH - Gastrinoma/*genetics MH - Genetic Markers MH - Humans MH - *Loss of Heterozygosity MH - Lymph Nodes MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics EDAT- 2000/01/26 00:00 MHDA- 2000/01/26 00:01 CRDT- 2000/01/26 00:00 PHST- 2000/01/26 00:00 [pubmed] PHST- 2000/01/26 00:01 [medline] PHST- 2000/01/26 00:00 [entrez] PST - ppublish SO - Cancer Res. 2000 Jan 1;60(1):60-3.