PMID- 23376981 OWN - NLM STAT- MEDLINE DCOM- 20131101 LR - 20220408 IS - 1460-2083 (Electronic) IS - 0964-6906 (Linking) VI - 22 IP - 10 DP - 2013 May 15 TI - Higher risk of death among MEN1 patients with mutations in the JunD interacting domain: a Groupe d'etude des Tumeurs Endocrines (GTE) cohort study. PG - 1940-8 LID - 10.1093/hmg/ddt039 [doi] AB - Multiple endocrine neoplasia syndrome type 1 (MEN1), which is secondary to mutation of the MEN1 gene, is a rare autosomal-dominant disease that predisposes mutation carriers to endocrine tumors. Although genotype-phenotype studies have so far failed to identify any statistical correlations, some families harbor recurrent tumor patterns. The function of MENIN is unclear, but has been described through the discovery of its interacting partners. Mutations in the interacting domains of MENIN functional partners have been shown to directly alter its regulation abilities. We report on a cohort of MEN1 patients from the Groupe d'etude des Tumeurs Endocrines. Patients with a molecular diagnosis and a clinical follow-up, totaling 262 families and 806 patients, were included. Associations between mutation type, location or interacting factors of the MENIN protein and death as well as the occurrence of MEN1-related tumors were tested using a frailty Cox model to adjust for potential heterogeneity across families. Accounting for the heterogeneity across families, the overall risk of death was significantly higher when mutations affected the JunD interacting domain (adjusted HR = 1.88: 95%-CI = 1.15-3.07). Patients had a higher risk of death from cancers of the MEN1 spectrum (HR = 2.34; 95%-CI = 1.23-4.43). This genotype-phenotype correlation study confirmed the lack of direct genotype-phenotype correlations. However, patients with mutations affecting the JunD interacting domain had a higher risk of death secondary to a MEN1 tumor and should thus be considered for surgical indications, genetic counseling and follow-up. FAU - Thevenon, Julien AU - Thevenon J AD - CHU de Dijon, Centre de Genetique et Centre de Reference Anomalies du Developpement et Syndromes Malformatifs, Universite de Bourgogne, Dijon, France. FAU - Bourredjem, Abderrahmane AU - Bourredjem A FAU - Faivre, Laurence AU - Faivre L FAU - Cardot-Bauters, Catherine AU - Cardot-Bauters C FAU - Calender, Alain AU - Calender A FAU - Murat, Arnaud AU - Murat A FAU - Giraud, Sophie AU - Giraud S FAU - Niccoli, Patricia AU - Niccoli P FAU - Odou, Marie-Francoise AU - Odou MF FAU - Borson-Chazot, Francoise AU - Borson-Chazot F FAU - Barlier, Anne AU - Barlier A FAU - Lombard-Bohas, Catherine AU - Lombard-Bohas C FAU - Clauser, Eric AU - Clauser E FAU - Tabarin, Antoine AU - Tabarin A FAU - Parfait, Beatrice AU - Parfait B FAU - Chabre, Olivier AU - Chabre O FAU - Castermans, Emilie AU - Castermans E FAU - Beckers, Albert AU - Beckers A FAU - Ruszniewski, Philippe AU - Ruszniewski P FAU - Le Bras, Morgane AU - Le Bras M FAU - Delemer, Brigitte AU - Delemer B FAU - Bouchard, Philippe AU - Bouchard P FAU - Guilhem, Isabelle AU - Guilhem I FAU - Rohmer, Vincent AU - Rohmer V FAU - Goichot, Bernard AU - Goichot B FAU - Caron, Philippe AU - Caron P FAU - Baudin, Eric AU - Baudin E FAU - Chanson, Philippe AU - Chanson P FAU - Groussin, Lionel AU - Groussin L FAU - Du Boullay, Helene AU - Du Boullay H FAU - Weryha, Georges AU - Weryha G FAU - Lecomte, Pierre AU - Lecomte P FAU - Penfornis, Alfred AU - Penfornis A FAU - Bihan, Helene AU - Bihan H FAU - Archambeaud, Francoise AU - Archambeaud F FAU - Kerlan, Veronique AU - Kerlan V FAU - Duron, Francoise AU - Duron F FAU - Kuhn, Jean-Marc AU - Kuhn JM FAU - Verges, Bruno AU - Verges B FAU - Rodier, Michel AU - Rodier M FAU - Renard, Michel AU - Renard M FAU - Sadoul, Jean-Louis AU - Sadoul JL FAU - Binquet, Christine AU - Binquet C FAU - Goudet, Pierre AU - Goudet P LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20130131 PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 RN - 0 (JunD protein, human) RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Proto-Oncogene Proteins c-jun) SB - IM MH - Family MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Multiple Endocrine Neoplasia Type 1/*genetics/metabolism/*mortality MH - *Mutation MH - Protein Structure, Tertiary MH - Proto-Oncogene Proteins/*genetics/metabolism MH - Proto-Oncogene Proteins c-jun/*genetics/metabolism MH - Risk Factors EDAT- 2013/02/05 06:00 MHDA- 2013/11/02 06:00 CRDT- 2013/02/05 06:00 PHST- 2013/02/05 06:00 [entrez] PHST- 2013/02/05 06:00 [pubmed] PHST- 2013/11/02 06:00 [medline] AID - ddt039 [pii] AID - 10.1093/hmg/ddt039 [doi] PST - ppublish SO - Hum Mol Genet. 2013 May 15;22(10):1940-8. doi: 10.1093/hmg/ddt039. Epub 2013 Jan 31.