PMID- 22490989 OWN - NLM STAT- MEDLINE DCOM- 20120808 LR - 20211021 IS - 1720-8386 (Electronic) IS - 0391-4097 (Linking) VI - 35 IP - 2 DP - 2012 Feb TI - A novel menin gene deletional mutation in a little series of Italian patients affected by apparently sporadic multiple endocrine neoplasia type 1 syndrome. PG - 124-8 AB - AIM: To perform a genetic screening for the multiple endocrine neoplasia type 1 (MEN1) gene mutations in patients affected by an apparently sporadic form of the disease, referred to an internal medicine unit of a large general hospital. SUBJECTS AND METHODS: In a group of 12 consecutive patients presenting clinical features of MEN type 1 syndrome, we performed a genetic screening for germline MEN1 gene mutations, including complete sequencing of the coding region (exons 2 to 10) and multiplex ligation-dependent probe amplification analysis for large deletion detection. RESULTS: Among these patients affected by apparently sporadic MEN type 1 syndrome, a targeted clinical history could detect indirect support for a diagnosis of familial condition only in 2 cases. The genetic screening identified pathogenic germline MEN1 gene mutations in 3 patients (25%). A previously unknown 18 base-pair deletion within exon 3, c.564_581delCAATGGGGAGCAGACAGC, resulting in loss of 6 amino acids (pAsp189_Ala194del), was found in heterozygosis in a woman affected by primary hyperparathyroidism and multifocal pancreatic neoplasia. CONCLUSIONS: Our results underscore the importance of performing genetic testing also in apparently sporadic MEN1 patients and extend the list of molecular variants leading to inactivation of the MEN1 gene. FAU - Giacche, M AU - Giacche M AD - Internal Medicine Division, Department of Medical and Surgical Sciences, University of Brescia - Spedali Civili of Brescia, Italy. mara.giacche@spedalicivili.brescia.it FAU - Panarotto, A AU - Panarotto A FAU - Mori, L AU - Mori L FAU - Daffini, L AU - Daffini L FAU - Tacchetti, M C AU - Tacchetti MC FAU - Pirola, I AU - Pirola I FAU - Agabiti Rosei, E AU - Agabiti Rosei E FAU - Castellano, M AU - Castellano M LA - eng PT - Journal Article PL - Italy TA - J Endocrinol Invest JT - Journal of endocrinological investigation JID - 7806594 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Adenoma/etiology/genetics MH - Adult MH - Cohort Studies MH - DNA Mutational Analysis MH - Female MH - Humans MH - Insulinoma/etiology/genetics MH - Italy MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/complications/*genetics MH - Pancreatic Neoplasms/etiology/genetics MH - Parathyroid Neoplasms/etiology/genetics MH - Proto-Oncogene Proteins/*genetics MH - *Sequence Deletion/physiology MH - Syndrome EDAT- 2012/04/12 06:00 MHDA- 2012/08/09 06:00 CRDT- 2012/04/12 06:00 PHST- 2012/04/12 06:00 [entrez] PHST- 2012/04/12 06:00 [pubmed] PHST- 2012/08/09 06:00 [medline] AID - 8320 [pii] AID - 10.1007/BF03345419 [doi] PST - ppublish SO - J Endocrinol Invest. 2012 Feb;35(2):124-8. doi: 10.1007/BF03345419.