PMID- 23652676 OWN - NLM STAT- MEDLINE DCOM- 20131216 LR - 20130508 IS - 1662-3762 (Electronic) IS - 0301-3073 (Linking) VI - 41 DP - 2013 TI - Genetic defects associated with familial and sporadic hyperparathyroidism. PG - 149-65 LID - 10.1159/000345675 [doi] AB - Primary hyperparathyroidism (PHPT) occurs sporadically, but occasionally it may be a feature of a familial condition, such as multiple endocrine neoplasia type 1 (MEN1), MEN2A, or the HPT-jaw tumor syndrome (HPT-JT), and familial hypocalciuric hypercalcemia/neonatal severe hyperparathyroidism (FHH/NSHPT). PHPT may also occur as familial isolated hyperparathyroidism (FIHP), and has been observed as a consequence of mutations in the CDKN1B gene (MEN4). Tumorigenesis in these conditions may be the result of protooncogene activation (e.g. RET in MEN2) or two-hit losses of a tumor suppressor (e.g. MEN1, HPT-JT). In patients with MEN1, HPT-JT or FHH/NSHPT, the hyperparathyroidism manifests at a younger age and affects both sexes equally. In MEN1, mutations of the MEN1 gene also cause enteropancreatic and anterior pituitary tumors. In MEN2, activating mutations in the RET protooncogene also cause medullary thyroid carcinoma and pheochromocytoma. In HPT-JT, mutations of CDC73/HRPT2 are associated with parathyroid carcinoma, but tumors of the kidneys and uterus are additional features. In some FIHP families, a CASR mutation may be identified. In parathyroid carcinoma, even if sporadic, molecular diagnostics for CDC73/HRPT2 should be considered, as it should be for younger patients. Further exploration of these hereditary syndromes may shed light on the molecular mechanisms giving rise to nonhereditary PHPT. CI - Copyright (c) 2013 S. Karger AG, Basel. FAU - Hendy, Geoffrey N AU - Hendy GN AD - Departments of Medicine, Physiology and Human Genetics, McGill University, and Calcium Research Laboratory and Hormones and Cancer Research Unit, Royal Victoria Hospital, Montreal, Quebec, Canada. geoffrey.hendy @ mcgill.ca FAU - Cole, David E C AU - Cole DE LA - eng PT - Journal Article DEP - 20130319 PL - Switzerland TA - Front Horm Res JT - Frontiers of hormone research JID - 0320246 RN - 0 (CCND1 protein, human) RN - 0 (CDC73 protein, human) RN - 0 (CDKN1B protein, human) RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Receptors, Calcium-Sensing) RN - 0 (Tumor Suppressor Proteins) RN - 136601-57-5 (Cyclin D1) RN - 147604-94-2 (Cyclin-Dependent Kinase Inhibitor p27) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-ret) RN - EC 2.7.10.1 (RET protein, human) RN - Hypocalciuric hypercalcemia, familial, type 1 SB - IM MH - Cyclin D1/genetics MH - Cyclin-Dependent Kinase Inhibitor p27/genetics MH - Female MH - Humans MH - Hypercalcemia/congenital MH - Hyperparathyroidism, Primary/*genetics MH - Infant, Newborn MH - Infant, Newborn, Diseases/genetics MH - Jaw Neoplasms/genetics MH - Loss of Heterozygosity MH - Male MH - Multiple Endocrine Neoplasia Type 1/complications/genetics MH - Multiple Endocrine Neoplasia Type 2a/complications/genetics MH - Parathyroid Neoplasms/*genetics MH - Proto-Oncogene Proteins/genetics/physiology MH - Proto-Oncogene Proteins c-ret/genetics MH - Receptors, Calcium-Sensing/genetics MH - Tumor Suppressor Proteins/genetics EDAT- 2013/05/09 06:00 MHDA- 2013/12/18 06:00 CRDT- 2013/05/09 06:00 PHST- 2013/05/09 06:00 [entrez] PHST- 2013/05/09 06:00 [pubmed] PHST- 2013/12/18 06:00 [medline] AID - 000345675 [pii] AID - 10.1159/000345675 [doi] PST - ppublish SO - Front Horm Res. 2013;41:149-65. doi: 10.1159/000345675. Epub 2013 Mar 19.