PMID- 17519308 OWN - NLM STAT- MEDLINE DCOM- 20070917 LR - 20220408 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 92 IP - 8 DP - 2007 Aug TI - Germline CDKN1B/p27Kip1 mutation in multiple endocrine neoplasia. PG - 3321-5 AB - CONTEXT: Germline mutations in the MEN1 gene predispose to multiple endocrine neoplasia type 1 (MEN1) syndrome, but in up to 20-25% of clinical MEN1 cases, no MEN1 mutations can be found. Recently, a germline mutation in the CDKN1B gene, encoding p27(Kip1), was reported in one suspected MEN1 family with two acromegalic patients. OBJECTIVE: Our objective was to evaluate the role of CDKN1B/p27(Kip1) in human tumor predisposition in patients clinically suspected of MEN1 but testing negative for MEN1 germline mutation as well as in familial and sporadic acromegaly/pituitary adenoma patients. DESIGN: Genomic DNA was analyzed for germline mutations in the CDKN1B/p27(Kip1) gene by PCR amplification and direct sequencing. SETTING: The study was conducted at nonprofit academic research and medical centers. PATIENTS: Thirty-six Dutch and one German suspected MEN1 patient, who previously tested negative for germline MEN1 gene mutations, were analyzed. In addition, 19 familial and 50 sporadic acromegaly/pituitary adenoma patients from Europe and the United States were included in the study. MAIN OUTCOME MEASURES: We analyzed germline CDKN1B/p27(Kip1) mutations in individuals with pituitary adenoma and MEN1-like features. RESULTS: A heterozygous 19-bp duplication (c.59_77dup19) leading to a truncated protein product was identified in one Dutch patient with suspected MEN1 phenotype, pituitary adenoma, carcinoid tumor, and hyperparathyroidism (one of 36, 2.8%). No mutations were detected in either familial or sporadic acromegaly/pituitary adenoma patients. CONCLUSIONS: Our results support the previous finding that germline CDKN1B/p27(Kip1) mutations predispose to a human MEN1-like condition. However, such mutations appear uncommon in suspected MEN1 cases and rare or nonexistent in familial or sporadic acromegaly/pituitary adenoma patients. FAU - Georgitsi, Marianthi AU - Georgitsi M AD - Department of Medical Genetics, University of Helsinki, Finland. FAU - Raitila, Anniina AU - Raitila A FAU - Karhu, Auli AU - Karhu A FAU - van der Luijt, Rob B AU - van der Luijt RB FAU - Aalfs, Cora M AU - Aalfs CM FAU - Sane, Timo AU - Sane T FAU - Vierimaa, Outi AU - Vierimaa O FAU - Makinen, Markus J AU - Makinen MJ FAU - Tuppurainen, Karoliina AU - Tuppurainen K FAU - Paschke, Ralph AU - Paschke R FAU - Gimm, Oliver AU - Gimm O FAU - Koch, Christian A AU - Koch CA FAU - Gundogdu, Sadi AU - Gundogdu S FAU - Lucassen, Anneke AU - Lucassen A FAU - Tischkowitz, Marc AU - Tischkowitz M FAU - Izatt, Louise AU - Izatt L FAU - Aylwin, Simon AU - Aylwin S FAU - Bano, Gul AU - Bano G FAU - Hodgson, Shirley AU - Hodgson S FAU - De Menis, Ernesto AU - De Menis E FAU - Launonen, Virpi AU - Launonen V FAU - Vahteristo, Pia AU - Vahteristo P FAU - Aaltonen, Lauri A AU - Aaltonen LA LA - eng SI - GENBANK/EF474465 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070522 PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (CDKN1B protein, human) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 147604-94-2 (Cyclin-Dependent Kinase Inhibitor p27) RN - 9007-49-2 (DNA) SB - IM MH - Amino Acid Sequence MH - Computer Simulation MH - Cyclin-Dependent Kinase Inhibitor p27 MH - DNA/*genetics MH - DNA Mutational Analysis MH - Germ-Line Mutation MH - Humans MH - Immunohistochemistry MH - Intracellular Signaling Peptides and Proteins/*genetics MH - Molecular Sequence Data MH - Multiple Endocrine Neoplasia Type 1/*genetics MH - Reverse Transcriptase Polymerase Chain Reaction EDAT- 2007/05/24 09:00 MHDA- 2007/09/18 09:00 CRDT- 2007/05/24 09:00 PHST- 2007/05/24 09:00 [pubmed] PHST- 2007/09/18 09:00 [medline] PHST- 2007/05/24 09:00 [entrez] AID - jc.2006-2843 [pii] AID - 10.1210/jc.2006-2843 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2007 Aug;92(8):3321-5. doi: 10.1210/jc.2006-2843. Epub 2007 May 22.