PMID- 19208834 OWN - NLM STAT- MEDLINE DCOM- 20090320 LR - 20211028 IS - 1538-7445 (Electronic) IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 69 IP - 5 DP - 2009 Mar 1 TI - Recapitulation of pancreatic neuroendocrine tumors in human multiple endocrine neoplasia type I syndrome via Pdx1-directed inactivation of Men1. PG - 1858-66 LID - 10.1158/0008-5472.CAN-08-3662 [doi] AB - Multiple endocrine neoplasia type 1 (MEN1) is an autosomal syndrome caused by mutations in the MEN1 tumor suppressor gene. Whereas the protein product of MEN1, menin, is ubiquitously expressed, somatic loss of the remaining wild-type MEN1 allele results in tumors primarily in parathyroid, pituitary, and endocrine pancreas. To understand the endocrine specificity of the MEN1 syndrome, we evaluated biallelic loss of Men1 by inactivating Men1 in pancreatic progenitor cells using the Cre-lox system. Men1 deletion in progenitor cells that differentiate into exocrine and endocrine pancreas did not affect normal pancreas morphogenesis and development. However, mice having homozygous inactivation of the Men1 in pancreas developed endocrine tumors with no exocrine tumor manifestation, recapitulating phenotypes seen in the MEN1 patients. In the absence of menin, the endocrine pancreas showed increase in cell proliferation, vascularity, and abnormal vascular structures; such changes were lacking in exocrine pancreas. Further analysis revealed that these endocrine manifestations were associated with up-regulation in vascular endothelial growth factor expression in both human and mouse MEN1 pancreatic endocrine tumors. Together, these data suggest the presence of cell-specific factors for menin and a permissive endocrine environment for MEN1 tumorigenesis in endocrine pancreas. Based on our analysis, we propose that menin's ability to maintain cellular and microenvironment integrity might explain the endocrine- restrictive nature of the MEN1 syndrome. FAU - Shen, H-C Jennifer AU - Shen HC AD - Tumor Angiogenesis Section, Surgery Branch, National Cancer Institute, Bethesda, Maryland 20892, USA. FAU - He, Mei AU - He M FAU - Powell, Anathea AU - Powell A FAU - Adem, Asha AU - Adem A FAU - Lorang, Dominique AU - Lorang D FAU - Heller, Charles AU - Heller C FAU - Grover, Amelia C AU - Grover AC FAU - Ylaya, Kris AU - Ylaya K FAU - Hewitt, Stephen M AU - Hewitt SM FAU - Marx, Stephen J AU - Marx SJ FAU - Spiegel, Allen M AU - Spiegel AM FAU - Libutti, Steven K AU - Libutti SK LA - eng GR - Z01 SC010368-08/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural DEP - 20090210 PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Homeodomain Proteins) RN - 0 (MEN1 protein, human) RN - 0 (Men1 protein, mouse) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Trans-Activators) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (pancreatic and duodenal homeobox 1 protein) SB - IM MH - Animals MH - Cell Proliferation MH - Homeodomain Proteins/*physiology MH - Humans MH - Islets of Langerhans/blood supply MH - Mice MH - Multiple Endocrine Neoplasia Type 1/*etiology MH - Neuroendocrine Tumors/*etiology MH - Pancreatic Neoplasms/*etiology MH - Proto-Oncogene Proteins/*physiology MH - Trans-Activators/*physiology MH - Vascular Endothelial Growth Factor A/physiology PMC - PMC3879686 MID - NIHMS539944 COIS- Conflict of Interest Statement: None declared. EDAT- 2009/02/12 09:00 MHDA- 2009/03/21 09:00 PMCR- 2014/01/03 CRDT- 2009/02/12 09:00 PHST- 2009/02/12 09:00 [entrez] PHST- 2009/02/12 09:00 [pubmed] PHST- 2009/03/21 09:00 [medline] PHST- 2014/01/03 00:00 [pmc-release] AID - 0008-5472.CAN-08-3662 [pii] AID - 10.1158/0008-5472.CAN-08-3662 [doi] PST - ppublish SO - Cancer Res. 2009 Mar 1;69(5):1858-66. doi: 10.1158/0008-5472.CAN-08-3662. Epub 2009 Feb 10.