PMID- 11095441 OWN - NLM STAT- MEDLINE DCOM- 20001214 LR - 20061115 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 85 IP - 11 DP - 2000 Nov TI - Rare somatic inactivation of the multiple endocrine neoplasia type 1 gene in secondary hyperparathyroidism of uremia. PG - 4113-7 AB - The molecular pathway of autonomous growth of the parathyroid glands in uremic patients is poorly understood. Loss of heterozygosity at the recently identified multiple endocrine neoplasia type 1 (MEN1) gene locus on chromosome 11q13 has been found in a subset of parathyroid glands from patients with refractory hyperparathyroidism. To clarify the role of the MEN1 gene in parathyroid tumorigenesis, we analyzed 81 parathyroid glands from 22 Japanese uremic patients for allelic loss on chromosomal arm 11q13 DNA using 3 flanking markers (PYGM, D11S4946, and D11S449) and for mutations of the MEN1-coding exons by PCR-based single strand conformation polymorphism analysis and sequencing. Allelic loss on 11q13 was observed in 6 glands (7%), and 1 of 6 demonstrated a previously unrecognized somatic frameshift deletion (331delG) of the MEN1 gene. This mutation would probably result in a nonfunctional menin protein, consistent with a tumor suppressor mechanism. Clinical and pathological characteristics of hyperparathyroidism were unrelated to the presence or absence of loss of heterozygosity on 11q13 and MEN1 gene mutations. These observations indicate that somatic inactivation of the MEN1 gene contributes to the pathogenesis of uremia-associated parathyroid tumors, but its role in this disease appears to be very limited. FAU - Tahara, H AU - Tahara H AD - Department of Internal Medicine, Osaka City University Graduate School of Medicine, Japan. hideki-t@ka2.so-net.ne.jp FAU - Imanishi, Y AU - Imanishi Y FAU - Yamada, T AU - Yamada T FAU - Tsujimoto, Y AU - Tsujimoto Y FAU - Tabata, T AU - Tabata T FAU - Inoue, T AU - Inoue T FAU - Inaba, M AU - Inaba M FAU - Morii, H AU - Morii H FAU - Nishizawa, Y AU - Nishizawa Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Genetic Markers) RN - 0 (MEN1 protein, human) RN - 0 (Neoplasm Proteins) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Chromosome Mapping MH - *Chromosomes, Human, Pair 11 MH - Exons MH - Female MH - *Genes, Tumor Suppressor MH - Genetic Markers MH - Humans MH - Hyperparathyroidism/*etiology/*genetics/pathology MH - *Loss of Heterozygosity MH - Male MH - Middle Aged MH - Neoplasm Proteins/*genetics MH - Parathyroid Glands/*pathology MH - Polymerase Chain Reaction MH - Polymorphism, Single-Stranded Conformational MH - *Proto-Oncogene Proteins MH - Uremia/complications/*genetics EDAT- 2000/11/30 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/11/30 11:00 PHST- 2000/11/30 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/11/30 11:00 [entrez] AID - 10.1210/jcem.85.11.6950 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2000 Nov;85(11):4113-7. doi: 10.1210/jcem.85.11.6950.