PMID- 29134609 OWN - NLM STAT- MEDLINE DCOM- 20180928 LR - 20181113 IS - 1720-8386 (Electronic) IS - 0391-4097 (Linking) VI - 41 IP - 6 DP - 2018 Jun TI - Expression of p27(Kip1) and p18(Ink4c) in human multiple endocrine neoplasia type 1-related pancreatic neuroendocrine tumors. PG - 655-661 LID - 10.1007/s40618-017-0783-y [doi] AB - PURPOSE: Pancreatic neuroendocrine tumors are a major manifestation of multiple endocrine neoplasia type 1 (MEN1). This tumor syndrome is caused by germline mutations in MEN1, encoding menin. Insight into pathogenesis of these tumors might lead to new biomarkers and therapeutic targets for these patients. Several lines of evidence point towards a role for p27(Kip1) and p18(Ink4c) in MEN1-related tumor development in animal models for MEN1, but their contribution to human MEN1-related pancreatic neuroendocrine tumor development is not known. METHODS: In this study, we characterized protein expression of p27(Kip1) and p18(Ink4c) in human MEN1-related PanNETs by immunohistochemistry. From the nationwide DutchMEN1 Study Group database including > 90% of the Dutch MEN1 population, MEN1-patients, who underwent pancreatic surgery, were selected. A tissue micro-array was constructed with available paraffin tissue blocks, and PanNETs from 61 MEN1 patients were eligible for analysis. RESULTS: Expression of p27(Kip1) was high in 57 (93%) PanNETs and 67% of the tumors showed low expression of p18(Ink4c) (67.3%). No association was found between expression of either p27(Kip1) or p18(Ink4c) and clinic-pathological characteristics. CONCLUSIONS: These findings indicate that loss of p18(Ink4c), but not p27(Kip1), is a common event in the development of MEN1-related PanNETs. Restoration of p18(Ink4c) function through CDK4/6 inhibitors could be a therapeutic option for MEN1-related PanNETs. FAU - Conemans, E B AU - Conemans EB AD - Department of Surgery, University Medical Center Utrecht, PO box 85500, 3508 GA, Utrecht, The Netherlands. AD - Department of Internal Medicine, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Raicu-Ionita, G M AU - Raicu-Ionita GM AD - Department of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Pieterman, C R C AU - Pieterman CRC AD - Department of Internal Medicine, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Dreijerink, K M A AU - Dreijerink KMA AD - Department of Internal Medicine, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Dekkers, O M AU - Dekkers OM AD - Department of Endocrinology and Metabolism and Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Hermus, A R AU - Hermus AR AD - Department of Endocrinology, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - de Herder, W W AU - de Herder WW AD - Department of Internal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands. FAU - Drent, M L AU - Drent ML AD - Department of Internal Medicine, Section Endocrinology, VU University Medical Center, Amsterdam, The Netherlands. FAU - van der Horst-Schrivers, A N A AU - van der Horst-Schrivers ANA AD - Department of Endocrinology, University Medical Center Groningen, Groningen, The Netherlands. FAU - Havekes, B AU - Havekes B AD - Department of Internal Medicine, Division of Endocrinology, Maastricht University Medical Center, Maastricht, The Netherlands. FAU - Bisschop, P H AU - Bisschop PH AD - Department of Endocrinology and Metabolism, Academic Medical Center, Amsterdam, The Netherlands. FAU - Offerhaus, G J AU - Offerhaus GJ AD - Department of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Borel Rinkes, I H M AU - Borel Rinkes IHM AD - Department of Surgery, University Medical Center Utrecht, PO box 85500, 3508 GA, Utrecht, The Netherlands. FAU - Valk, G D AU - Valk GD AD - Department of Internal Medicine, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Timmers, H Th M AU - Timmers HTM AD - Section Stem Cells, Regenerative Medicine Center and Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Vriens, M R AU - Vriens MR AD - Department of Surgery, University Medical Center Utrecht, PO box 85500, 3508 GA, Utrecht, The Netherlands. mvriens@umcutrecht.nl. LA - eng PT - Journal Article DEP - 20171113 PL - Italy TA - J Endocrinol Invest JT - Journal of endocrinological investigation JID - 7806594 RN - 0 (Biomarkers, Tumor) RN - 0 (CDKN1B protein, human) RN - 0 (CDKN2C protein, human) RN - 0 (Cyclin-Dependent Kinase Inhibitor p18) RN - 147604-94-2 (Cyclin-Dependent Kinase Inhibitor p27) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*metabolism MH - Cyclin-Dependent Kinase Inhibitor p18/*metabolism MH - Cyclin-Dependent Kinase Inhibitor p27/*metabolism MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*complications MH - Neuroendocrine Tumors/diagnosis/etiology/*metabolism MH - Pancreatic Neoplasms/diagnosis/etiology/*metabolism MH - Prognosis MH - Young Adult OTO - NOTNLM OT - Menin OT - Multiple endocrine neoplasia type 1 OT - Pancreatic neuroendocrine tumors OT - p18Ink4c OT - p27Kip1 EDAT- 2017/11/15 06:00 MHDA- 2018/10/03 06:00 CRDT- 2017/11/15 06:00 PHST- 2017/04/22 00:00 [received] PHST- 2017/10/24 00:00 [accepted] PHST- 2017/11/15 06:00 [pubmed] PHST- 2018/10/03 06:00 [medline] PHST- 2017/11/15 06:00 [entrez] AID - 10.1007/s40618-017-0783-y [pii] AID - 10.1007/s40618-017-0783-y [doi] PST - ppublish SO - J Endocrinol Invest. 2018 Jun;41(6):655-661. doi: 10.1007/s40618-017-0783-y. Epub 2017 Nov 13.