PMID- 15070966 OWN - NLM STAT- MEDLINE DCOM- 20040511 LR - 20041117 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 89 IP - 4 DP - 2004 Apr TI - Non-islet origin of pancreatic islet cell tumors. PG - 1934-8 AB - The histogenesis of pancreatic islet cell tumors was investigated by morphological identification of putative precursor lesions in pancreatic tissue from patients with multiple endocrine neoplasia type 1 (MEN1), tissue microdissection, and genetic analysis. MEN1 mutation and absence of the MEN1 wild-type allele in different precursor lesions strongly suggest that pancreatic islet cell tumors are derived from the ductal/acinar system but not from pancreatic islet tissue. Pluripotent cells within the exocrine pancreas appear capable of formation into small atypical accumulations of MEN1-deficient cells with both exocrine and endocrine phenotype. The findings suggest presence of multiple developmental aberrations in MEN1 pancreas that potentially serve as precursor material for neuroendocrine tumors. FAU - Vortmeyer, Alexander O AU - Vortmeyer AO AD - Molecular Pathogenesis Laboratory, Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland 20892, USA. vortmeyera@ninds.nih.gov FAU - Huang, Steve AU - Huang S FAU - Lubensky, Irina AU - Lubensky I FAU - Zhuang, Zhengping AU - Zhuang Z LA - eng PT - Journal Article PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Adenoma, Islet Cell/*etiology/pathology MH - Alleles MH - Cell Differentiation MH - Germ-Line Mutation MH - Humans MH - Multiple Endocrine Neoplasia Type 1/*complications/*genetics MH - Pancreas/metabolism/pathology MH - Pancreatic Neoplasms/*etiology/*genetics/pathology MH - Pluripotent Stem Cells/metabolism/pathology MH - Precancerous Conditions/pathology MH - Proto-Oncogene Proteins/*genetics EDAT- 2004/04/09 05:00 MHDA- 2004/05/12 05:00 CRDT- 2004/04/09 05:00 PHST- 2004/04/09 05:00 [pubmed] PHST- 2004/05/12 05:00 [medline] PHST- 2004/04/09 05:00 [entrez] AID - 10.1210/jc.2003-031575 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2004 Apr;89(4):1934-8. doi: 10.1210/jc.2003-031575.