PMID- 17555499 OWN - NLM STAT- MEDLINE DCOM- 20111027 LR - 20070824 IS - 0300-0664 (Print) IS - 0300-0664 (Linking) VI - 67 IP - 3 DP - 2007 Sep TI - Novel MEN1 germline mutations in Brazilian families with multiple endocrine neoplasia type 1. PG - 377-84 AB - OBJECTIVE: To characterize clinical features and identify MEN1 germline mutations in Brazilian families with multiple endocrine neoplasia type 1 (MEN1). Settings Non-profit academic centre. PATIENTS: Fourteen Brazilian families with MEN1 and 141 at-risk relatives. RESULTS: We identified 12 different MEN1 disease-causing mutations, seven of them previously unreported: 308delC; 375del21; 549A>T (I147F); 1243delA; 1348T>G (L413R); 1351T>C (L414P) and 1523G>T (W471C). Families with the recurrent mutations 360delTCTA and L413R were shown to be unrelated by mitochondrial-DNA and Y-chromosome haplotype analyses. Most of the MEN1 single point mutations involved evolutionarily conserved residues, whereas most of the deletion/frameshift changes occurred in GC-rich repetitive regions. Genetic screening of 141 at-risk family members identified 38 MEN1 mutation carriers, 37 (97.4%) of whom had at least one major MEN1-related tumour upon clinical investigation. CONCLUSIONS: High frequencies of MEN1 gene mutations were detected in Brazilian families with MEN1, including seven new genetic mutations that are predicted to cause inactivation of the MEN1 tumour suppressor gene. Our data underscore the need to implement a systematic MEN1 screening programme in Brazil. FAU - Toledo, Rodrigo A AU - Toledo RA AD - Unidade de Endocrinologia Genetica LIM-25, Endocrinologia, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, Brazil. FAU - Lourenco, Delmar M Jr AU - Lourenco DM Jr FAU - Coutinho, Flavia L AU - Coutinho FL FAU - Quedas, Elisangela AU - Quedas E FAU - Mackowiack, Ivone AU - Mackowiack I FAU - Machado, Marcel C C AU - Machado MC FAU - Montenegro, Fabio AU - Montenegro F FAU - Cunha-Neto, Malebranche B C AU - Cunha-Neto MB FAU - Liberman, Bernardo AU - Liberman B FAU - Pereira, Maria A A AU - Pereira MA FAU - Correa, Pedro H S AU - Correa PH FAU - Toledo, Sergio P A AU - Toledo SP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070606 PL - England TA - Clin Endocrinol (Oxf) JT - Clinical endocrinology JID - 0346653 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Amino Acid Substitution/genetics MH - Brazil/epidemiology MH - Family MH - Family Health MH - Female MH - Genetic Testing MH - *Germ-Line Mutation MH - Haplotypes MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*epidemiology/*genetics MH - Proto-Oncogene Proteins/*genetics MH - Risk Factors MH - Young Adult EDAT- 2007/06/09 09:00 MHDA- 2011/10/28 06:00 CRDT- 2007/06/09 09:00 PHST- 2007/06/09 09:00 [pubmed] PHST- 2011/10/28 06:00 [medline] PHST- 2007/06/09 09:00 [entrez] AID - CEN2895 [pii] AID - 10.1111/j.1365-2265.2007.02895.x [doi] PST - ppublish SO - Clin Endocrinol (Oxf). 2007 Sep;67(3):377-84. doi: 10.1111/j.1365-2265.2007.02895.x. Epub 2007 Jun 6.