PMID- 23778871 OWN - NLM STAT- MEDLINE DCOM- 20150120 LR - 20211021 IS - 1476-5438 (Electronic) IS - 1018-4813 (Print) IS - 1018-4813 (Linking) VI - 22 IP - 2 DP - 2014 Feb TI - A MEN1 syndrome with a paraganglioma. PG - 283-5 LID - 10.1038/ejhg.2013.128 [doi] AB - Germline mutations of the MEN1 gene cause multiple endocrine neoplasia type 1 (MEN1), an autosomal dominant disorder characterized by tumors of the parathyroids, the pancreas, and the anterior pituitary. Paraganglioma (PGL) is a rare endocrine tumor, which can be sporadic or genetically determined. To date, PGL has never been reported as a feature of MEN1.We report here a patient presenting three features of MEN1 syndrome (hyperparathyroidism, pancreatic neuroendocrine tumor, and adrenocortical adenoma) associated with PGL. Genetic analysis of MEN1 gene revealed a new missense mutation in exon 5 (AGGshort right arrowAAG), causing the substitution of arginine by lysine at codon 275. Screening for other genetic disorders (SDHx, TMEM127, MAX, CDKN1B) causing PGL was negative. Immunohistochemical analyses showed normal levels of succinate dehydrogenase (SDH)A and SDHB in the PGL. The proband's sister, bearing the mutation, had primary hyperparathyroidism. It was the first typical MEN1 syndrome reported with an extra-adrenal PGL. FAU - Jamilloux, Yvan AU - Jamilloux Y AD - 1] Department of Internal Medicine A, University Hospital of Limoges, Limoges, France [2] Department of Internal Medicine B, Endocrinology and Metabolic Diseases, University Hospital of Limoges, Limoges, France. FAU - Favier, Judith AU - Favier J AD - 1] INSERM, UMR970, Paris Cardiovascular Research Center at HEGP, Paris, France [2] Medicine Faculty, University of Paris Descartes, Paris, France. FAU - Pertuit, Morgane AU - Pertuit M AD - APHM - Conception, Laboratory of Molecular Biology, Aix-Marseille University, Marseille, France. FAU - Delage-Corre, Manuela AU - Delage-Corre M AD - Department of Pathology, University Hospital of Limoges, Limoges, France. FAU - Lopez, Stephanie AU - Lopez S AD - Department of Internal Medicine B, Endocrinology and Metabolic Diseases, University Hospital of Limoges, Limoges, France. FAU - Teissier, Marie-Pierre AU - Teissier MP AD - Department of Internal Medicine B, Endocrinology and Metabolic Diseases, University Hospital of Limoges, Limoges, France. FAU - Mathonnet, Muriel AU - Mathonnet M AD - Department of Surgery, University Hospital of Limoges, Limoges, France. FAU - Galinat, Sophie AU - Galinat S AD - Department of Internal Medicine B, Endocrinology and Metabolic Diseases, University Hospital of Limoges, Limoges, France. FAU - Barlier, Anne AU - Barlier A AD - APHM - Conception, Laboratory of Molecular Biology, Aix-Marseille University, Marseille, France. FAU - Archambeaud, Francoise AU - Archambeaud F AD - Department of Internal Medicine B, Endocrinology and Metabolic Diseases, University Hospital of Limoges, Limoges, France. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130619 PL - England TA - Eur J Hum Genet JT - European journal of human genetics : EJHG JID - 9302235 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Abnormalities, Multiple/*diagnosis/genetics MH - Adrenal Cortex Neoplasms/*diagnostic imaging/genetics MH - DNA Mutational Analysis MH - Female MH - Humans MH - Mutation, Missense MH - Pancreatic Neoplasms/*diagnostic imaging/genetics MH - Paraganglioma/*diagnostic imaging/genetics MH - Pedigree MH - Proto-Oncogene Proteins/*genetics MH - Radiography MH - Syndrome PMC - PMC3895646 EDAT- 2013/06/20 06:00 MHDA- 2015/01/21 06:00 PMCR- 2015/02/01 CRDT- 2013/06/20 06:00 PHST- 2013/01/14 00:00 [received] PHST- 2013/03/29 00:00 [revised] PHST- 2013/05/11 00:00 [accepted] PHST- 2013/06/20 06:00 [entrez] PHST- 2013/06/20 06:00 [pubmed] PHST- 2015/01/21 06:00 [medline] PHST- 2015/02/01 00:00 [pmc-release] AID - ejhg2013128 [pii] AID - 10.1038/ejhg.2013.128 [doi] PST - ppublish SO - Eur J Hum Genet. 2014 Feb;22(2):283-5. doi: 10.1038/ejhg.2013.128. Epub 2013 Jun 19.