PMID- 18549467 OWN - NLM STAT- MEDLINE DCOM- 20090803 LR - 20221207 IS - 1365-2265 (Electronic) IS - 0300-0664 (Linking) VI - 70 IP - 1 DP - 2009 Jan TI - Novel germline mutations of the MEN1 gene in Greek families with multiple endocrine neoplasia type 1. PG - 75-81 LID - 10.1111/j.1365-2265.2008.03308.x [doi] AB - INTRODUCTION: Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant hereditary disorder associated with mutations of the MEN1 gene and characterized by the combined occurrence of tumours of the parathyroid glands, the pancreatic islet cells and the anterior pituitary. AIM: To identify MEN1 gene mutations and characterize clinical manifestations in Greek patients with MEN1. PATIENTS AND METHODS: We studied four unrelated index patients with MEN1, 17 relatives and 100 control subjects. Among the relatives, seven were clinically and/or biochemically affected, while 10 were unaffected. DNA extraction, polymerase chain reaction (PCR) and direct sequencing of the MEN1 exons 2-10 and exon/intron boundaries were performed according to standard procedures. RESULTS: We identified novel MEN1 gene mutations in three out of four index patients (75%) and in all affected (100%) relatives. Novel mutations included: a frameshift mutation in exon 4 (c.684_685insG) at codon 229 (index patient A); a frameshift mutation in exon 8 (c.1160_1170dupAGGAGCGGCCG) involving codons 387-390 (index patient B); and a missense mutation in exon 4 (c.776T > C), which substitutes leucine with proline at codon 259 (L259P) (index patient C). In the fourth index patient, a common polymorphism (D418D) was detected. CONCLUSIONS: This is the first report to reveal a high prevalence of novel MEN1 gene mutations among Greek MEN1 patients with apparent absence of genotype-phenotype correlation. Because of the small number of patients examined, the high prevalence detected might be a chance phenomenon. FAU - Peppa, Melpomeni AU - Peppa M AD - Second Department of Internal Medicine-Propaedeutic, Research Institute and Diabetes Center, Athens University Medical School, Attikon University Hospital, Athens, Greece. molypepa@otenet.gr FAU - Boutati, Eleni AU - Boutati E FAU - Kamakari, Smaragda AU - Kamakari S FAU - Pikounis, Vasilios AU - Pikounis V FAU - Peros, Georgios AU - Peros G FAU - Koutsodontis, Georgios AU - Koutsodontis G FAU - Metaxa-Mariatou, Vassiliki AU - Metaxa-Mariatou V FAU - Economopoulos, Theofanis AU - Economopoulos T FAU - Raptis, Sotirios A AU - Raptis SA FAU - Hadjidakis, Dimitrios AU - Hadjidakis D LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080612 PL - England TA - Clin Endocrinol (Oxf) JT - Clinical endocrinology JID - 0346653 SB - IM MH - Adult MH - Aged MH - DNA Mutational Analysis MH - Female MH - Frameshift Mutation MH - *Germ-Line Mutation MH - Greece MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics MH - Mutation, Missense MH - Pedigree MH - Polymorphism, Genetic MH - White People/genetics EDAT- 2008/06/14 09:00 MHDA- 2009/08/04 09:00 CRDT- 2008/06/14 09:00 PHST- 2008/06/14 09:00 [pubmed] PHST- 2009/08/04 09:00 [medline] PHST- 2008/06/14 09:00 [entrez] AID - CEN3308 [pii] AID - 10.1111/j.1365-2265.2008.03308.x [doi] PST - ppublish SO - Clin Endocrinol (Oxf). 2009 Jan;70(1):75-81. doi: 10.1111/j.1365-2265.2008.03308.x. Epub 2008 Jun 12.