PMID- 29497973 OWN - NLM STAT- MEDLINE DCOM- 20190211 LR - 20190215 IS - 1559-0100 (Electronic) IS - 1355-008X (Linking) VI - 62 IP - 1 DP - 2018 Oct TI - Multiple endocrine neoplasia type 1: analysis of germline MEN1 mutations in the Italian multicenter MEN1 patient database. PG - 215-233 LID - 10.1007/s12020-018-1566-8 [doi] AB - PURPOSE: Multiple endocrine neoplasia type 1 (MEN1) is caused by germline inactivating mutations of the MEN1 gene. Currently, no direct genotype-phenotype correlation is identified. We aim to analyze MEN1 mutation site and features, and possible correlations between the mutation type and/or the affected menin functional domain and clinical presentation in patients from the Italian multicenter MEN1 database, one of the largest worldwide MEN1 mutation series published to date. METHODS: The study included the analysis of MEN1 mutation profile in 410 MEN1 patients [370 familial cases from 123 different pedigrees (48 still asymptomatic at the time of this study) and 40 single cases]. RESULTS: We identified 99 different mutations: 41 frameshift [small intra-exon deletions (28) or insertions (13)], 13 nonsense, 26 missense and 11 splicing site mutations, 4 in-frame small deletions, and 4 intragenic large deletions spanning more than one exon. One family had two different inactivating MEN1 mutations on the same allele. Gastro-entero-pancreatic tumors resulted more frequent in patients with a nonsense mutation, and thoracic neuroendocrine tumors in individuals bearing a splicing-site mutation. CONCLUSIONS: Our data regarding mutation type frequency and distribution are in accordance with previously published data: MEN1 mutations are scattered through the entire coding region, and truncating mutations are the most common in MEN1 syndrome. A specific direct correlation between MEN1 genotype and clinical phenotype was not found in all our families, and wide intra-familial clinical variability and variable disease penetrance were both confirmed, suggesting a role for modifying, still undetermined, factors, explaining the variable MEN1 tumorigenesis. FAU - Marini, Francesca AU - Marini F AD - Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Giusti, Francesca AU - Giusti F AD - Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Fossi, Caterina AU - Fossi C AD - Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Cioppi, Federica AU - Cioppi F AD - Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Cianferotti, Luisella AU - Cianferotti L AD - Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Masi, Laura AU - Masi L AD - Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Boaretto, Francesca AU - Boaretto F AD - Familial Cancer Clinic, Veneto Institute of Oncology IRCCS, Padua, Italy. FAU - Zovato, Stefania AU - Zovato S AD - Familial Cancer Clinic, Veneto Institute of Oncology IRCCS, Padua, Italy. FAU - Cetani, Filomena AU - Cetani F AD - Department of Clinical and Experimental Medicine, Section of Endocrinology, University of Pisa, Pisa, Italy. FAU - Colao, Annamaria AU - Colao A AD - Endocrinology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy. FAU - Davi, Maria Vittoria AU - Davi MV AD - Internal Medicine, Section of Endocrinology, Department of Medicine, University of Verona, Verona, Italy. FAU - Faggiano, Antongiulio AU - Faggiano A AD - Endocrinology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy. FAU - Fanciulli, Giuseppe AU - Fanciulli G AD - NET Unit, Department of Clinical and Experimental Medicine, University of Sassari, Sassari, Italy. FAU - Ferolla, Piero AU - Ferolla P AD - Multidisciplinar NET Center, Umbria Regional Cancer Network, Azienda Ospedaliera di Perugia and University of Perugia, Perugia, Italy. FAU - Ferone, Diego AU - Ferone D AD - Endocrinology Unit, Department of Internal Medicine and Medical Specialties (DiMI), Policlinico San Martino, University of Genoa, Genoa, Italy. FAU - Loli, Paola AU - Loli P AD - Department of Endocrinology, Hospital Niguarda Ca' Granda, Milan, Italy. FAU - Mantero, Franco AU - Mantero F AD - Division of Endocrinology, Department of Medicine (DIMED), University of Padua, Padua, Italy. FAU - Marcocci, Claudio AU - Marcocci C AD - Department of Clinical and Experimental Medicine, Section of Endocrinology, University of Pisa, Pisa, Italy. FAU - Opocher, Giuseppe AU - Opocher G AD - Familial Cancer Clinic, Veneto Institute of Oncology IRCCS, Padua, Italy. FAU - Beck-Peccoz, Paolo AU - Beck-Peccoz P AD - University of Milan, Milan, Italy. FAU - Persani, Luca AU - Persani L AD - Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy. AD - Division of Endocrine and Metabolic Diseases, IRCCS Istituto Auxologico Italiano, Milan, Italy. FAU - Scillitani, Alfredo AU - Scillitani A AD - Unit of Endocrinology 'Casa Sollievo della Sofferenza' Hospital, IRCCS, San Giovanni Rotondo, Foggia, Italy. FAU - Guizzardi, Fabiana AU - Guizzardi F AD - Division of Endocrine and Metabolic Diseases, IRCCS Istituto Auxologico Italiano, Milan, Italy. FAU - Spada, Anna AU - Spada A AD - Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy. FAU - Tomassetti, Paola AU - Tomassetti P AD - Department of Medical and Surgical Sciences, S. Orsola-Malpighi University Hospital, Bologna, Italy. FAU - Tonelli, Francesco AU - Tonelli F AD - Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Brandi, Maria Luisa AU - Brandi ML AUID- ORCID: 0000-0002-8741-0592 AD - Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. marialuisa.brandi@unifi.it. LA - eng GR - 2014/0431/Ente Cassa di Risparmio di Firenze/International PT - Journal Article DEP - 20180301 PL - United States TA - Endocrine JT - Endocrine JID - 9434444 RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM EIN - Endocrine. 2018 Jul 21;:. PMID: 30032405 MH - Adolescent MH - Adult MH - Aged MH - Child MH - Child, Preschool MH - Databases, Factual MH - Female MH - Genotype MH - *Germ-Line Mutation MH - Humans MH - Italy MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*genetics MH - Phenotype MH - Proto-Oncogene Proteins/*genetics MH - Young Adult OTO - NOTNLM OT - Genetic test OT - Genotype-phenotype correlation OT - MEN1 inactivating mutations OT - Multiple endocrine neoplasia type 1 EDAT- 2018/03/03 06:00 MHDA- 2019/02/12 06:00 CRDT- 2018/03/03 06:00 PHST- 2017/11/28 00:00 [received] PHST- 2018/02/08 00:00 [accepted] PHST- 2018/03/03 06:00 [pubmed] PHST- 2019/02/12 06:00 [medline] PHST- 2018/03/03 06:00 [entrez] AID - 10.1007/s12020-018-1566-8 [pii] AID - 10.1007/s12020-018-1566-8 [doi] PST - ppublish SO - Endocrine. 2018 Oct;62(1):215-233. doi: 10.1007/s12020-018-1566-8. Epub 2018 Mar 1.