PMID- 19847891 OWN - NLM STAT- MEDLINE DCOM- 20100224 LR - 20161125 IS - 1098-2264 (Electronic) IS - 1045-2257 (Linking) VI - 49 IP - 2 DP - 2010 Feb TI - Hereditary gastrointestinal stromal tumors sharing the KIT Exon 17 germline mutation p.Asp820Tyr develop through different cytogenetic progression pathways. PG - 91-8 LID - 10.1002/gcc.20720 [doi] AB - Hereditary gastrointestinal stromal tumor (GIST) syndrome is a rare autosomal dominant genetic disorder originated by germline mutations in the KIT or PDGFRA genes. We report the third family with hereditary predisposition to GIST due to the KIT Exon 17 germline mutation p.Asp820Tyr and characterize the cytogenetic progression pathways followed by different GIST sharing the same primary genetic event, using a combination of chromosome banding, comparative genomic hybridization (CGH), and fluorescence in situ hybridization (FISH) analyses. The missense mutation p.Asp820Tyr was detected in the proband's rectal and gastric GIST, as well as in his aunt's GIST epiplon metastasis. The mutation p.Asp820Tyr was subsequently also found in the proband's peripheral blood DNA, as well as in that of 4 of 10 relatives thus far analyzed. CGH analysis revealed loss of 14q and 15q in the proband's gastric lesion, whereas FISH analysis of the proband's rectal GIST did not detect loss of 14q and 15q, but instead loss of 4q and 22q and gain of 20q, indicating that the two tumors were independent GIST. Chromosome banding and CGH analyses of the aunt's GIST epiplon metastasis revealed multiple cytogenetic alterations, including 1p loss, but none in common with the two proband's GIST. We conclude that, although the patients share the same KIT Exon 17 germline mutation, the multiple GIST analyzed followed different pathogenetic progression pathways, each of which did not significantly differ from what has been described in sporadic GIST. FAU - Veiga, Isabel AU - Veiga I AD - Department of Genetics, Portuguese Oncology Institute, Porto, Portugal. FAU - Silva, Mara AU - Silva M FAU - Vieira, Joana AU - Vieira J FAU - Pinto, Carla AU - Pinto C FAU - Pinheiro, Manuela AU - Pinheiro M FAU - Torres, Lurdes AU - Torres L FAU - Soares, Marta AU - Soares M FAU - Santos, Lucio AU - Santos L FAU - Duarte, Hugo AU - Duarte H FAU - Bastos, Artur L AU - Bastos AL FAU - Coutinho, Camila AU - Coutinho C FAU - Dinis, Jose AU - Dinis J FAU - Lopes, Carlos AU - Lopes C FAU - Teixeira, Manuel R AU - Teixeira MR LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-kit) RN - EC 2.7.10.1 (Receptor, Platelet-Derived Growth Factor alpha) SB - IM MH - Amino Acid Substitution MH - Chromosomes, Human, Pair 14/genetics MH - Chromosomes, Human, Pair 15/genetics MH - Comparative Genomic Hybridization MH - Exons/*genetics MH - Family MH - Female MH - Gastrointestinal Stromal Tumors/diagnostic imaging/*genetics/pathology/surgery MH - Germ-Line Mutation MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Pedigree MH - Pigmentation Disorders/genetics MH - Positron-Emission Tomography MH - Proto-Oncogene Proteins c-kit/*genetics MH - Radiography MH - Receptor, Platelet-Derived Growth Factor alpha/*genetics EDAT- 2009/10/23 06:00 MHDA- 2010/02/25 06:00 CRDT- 2009/10/23 06:00 PHST- 2009/10/23 06:00 [entrez] PHST- 2009/10/23 06:00 [pubmed] PHST- 2010/02/25 06:00 [medline] AID - 10.1002/gcc.20720 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2010 Feb;49(2):91-8. doi: 10.1002/gcc.20720.