PMID- 26424307 OWN - NLM STAT- MEDLINE DCOM- 20160704 LR - 20181202 IS - 1349-7235 (Electronic) IS - 0918-2918 (Linking) VI - 54 IP - 19 DP - 2015 TI - A Novel Missense Mutation of the MEN1 Gene in a Patient with Multiple Endocrine Neoplasia Type 1 with Glucagonoma and Obesity. PG - 2475-81 LID - 10.2169/internalmedicine.54.4886 [doi] AB - A 35-year-old obese diabetic man presented with recurrent primary hyperparathyroidism during a three-year outpatient follow-up. He was clinically diagnosed with multiple endocrine neoplasia type 1 (MEN1) due to the presence of a pituitary adenoma and multiple glucagonomas. The glucagonomas may have affected his glycemic control. However, he did not demonstrate weight loss, suggesting that the patient's obesity could have obscured the early diagnosis of a glucagonoma. Genetic testing revealed a novel missense mutation at codon 561 in exon 10, resulting in an amino acid substitution from methionine to arginine (M561R) in the MEN1 gene. This mutation appeared to be responsible for the MEN1 pathogenicity. FAU - Murakami, Takaaki AU - Murakami T AD - Department of Diabetes and Endocrinology, Osaka Red Cross Hospital, Japan. FAU - Usui, Takeshi AU - Usui T FAU - Nakajima, Akio AU - Nakajima A FAU - Mochida, Yuki AU - Mochida Y FAU - Saito, Sumio AU - Saito S FAU - Nambu, Takuo AU - Nambu T FAU - Kato, Tomoko AU - Kato T FAU - Matsuda, Yuki AU - Matsuda Y FAU - Yonemitsu, Shin AU - Yonemitsu S FAU - Muro, Seiji AU - Muro S FAU - Oki, Shogo AU - Oki S LA - eng PT - Case Reports PT - Journal Article DEP - 20151001 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Adult MH - Amino Acid Substitution MH - DNA Mutational Analysis MH - Diabetes Mellitus, Type 2 MH - Genetic Testing MH - Glucagonoma/*diagnosis/genetics/surgery MH - Humans MH - Hyperparathyroidism, Primary/*diagnosis/etiology/genetics MH - Male MH - Multiple Endocrine Neoplasia Type 1/*diagnosis/genetics/surgery MH - Mutation, Missense/*genetics MH - Obesity/complications MH - Pancreatic Neoplasms/*diagnosis/genetics/surgery MH - Proto-Oncogene Proteins EDAT- 2015/10/02 06:00 MHDA- 2016/07/05 06:00 CRDT- 2015/10/02 06:00 PHST- 2015/10/02 06:00 [entrez] PHST- 2015/10/02 06:00 [pubmed] PHST- 2016/07/05 06:00 [medline] AID - 10.2169/internalmedicine.54.4886 [doi] PST - ppublish SO - Intern Med. 2015;54(19):2475-81. doi: 10.2169/internalmedicine.54.4886. Epub 2015 Oct 1.