PMID- 25456907 OWN - NLM STAT- MEDLINE DCOM- 20150218 LR - 20181113 IS - 1532-7361 (Electronic) IS - 0039-6060 (Print) IS - 0039-6060 (Linking) VI - 156 IP - 6 DP - 2014 Dec TI - Preliminary whole-exome sequencing reveals mutations that imply common tumorigenicity pathways in multiple endocrine neoplasia type 1 patients. PG - 1351-7; discussion 1357-8 LID - S0039-6060(14)00551-0 [pii] LID - 10.1016/j.surg.2014.08.073 [doi] AB - BACKGROUND: Whole-exome sequencing studies have not established definitive somatic mutation patterns among patients with sporadic hyperparathyroidism (HPT). No sequencing has evaluated multiple endocrine neoplasia type 1 (MEN1)-related HPT. We sought to perform whole-exome sequencing in HPT patients to identify somatic mutations and associated biological pathways and tumorigenic networks. METHODS: Whole-exome sequencing was performed on blood and tissue from HPT patients (MEN1 and sporadic) and somatic single nucleotide variants (SNVs) were identified. Stop-gain and stop-loss SNVs were analyzed with Ingenuity Pathways Analysis (IPA). Loss of heterozygosity (LOH) was also assessed. RESULTS: Sequencing was performed on 4 MEN1 and 10 sporadic cases. Eighteen stop-gain/stop-loss SNV mutations were identified in 3 MEN1 patients. One complex network was identified on IPA: Cellular function and maintenance, tumor morphology, and cardiovascular disease (IPA score = 49). A nonsynonymous SNV of TP53 (lysine-to-glutamic acid change at codon 81) identified in a MEN1 patient was suggested to be a driver mutation (Cancer-specific High-throughput Annotation of Somatic Mutations; P = .002). All MEN1 and 3/10 sporadic specimens demonstrated LOH of chromosome 11. CONCLUSION: Whole-exome sequencing revealed somatic mutations in MEN1 associated with a single tumorigenic network, whereas sporadic pathogenesis seemed to be more diverse. A somatic TP53 mutation was also identified. LOH of chromosome 11 was seen in all MEN1 and 3 of 10 sporadic patients. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Romero Arenas, Minerva Angelica AU - Romero Arenas MA AD - Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. FAU - Fowler, Richard G AU - Fowler RG AD - Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX. FAU - San Lucas, F Anthony AU - San Lucas FA AD - Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX. FAU - Shen, Jie AU - Shen J AD - Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX. FAU - Rich, Thereasa A AU - Rich TA AD - Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. FAU - Grubbs, Elizabeth G AU - Grubbs EG AD - Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. FAU - Lee, Jeffrey E AU - Lee JE AD - Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. FAU - Scheet, Paul AU - Scheet P AD - Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX. FAU - Perrier, Nancy D AU - Perrier ND AD - Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. FAU - Zhao, Hua AU - Zhao H AD - Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX. Electronic address: HZhao2@mdanderson.org. LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141111 PL - United States TA - Surgery JT - Surgery JID - 0417347 SB - IM MH - Adenoma/genetics/pathology MH - Adolescent MH - Adult MH - Carcinogenesis/*genetics MH - DNA Mutational Analysis MH - Exome/*genetics MH - Female MH - Genes, p53/*genetics MH - *Germ-Line Mutation MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics MH - Parathyroid Neoplasms/genetics/pathology MH - Pilot Projects MH - Sampling Studies MH - Sensitivity and Specificity MH - Young Adult PMC - PMC4822541 MID - NIHMS772865 EDAT- 2014/12/03 06:00 MHDA- 2015/02/19 06:00 PMCR- 2016/04/06 CRDT- 2014/12/03 06:00 PHST- 2014/03/01 00:00 [received] PHST- 2014/08/21 00:00 [accepted] PHST- 2014/12/03 06:00 [entrez] PHST- 2014/12/03 06:00 [pubmed] PHST- 2015/02/19 06:00 [medline] PHST- 2016/04/06 00:00 [pmc-release] AID - S0039-6060(14)00551-0 [pii] AID - 10.1016/j.surg.2014.08.073 [doi] PST - ppublish SO - Surgery. 2014 Dec;156(6):1351-7; discussion 1357-8. doi: 10.1016/j.surg.2014.08.073. Epub 2014 Nov 11.