PMID- 21678021 OWN - NLM STAT- MEDLINE DCOM- 20120326 LR - 20211203 IS - 1559-0100 (Electronic) IS - 1355-008X (Linking) VI - 40 IP - 3 DP - 2011 Dec TI - Coexistence of multiple endocrine neoplasia type 1 and type 2 in a large Italian family. PG - 481-5 LID - 10.1007/s12020-011-9501-2 [doi] AB - To describe the coexistence of mutations of both the multiple endocrine neoplasia type 1 (MEN1) and type 2 (MEN2) genes in a large Italian family and evaluate if it could be associated with more aggressive clinical manifestations of the two syndromes. Blood samples were obtained for genetic and biochemical analyses. The RET gene exons (8, 10, 11, 13, 14, 15, 16, 18) and the MEN1 coding regions, including the exon-intron boundaries, were amplified by PCR and directly sequenced. We identified two germline mutations in the proband: the first one, K666M, located at the exon 11 of RET proto-oncogene and the second one, IVS4+1G>T, located in the MEN1 gene. The functional characterization of IVS4+1G>T variation, located in the splicing donor site of exon 4 of MEN1 gene, caused the in-frame junction of exon 3 to exon 5, thus obtaining a shorter protein. The same proband's germline mutations were found in 16 relatives out of 21 screened subjects: 8 carried IVS4+1G>T, 4 RET K666M, and 4 both the mutations. This is the second report in literature of coexistence in the same family of germline mutations of both RET proto-oncogene and MEN1 gene. The simultaneous presence of the two mutations was not apparently associated with more aggressive diseases, since at last follow-up all patients appeared to be disease-free or well compensated by medical therapy; finally, no one exhibited metastatic diseases. FAU - Mastroianno, Sandra AU - Mastroianno S AD - Unit of Cardiology, Scientific Institute Casa Sollievo della Sofferenza, 71013, San Giovanni Rotondo, Italy. FAU - Torlontano, Massimo AU - Torlontano M FAU - Scillitani, Alfredo AU - Scillitani A FAU - D'Aloiso, Leonardo AU - D'Aloiso L FAU - Verrienti, Antonella AU - Verrienti A FAU - Bonfitto, Nazario AU - Bonfitto N FAU - De Bonis, Antonio AU - De Bonis A FAU - D'Agruma, Leonardo AU - D'Agruma L FAU - Muscarella, Lucia Anna AU - Muscarella LA FAU - Guarnieri, Vito AU - Guarnieri V FAU - Dicembrino, Franca AU - Dicembrino F FAU - Maranghi, Marianna AU - Maranghi M FAU - Durante, Cosimo AU - Durante C FAU - Filetti, Sebastiano AU - Filetti S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110617 PL - United States TA - Endocrine JT - Endocrine JID - 9434444 RN - 0 (MAS1 protein, human) RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Mas) RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-ret) RN - EC 2.7.10.1 (RET protein, human) SB - IM MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - Family MH - Female MH - *Germ-Line Mutation MH - Heterozygote MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/complications/*genetics MH - Multiple Endocrine Neoplasia Type 2a/complications/*genetics MH - Pedigree MH - Proto-Oncogene Mas MH - Proto-Oncogene Proteins/*genetics MH - Proto-Oncogene Proteins c-ret/*genetics MH - Severity of Illness Index MH - Young Adult EDAT- 2011/06/17 06:00 MHDA- 2012/03/27 06:00 CRDT- 2011/06/17 06:00 PHST- 2011/05/15 00:00 [received] PHST- 2011/06/03 00:00 [accepted] PHST- 2011/06/17 06:00 [entrez] PHST- 2011/06/17 06:00 [pubmed] PHST- 2012/03/27 06:00 [medline] AID - 10.1007/s12020-011-9501-2 [doi] PST - ppublish SO - Endocrine. 2011 Dec;40(3):481-5. doi: 10.1007/s12020-011-9501-2. Epub 2011 Jun 17.