PMID- 22129891 OWN - NLM STAT- MEDLINE DCOM- 20120420 LR - 20161018 IS - 1479-683X (Electronic) IS - 0804-4643 (Linking) VI - 166 IP - 3 DP - 2012 Mar TI - Functional characterization of a rare germline mutation in the gene encoding the cyclin-dependent kinase inhibitor p27Kip1 (CDKN1B) in a Spanish patient with multiple endocrine neoplasia-like phenotype. PG - 551-60 LID - 10.1530/EJE-11-0929 [doi] AB - OBJECTIVE: The aim of this study was to investigate the presence of germline mutations in the CDKN1B gene that encodes the cyclin-dependent kinase (Cdk) inhibitor p27 in multiple endocrine neoplasia 1 (MEN1)-like Spanish index patients. The CDKN1B gene has recently been identified as a tumor susceptibility gene for MEN4, with six germline mutations reported so far in patients with a MEN-like phenotype but negative for MEN1 mutations. DESIGN AND METHODS: Fifteen Spanish index cases with MEN-like symptoms were screened for mutations in the CDKN1B gene and the mutant variant was studied functionally by transcription/translation assays in vitro and in transiently transfected HeLa cells. RESULTS: We report the identification of a heterozygous GAGA deletion in the 5'-UTR of CDKN1B, NM_004064.3:c.-32_-29del, in a patient affected by gastric carcinoid tumor and hyperparathyroidism. This deletion falls inside the region that is responsible for CDKN1B transcription and is predicted to destroy a secondary stem and loop structure that includes the GAGAGA element responsible for ribosome recruitment. Accordingly, in vitro studies of coupled transcription/translation assays and transient transfection in HeLa cells showed that the GAGA deletion in the CDKN1B 5'-UTR significantly impairs the transcription of downstream reporter luciferase (of approximately 40-60%) and, possibly, the translation of the corresponding mRNA. This mutation was associated with a significant reduction in the amount of CDKN1B mRNA in peripheral blood leukocytes from the patient, as demonstrated by quantitative real-time PCR. CONCLUSIONS: Our results confirm that germline CDKN1B mutations may predispose to a human MEN4 condition and add novel evidence that alteration in the transcription/translation rate of CDKN1B mRNA might be the mechanism implicated in tumor susceptibility. FAU - Malanga, Donatella AU - Malanga D AD - Dipartimento di Medicina Sperimentale e Clinica G Salvatore, Universita Magna Graecia, Campus Universitario Germaneto, 88100 Catanzaro, Italy. FAU - De Gisi, Silvia AU - De Gisi S FAU - Riccardi, Miriam AU - Riccardi M FAU - Scrima, Marianna AU - Scrima M FAU - De Marco, Carmela AU - De Marco C FAU - Robledo, Mercedes AU - Robledo M FAU - Viglietto, Giuseppe AU - Viglietto G LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111130 PL - England TA - Eur J Endocrinol JT - European journal of endocrinology JID - 9423848 RN - 0 (CDKN1B protein, human) RN - 147604-94-2 (Cyclin-Dependent Kinase Inhibitor p27) SB - IM MH - Adult MH - Aged MH - Base Sequence MH - Cyclin-Dependent Kinase Inhibitor p27/*genetics MH - Female MH - Germ-Line Mutation/*genetics MH - HeLa Cells MH - Humans MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - Multiple Endocrine Neoplasia Type 1/diagnosis/*genetics MH - *Phenotype MH - Spain EDAT- 2011/12/02 06:00 MHDA- 2012/04/21 06:00 CRDT- 2011/12/02 06:00 PHST- 2011/12/02 06:00 [entrez] PHST- 2011/12/02 06:00 [pubmed] PHST- 2012/04/21 06:00 [medline] AID - EJE-11-0929 [pii] AID - 10.1530/EJE-11-0929 [doi] PST - ppublish SO - Eur J Endocrinol. 2012 Mar;166(3):551-60. doi: 10.1530/EJE-11-0929. Epub 2011 Nov 30.