PMID- 12699448 OWN - NLM STAT- MEDLINE DCOM- 20030613 LR - 20190813 IS - 0300-0664 (Print) IS - 0300-0664 (Linking) VI - 58 IP - 5 DP - 2003 May TI - Multiple endocrine neoplasia type 1 (MEN1) germline mutations in familial isolated primary hyperparathyroidism. PG - 639-46 AB - BACKGROUND: Familial isolated hyperparathyroidism (FIHP) is an autosomal dominant disorder characterized by uniglandular or multiglandular parathyroid tumours that occur in the absence of other endocrine tumours. The disorder may represent either an early stage of multiple endocrine neoplasia type 1 (MEN1), or an allelic variant of MEN1, or a distinct entity involving another locus. We have explored these possibilities in seven families in whom primary hyperparathyroidism occurred as the sole endocrinopathy. METHODS: Seven FIHP families were ascertained and venous blood samples obtained from 35 members (17 affected and 18 unaffected) for DNA sequence analysis of the MEN1 gene. The mean (+/- SD) follow-up period in the 17 affected members was 15.06 (+/- 8.83) years. RESULTS: Four heterozygous germline mutations of the MEN1 gene were identified. These consisted of two 4-bp intragenic deletions that would result in prematurely truncated proteins, and two missense (Asp153Val and Ala411Pro) mutations. Furthermore, analysis of parathyroid tumour DNA from one individual revealed a loss of the wild-type allele and retention of the mutant allele, consistent with Knudson's 'two-hit' model of hereditary cancer and a tumour suppressor role for MEN1 in FIHP. CONCLUSIONS: Our results provide further support for FIHP being a distinct allelic variant of MEN1, and an analysis of the 16 mutations reported to date indicate that FIHP is associated with a higher frequency of missense MEN1 mutations. FAU - Pannett, A A J AU - Pannett AA AD - MRC Molecular Endocrinology Group, MRC Clinical Sciences Centre, Imperial College School of Medicine, Hammersmith Hospital, London, UK. FAU - Kennedy, A M AU - Kennedy AM FAU - Turner, J J O AU - Turner JJ FAU - Forbes, S A AU - Forbes SA FAU - Cavaco, B M AU - Cavaco BM FAU - Bassett, J H D AU - Bassett JH FAU - Cianferotti, L AU - Cianferotti L FAU - Harding, B AU - Harding B FAU - Shine, B AU - Shine B FAU - Flinter, F AU - Flinter F FAU - Maidment, C G H AU - Maidment CG FAU - Trembath, R AU - Trembath R FAU - Thakker, R V AU - Thakker RV LA - eng PT - Journal Article PL - England TA - Clin Endocrinol (Oxf) JT - Clinical endocrinology JID - 0346653 RN - 0 (Parathyroid Hormone) SB - IM MH - Adenoma/genetics MH - Adolescent MH - Adult MH - Aged MH - Family Health MH - Female MH - Gene Deletion MH - Germ-Line Mutation/*genetics MH - Humans MH - Hyperparathyroidism/*genetics MH - Hyperplasia MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics/pathology MH - Mutation, Missense/genetics MH - Parathyroid Glands/pathology MH - Parathyroid Hormone/blood MH - Parathyroid Neoplasms/*genetics/pathology MH - Pedigree MH - Polymerase Chain Reaction MH - Sequence Analysis, DNA/methods EDAT- 2003/04/18 05:00 MHDA- 2003/06/14 05:00 CRDT- 2003/04/18 05:00 PHST- 2003/04/18 05:00 [pubmed] PHST- 2003/06/14 05:00 [medline] PHST- 2003/04/18 05:00 [entrez] AID - 1765 [pii] AID - 10.1046/j.1365-2265.2003.01765.x [doi] PST - ppublish SO - Clin Endocrinol (Oxf). 2003 May;58(5):639-46. doi: 10.1046/j.1365-2265.2003.01765.x.