PMID- 10759881 OWN - NLM STAT- MEDLINE DCOM- 20000531 LR - 20190826 IS - 0014-2972 (Print) IS - 0014-2972 (Linking) VI - 30 IP - 4 DP - 2000 Apr TI - Lack of MEN1 gene mutations in 27 sporadic insulinomas. PG - 325-9 AB - BACKGROUND: Multiple endocrine neoplasia type 1 (MEN 1) is an autosomal dominant familial cancer syndrome characterized by tumours of the parathyroids, anterior pituitary gland and endocrine pancreas. Since the cloning of the MEN1 gene (encoding menin) on chromosome 11q13 by Chandrasekharappa et al. in 1997, it has become possible to identify mutations that are responsible. We examined whether MEN1 gene mutations are present in sporadic insulinomas, a rare sporadic tumour that is seen more frequently in patients with the MEN 1 syndrome. PATIENTS AND METHODS: We sequenced the coding part of the MEN1 gene (exons 2-10) in tumour tissue of 27 patients suffering from an insulinoma (24 benign, three malignant). To validate our methods we also examined tumour tissue from five patients with primary hyperparathyroidism (HPT) at a younger age and/or multiple gland disease, with increased risk of MEN 1. RESULTS: We found no mutations in the nine coding exons of the MEN1 gene in the insulinoma tissues. We could confirm three benign polymorphisms (S145S, R171Q, D418D) reported previously. In the control patients we found two new point mutations (one mis-sense, one non-sense mutation) and one deletion. CONCLUSION: Mutations of the MEN1 gene do not play an important role in the pathogenesis of sporadic insulinomas. Therefore genetic screening is not cost effective in sporadic insulinoma patients without other indicators of MEN 1. Patients with primary HPT at a younger age and/or multiple gland disease should be screened for MEN1 gene mutations. FAU - Cupisti, K AU - Cupisti K AD - Heinrich-Heine-University, Dusseldorf; Institute for Hormone and Fertility Research at the University of Hamburg, Hamburg, Germany. FAU - Hoppner, W AU - Hoppner W FAU - Dotzenrath, C AU - Dotzenrath C FAU - Simon, D AU - Simon D FAU - Berndt, I AU - Berndt I FAU - Roher, H D AU - Roher HD FAU - Goretzki, P E AU - Goretzki PE LA - eng PT - Journal Article PL - England TA - Eur J Clin Invest JT - European journal of clinical investigation JID - 0245331 RN - 0 (MEN1 protein, human) RN - 0 (Neoplasm Proteins) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Amino Acid Substitution MH - Chromosome Mapping MH - *Chromosomes, Human, Pair 11 MH - Exons MH - Female MH - *Genes, Tumor Suppressor MH - Genetic Carrier Screening MH - Genetic Predisposition to Disease MH - Homozygote MH - Humans MH - Insulinoma/*genetics/surgery MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics MH - Neoplasm Proteins/*genetics MH - Pancreatic Neoplasms/*genetics/surgery MH - *Proto-Oncogene Proteins MH - Reproducibility of Results EDAT- 2000/04/12 09:00 MHDA- 2000/06/03 09:00 CRDT- 2000/04/12 09:00 PHST- 2000/04/12 09:00 [pubmed] PHST- 2000/06/03 09:00 [medline] PHST- 2000/04/12 09:00 [entrez] AID - eci620 [pii] AID - 10.1046/j.1365-2362.2000.00620.x [doi] PST - ppublish SO - Eur J Clin Invest. 2000 Apr;30(4):325-9. doi: 10.1046/j.1365-2362.2000.00620.x.