PMID- 17555500 OWN - NLM STAT- MEDLINE DCOM- 20111027 LR - 20220331 IS - 0300-0664 (Print) IS - 0300-0664 (Linking) VI - 67 IP - 3 DP - 2007 Sep TI - Identification of MEN1 and HRPT2 somatic mutations in paraffin-embedded (sporadic) parathyroid carcinomas. PG - 370-6 AB - OBJECTIVE: Parathyroid carcinoma remains difficult to diagnose. Recently, it has been shown that mutations in the HRPT2 gene (encoding parafibromin) are associated with the development of parathyroid carcinoma. Although MEN1 is not typically thought to be involved in carcinoma formation, parathyroid carcinoma may be an extremely rare feature of the multiple endocrine neoplasia type 1 (MEN1) syndrome. We recently concluded that loss of heterozygosity (LOH) of the MEN1 gene is present in a relatively large number of parathyroid carcinomas, often in combination with LOH at the HRPT2 locus. The aim of this study was to evaluate the role of MEN1 and HRPT2 mutations in sporadic parathyroid tumours fulfilling histological criteria for malignancy. PATIENTS AND DESIGN: Formalin-fixed, paraffin-embedded (FFPE) parathyroid carcinoma tissue from 28 cases identified in the period 1985-2000 in the Netherlands was studied. HRPT2 (27/28 cases) and MEN1 (23/28 cases) were analysed by direct sequencing. RESULTS: Somatic MEN1 mutations were found in three of 23 (13%) sporadic parathyroid carcinoma cases; these consisted of one missense and two frameshift mutations. One of the latter two cases displayed lymph-node and lung metastases during follow-up. Six HRPT2 mutations were found in 4/27 cases (15%): five were truncating mutations and one was a missense mutation. Consistent with previously published reports, we found double mutations (2x) and germline mutations (2x) in apparently sporadic parathyroid carcinomas. CONCLUSIONS: These results suggest that not only HRPT2 but also MEN1 mutations may play a role in sporadic parathyroid cancer formation. FAU - Haven, C J AU - Haven CJ AD - Department of Pathology, Leiden University Medical Centre, The Netherlands. FAU - van Puijenbroek, M AU - van Puijenbroek M FAU - Tan, M H AU - Tan MH FAU - Teh, B T AU - Teh BT FAU - Fleuren, G J AU - Fleuren GJ FAU - van Wezel, T AU - van Wezel T FAU - Morreau, H AU - Morreau H LA - eng PT - Journal Article DEP - 20070606 PL - England TA - Clin Endocrinol (Oxf) JT - Clinical endocrinology JID - 0346653 RN - 0 (CDC73 protein, human) RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Tumor Suppressor Proteins) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biological Specimen Banks MH - Cohort Studies MH - DNA Mutational Analysis MH - Female MH - Frameshift Mutation MH - Humans MH - Loss of Heterozygosity/genetics MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics/pathology MH - Mutation, Missense MH - Netherlands MH - Paraffin Embedding MH - Parathyroid Neoplasms/*genetics/pathology MH - Proto-Oncogene Proteins/*genetics MH - Tumor Suppressor Proteins/*genetics 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 - CEN2894 [pii] AID - 10.1111/j.1365-2265.2007.02894.x [doi] PST - ppublish SO - Clin Endocrinol (Oxf). 2007 Sep;67(3):370-6. doi: 10.1111/j.1365-2265.2007.02894.x. Epub 2007 Jun 6.