PMID- 19174080 OWN - NLM STAT- MEDLINE DCOM- 20090420 LR - 20090128 IS - 0210-5705 (Print) IS - 0210-5705 (Linking) VI - 31 IP - 10 DP - 2008 Dec TI - [Clinical and molecular features in a family with multiple endocrine neoplasia type-1 syndrome]. PG - 637-42 LID - 10.1016/S0210-5705(08)75811-4 [doi] AB - BACKGROUND: The clinical features of multiple endocrine neoplasia type-1 (MEN-1) syndrome are hyperplasia or adenoma of the parathyroid glands, pituitary adenoma and gastroenteropancreatic endocrine tumors. This syndrome is due to mutations in the MEN1 gene, located on the q13 region of chromosome 11. Prognosis depends on tumoral growth and metastatic potential. PATIENTS AND METHOD: We reviewed the medical records of the members of a family (6 men and 2 women) with MEN-1 syndrome diagnosed between 1995 and 2007 in Hospital Donostia, San Sebastian (Spain). Familial study of all patients and family members (19 cases from 2 generations) was performed in 2 phases. The first phase consisted of mutation screening and the second of multiplex ligation-dependent probe amplification (MLPA) to detect deletions. RESULTS: Screening of mutations identified no pathogenic variants in the proband of this family. MLPA revealed a deletion affecting exons 1 and 2 of the MEN1 gene. Of the 10 family members with this molecular alteration, 8 had at least one phenotypic feature of this syndrome (hyperparathyroidism in 8, prolactinomas in 2, and gastrinomas in 3) after 12 years of follow-up. CONCLUSION: We discuss the clinical forms of MEN-1 syndrome in this family and the molecular alteration found. Study of MEN1 gene deletions should be incorporated into routine molecular screening. FAU - Cosme, Angel AU - Cosme A AD - Servicio de Aparato Digestivo, Hospital Donostia, CIBEREHD, Universidad del Pais Vasco, San Sebastian, Guipuzcoa, Spain. acosme@chdo.osakidetza.net FAU - Alvarez, Mariano AU - Alvarez M FAU - Beguiristain, Adolfo AU - Beguiristain A FAU - Cobo, Ana Maria AU - Cobo AM FAU - Robledo, Mercedes AU - Robledo M FAU - Aranzadi, Maria Jesus AU - Aranzadi MJ FAU - Ojeda, Evelia AU - Ojeda E FAU - Bujanda, Luis AU - Bujanda L FAU - Goikoetxea, Unai AU - Goikoetxea U LA - spa PT - Case Reports PT - English Abstract PT - Journal Article TT - Caracteristicas clinicas y moleculares de una familia con sindrome de neoplasia endocrina multiple tipo 1. DEP - 20090107 PL - Spain TA - Gastroenterol Hepatol JT - Gastroenterologia y hepatologia JID - 8406671 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Adult MH - Gene Deletion MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics MH - Pedigree MH - Proto-Oncogene Proteins/*genetics EDAT- 2009/01/29 09:00 MHDA- 2009/04/21 09:00 CRDT- 2009/01/29 09:00 PHST- 2008/04/28 00:00 [received] PHST- 2008/05/20 00:00 [accepted] PHST- 2009/01/29 09:00 [entrez] PHST- 2009/01/29 09:00 [pubmed] PHST- 2009/04/21 09:00 [medline] AID - S0210-5705(08)75811-4 [pii] AID - 10.1016/S0210-5705(08)75811-4 [doi] PST - ppublish SO - Gastroenterol Hepatol. 2008 Dec;31(10):637-42. doi: 10.1016/S0210-5705(08)75811-4. Epub 2009 Jan 7.