PMID- 15635078 OWN - NLM STAT- MEDLINE DCOM- 20060303 LR - 20181113 IS - 1468-6244 (Electronic) IS - 0022-2593 (Print) IS - 0022-2593 (Linking) VI - 42 IP - 1 DP - 2005 Jan TI - A report of a national mutation testing service for the MEN1 gene: clinical presentations and implications for mutation testing. PG - 69-74 AB - INTRODUCTION: Mutation testing for the MEN1 gene is a useful method to diagnose and predict individuals who either have or will develop multiple endocrine neoplasia type 1 (MEN 1). Clinical selection criteria to identify patients who should be tested are needed, as mutation analysis is costly and time consuming. This study is a report of an Australian national mutation testing service for the MEN1 gene from referred patients with classical MEN 1 and various MEN 1-like conditions. RESULTS: All 55 MEN1 mutation positive patients had a family history of hyperparathyroidism, had hyperparathyroidism with one other MEN1 related tumour, or had hyperparathyroidism with multiglandular hyperplasia at a young age. We found 42 separate mutations and six recurring mutations from unrelated families, and evidence for a founder effect in five families with the same mutation. DISCUSSION: Our results indicate that mutations in genes other than MEN1 may cause familial isolated hyperparathyroidism and familial isolated pituitary tumours. CONCLUSIONS: We therefore suggest that routine germline MEN1 mutation testing of all cases of "classical" MEN1, familial hyperparathyroidism, and sporadic hyperparathyroidism with one other MEN1 related condition is justified by national testing services. We do not recommend routine sequencing of the promoter region between nucleotides 1234 and 1758 (Genbank accession no. U93237) as we could not detect any sequence variations within this region in any familial or sporadic cases of MEN1 related conditions lacking a MEN1 mutation. We also suggest that testing be considered for patients <30 years old with sporadic hyperparathyroidism and multigland hyperplasia. FAU - Cardinal, J W AU - Cardinal JW AD - Department of Diabetes and Endocrinology, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, Brisbane 4102, Australia. jcardinal@soms.uq.edu.au FAU - Bergman, L AU - Bergman L FAU - Hayward, N AU - Hayward N FAU - Sweet, A AU - Sweet A FAU - Warner, J AU - Warner J FAU - Marks, L AU - Marks L FAU - Learoyd, D AU - Learoyd D FAU - Dwight, T AU - Dwight T FAU - Robinson, B AU - Robinson B FAU - Epstein, M AU - Epstein M FAU - Smith, M AU - Smith M FAU - Teh, B T AU - Teh BT FAU - Cameron, D P AU - Cameron DP FAU - Prins, J B AU - Prins JB LA - eng SI - GENBANK/U93237 PT - Journal Article PL - England TA - J Med Genet JT - Journal of medical genetics JID - 2985087R RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 9007-49-2 (DNA) SB - IM MH - Australia MH - DNA/genetics/isolation & purification MH - DNA Mutational Analysis/*methods MH - Germ-Line Mutation MH - Humans MH - Hyperparathyroidism/genetics MH - Molecular Sequence Data MH - Multiple Endocrine Neoplasia Type 1/classification/*genetics MH - Mutation MH - Proto-Oncogene Proteins/*genetics PMC - PMC1735899 EDAT- 2005/01/07 09:00 MHDA- 2006/03/04 09:00 PMCR- 2008/01/01 CRDT- 2005/01/07 09:00 PHST- 2005/01/07 09:00 [pubmed] PHST- 2006/03/04 09:00 [medline] PHST- 2005/01/07 09:00 [entrez] PHST- 2008/01/01 00:00 [pmc-release] AID - 42/1/69 [pii] AID - 10.1136/jmg.2003.017319 [doi] PST - ppublish SO - J Med Genet. 2005 Jan;42(1):69-74. doi: 10.1136/jmg.2003.017319.