PMID- 17014705 OWN - NLM STAT- MEDLINE DCOM- 20090922 LR - 20220331 IS - 1750-1172 (Electronic) IS - 1750-1172 (Linking) VI - 1 DP - 2006 Oct 2 TI - Multiple endocrine neoplasia type 1. PG - 38 AB - Multiple Endocrine Neoplasia type 1 (MEN1) is a rare autosomal dominant hereditary cancer syndrome presented mostly by tumours of the parathyroids, endocrine pancreas and anterior pituitary, and characterised by a very high penetrance and an equal sex distribution. It occurs in approximately one in 30,000 individuals. Two different forms, sporadic and familial, have been described. The sporadic form presents with two of the three principal MEN1-related endocrine tumours (parathyroid adenomas, entero-pancreatic tumours and pituitary tumours) within a single patient, while the familial form consists of a MEN1 case with at least one first degree relative showing one of the endocrine characterising tumours. Other endocrine and non-endocrine lesions, such as adrenal cortical tumours, carcinoids of the bronchi, gastrointestinal tract and thymus, lipomas, angiofibromas, collagenomas have been described. The responsible gene, MEN1, maps on chromosome 11q13 and encodes a 610 aminoacid nuclear protein, menin, with no sequence homology to other known human proteins. MEN1 syndrome is caused by inactivating mutations of the MEN1 tumour suppressor gene. This gene is probably involved in the regulation of several cell functions such as DNA replication and repair and transcriptional machinery. The combination of clinical and genetic investigations, together with the improving of molecular genetics knowledge of the syndrome, helps in the clinical management of patients. Treatment consists of surgery and/or drug therapy, often in association with radiotherapy or chemotherapy. Currently, DNA testing allows the early identification of germline mutations in asymptomatic gene carriers, to whom routine surveillance (regular biochemical and/or radiological screenings to detect the development of MEN1-associated tumours and lesions) is recommended. FAU - Marini, Francesca AU - Marini F AD - Regional Center for Hereditary Endocrine Tumours, Department of Internal Medicine, University of Florence, Florence, Italy. f.marini@dmi.unifi.it FAU - Falchetti, Alberto AU - Falchetti A FAU - Del Monte, Francesca AU - Del Monte F FAU - Carbonell Sala, Silvia AU - Carbonell Sala S FAU - Gozzini, Alessia AU - Gozzini A FAU - Luzi, Ettore AU - Luzi E FAU - Brandi, Maria Luisa AU - Brandi ML LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20061002 PL - England TA - Orphanet J Rare Dis JT - Orphanet journal of rare diseases JID - 101266602 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 37221-79-7 (Vasoactive Intestinal Peptide) SB - IM MH - Adolescent MH - Adrenal Cortex Neoplasms/diagnosis MH - Adult MH - Aged MH - Aged, 80 and over MH - Angiofibroma/diagnosis MH - Carcinoid Tumor/diagnosis MH - Child MH - Facial Neoplasms/diagnosis MH - Female MH - Gastrinoma/diagnosis MH - Genetic Testing/methods MH - Humans MH - Insulinoma/diagnosis MH - Lipoma/diagnosis MH - Male MH - Meningioma/diagnosis MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*diagnosis/genetics/*therapy MH - Pancreatic Neoplasms/*diagnosis/genetics/metabolism/*therapy MH - Parathyroid Neoplasms/*diagnosis/genetics/*therapy MH - Pituitary Neoplasms/*diagnosis/genetics/*therapy MH - Prolactinoma/diagnosis MH - Proto-Oncogene Proteins/genetics MH - Thyroid Neoplasms/diagnosis MH - Vasoactive Intestinal Peptide/blood/metabolism MH - Young Adult PMC - PMC1594566 EDAT- 2006/10/04 09:00 MHDA- 2006/10/04 09:01 PMCR- 2006/10/02 CRDT- 2006/10/04 09:00 PHST- 2006/09/12 00:00 [received] PHST- 2006/10/02 00:00 [accepted] PHST- 2006/10/04 09:00 [pubmed] PHST- 2006/10/04 09:01 [medline] PHST- 2006/10/04 09:00 [entrez] PHST- 2006/10/02 00:00 [pmc-release] AID - 1750-1172-1-38 [pii] AID - 10.1186/1750-1172-1-38 [doi] PST - epublish SO - Orphanet J Rare Dis. 2006 Oct 2;1:38. doi: 10.1186/1750-1172-1-38.