PMID- 22855342 OWN - NLM STAT- MEDLINE DCOM- 20121218 LR - 20220129 IS - 1945-7197 (Electronic) IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 97 IP - 10 DP - 2012 Oct TI - Whole-exome sequencing studies of nonhereditary (sporadic) parathyroid adenomas. PG - E1995-2005 LID - 10.1210/jc.2012-2303 [doi] AB - CONTEXT: Genetic abnormalities, such as those of multiple endocrine neoplasia type 1 (MEN1) and Cyclin D1 (CCND1) genes, occur in <50% of nonhereditary (sporadic) parathyroid adenomas. OBJECTIVE: To identify genetic abnormalities in nonhereditary parathyroid adenomas by whole-exome sequence analysis. DESIGN: Whole-exome sequence analysis was performed on parathyroid adenomas and leukocyte DNA samples from 16 postmenopausal women without a family history of parathyroid tumors or MEN1 and in whom primary hyperparathyroidism due to single-gland disease was cured by surgery. Somatic variants confirmed in this discovery set were assessed in 24 other parathyroid adenomas. RESULTS: Over 90% of targeted exons were captured and represented by more than 10 base reads. Analysis identified 212 somatic variants (median eight per tumor; range, 2-110), with the majority being heterozygous nonsynonymous single-nucleotide variants that predicted missense amino acid substitutions. Somatic MEN1 mutations occurred in six of 16 ( approximately 35%) parathyroid adenomas, in association with loss of heterozygosity on chromosome 11. However, no other gene was mutated in more than one tumor. Mutations in several genes that may represent low-frequency driver mutations were identified, including a protection of telomeres 1 (POT1) mutation that resulted in exon skipping and disruption to the single-stranded DNA-binding domain, which may contribute to increased genomic instability and the observed high mutation rate in one tumor. CONCLUSIONS: Parathyroid adenomas typically harbor few somatic variants, consistent with their low proliferation rates. MEN1 mutation represents the major driver in sporadic parathyroid tumorigenesis although multiple low-frequency driver mutations likely account for tumors not harboring somatic MEN1 mutations. FAU - Newey, Paul J AU - Newey PJ AD - Academic Endocrine Unit, Nuffield Department of Clinical Medicine, University of Oxford, and Department of Surgery, John Radcliffe Hospital, Oxford University Hospitals Trust, Oxford, UK. FAU - Nesbit, M Andrew AU - Nesbit MA FAU - Rimmer, Andrew J AU - Rimmer AJ FAU - Attar, Moustafa AU - Attar M FAU - Head, Rosie T AU - Head RT FAU - Christie, Paul T AU - Christie PT FAU - Gorvin, Caroline M AU - Gorvin CM FAU - Stechman, Michael AU - Stechman M FAU - Gregory, Lorna AU - Gregory L FAU - Mihai, Radu AU - Mihai R FAU - Sadler, Greg AU - Sadler G FAU - McVean, Gil AU - McVean G FAU - Buck, David AU - Buck D FAU - Thakker, Rajesh V AU - Thakker RV LA - eng GR - G1000467/2010/MRC_/Medical Research Council/United Kingdom GR - G0601423/MRC_/Medical Research Council/United Kingdom GR - G1000467/MRC_/Medical Research Council/United Kingdom GR - G9825289/MRC_/Medical Research Council/United Kingdom GR - 91070/MRC_/Medical Research Council/United Kingdom GR - 090532/Z/09/Z/WT_/Wellcome Trust/United Kingdom GR - G9825289/2004/MRC_/Medical Research Council/United Kingdom GR - 090532/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120801 PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (CCND1 protein, human) RN - 0 (POT1 protein, human) RN - 0 (Shelterin Complex) RN - 0 (Telomere-Binding Proteins) RN - 136601-57-5 (Cyclin D1) SB - IM MH - Adenoma/*genetics MH - Aged MH - Aged, 80 and over MH - Cyclin D1/genetics MH - DNA Mutational Analysis/*methods MH - Exome/genetics MH - Female MH - Genetic Variation/genetics MH - Humans MH - Hyperparathyroidism, Primary/*genetics MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics MH - Parathyroid Neoplasms/*genetics MH - Shelterin Complex MH - Telomere-Binding Proteins/genetics PMC - PMC4446457 EDAT- 2012/08/03 06:00 MHDA- 2012/12/19 06:00 PMCR- 2013/10/01 CRDT- 2012/08/03 06:00 PHST- 2012/08/03 06:00 [entrez] PHST- 2012/08/03 06:00 [pubmed] PHST- 2012/12/19 06:00 [medline] PHST- 2013/10/01 00:00 [pmc-release] AID - jc.2012-2303 [pii] AID - 12-2303 [pii] AID - 10.1210/jc.2012-2303 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2012 Oct;97(10):E1995-2005. doi: 10.1210/jc.2012-2303. Epub 2012 Aug 1.