PMID- 15717658 OWN - NLM STAT- MEDLINE DCOM- 20050524 LR - 20181113 IS - 0391-4097 (Print) IS - 0391-4097 (Linking) VI - 27 IP - 6 DP - 2004 Jun TI - A novel germline mutation of MEN 1 gene in a patient with acromegaly and multiple endocrine tumors. PG - 577-82 AB - Germline mutations of the MEN 1 gene are responsible for multiple endocrine neoplasia type 1 (MEN 1), a dominantly inherited cancer syndrome characterized by tumors of the parathyroids, gastro-intestinal endocrine tissue, anterior pituitary and other endocrine tissues. We report on a 55-yr old woman, presenting with active acromegaly (due to GH-secreting microadenoma), associated to bilateral adrenal adenomatosis and Hurthle-cell thyroid neoplasia. No evidence of hyperparathyroidism or gastrin-secreting tumor was found. Peripheral blood genomic DNA was extracted, amplified by PCR, purified and analyzed by direct sequencing. The analysis revealed a heterozygous mutation in exon 4 of the MEN 1 gene: a G to A missense mutation at codon 229 (CGC-->CAC), which changes arginine to histidine. This mutation causes loss of the Hhal restriction site and can thus be employed for a rapid familiar screening. This case represents a newly recognized germline mutation of the MEN 1 gene. FAU - Pinna, G AU - Pinna G AD - University of Cagliari, Cagliari, Italy. FAU - Orgiana, G AU - Orgiana G FAU - Carcassi, C AU - Carcassi C FAU - Alba, F AU - Alba F FAU - Cetani, F AU - Cetani F FAU - Pardi, E AU - Pardi E FAU - Marcocci, C AU - Marcocci C FAU - Mariotti, S AU - Mariotti S LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - J Endocrinol Invest JT - Journal of endocrinological investigation JID - 7806594 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Acromegaly/*genetics MH - Adenoma/genetics MH - Adrenal Gland Neoplasms/genetics MH - DNA Mutational Analysis MH - Female MH - *Germ-Line Mutation MH - Humans MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics MH - Polymerase Chain Reaction MH - Proto-Oncogene Proteins/*genetics EDAT- 2005/02/19 09:00 MHDA- 2005/05/25 09:00 CRDT- 2005/02/19 09:00 PHST- 2005/02/19 09:00 [pubmed] PHST- 2005/05/25 09:00 [medline] PHST- 2005/02/19 09:00 [entrez] AID - 5284 [pii] AID - 10.1007/BF03347483 [doi] PST - ppublish SO - J Endocrinol Invest. 2004 Jun;27(6):577-82. doi: 10.1007/BF03347483.