PMID- 33066578 OWN - NLM STAT- MEDLINE DCOM- 20210225 LR - 20210225 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 21 IP - 20 DP - 2020 Oct 14 TI - Multiple Endocrine Neoplasia Type 1: The Potential Role of microRNAs in the Management of the Syndrome. LID - 10.3390/ijms21207592 [doi] LID - 7592 AB - Multiple endocrine neoplasia type 1 (MEN1) is a rare inherited tumor syndrome, characterized by the development of multiple neuroendocrine tumors (NETs) in a single patient. Major manifestations include primary hyperparathyroidism, gastro-entero-pancreatic neuroendocrine tumors, and pituitary adenomas. In addition to these main NETs, various combinations of more than 20 endocrine and non-endocrine tumors have been described in MEN1 patients. Despite advances in diagnostic techniques and treatment options, which are generally similar to those of sporadic tumors, patients with MEN1 have a poor life expectancy, and the need for targeted therapies is strongly felt. MEN1 is caused by germline heterozygous inactivating mutations of the MEN1 gene, which encodes menin, a tumor suppressor protein. The lack of a direct genotype-phenotype correlation does not permit the determination of the exact clinical course of the syndrome. One of the possible causes of this lack of association could be ascribed to epigenetic factors, including microRNAs (miRNAs), single-stranded non-coding small RNAs that negatively regulate post-transcriptional gene expression. Some miRNAs, and their deregulation, have been associated with MEN1 tumorigenesis. Recently, an extracellular class of miRNAs has also been identified (c-miRNAs); variations in their levels showed association with various human diseases, including tumors. The aim of this review is to provide a general overview on the involvement of miRNAs in MEN1 tumor development, to be used as possible targets for novel molecular therapies. The potential role of c-miRNAs as future non-invasive diagnostic and prognostic biomarkers of MEN1 will be discussed as well. FAU - Donati, Simone AU - Donati S AD - Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Study of Florence, Viale Pieraccini 6, 50139 Florence, Italy. FAU - Ciuffi, Simone AU - Ciuffi S AUID- ORCID: 0000-0002-1788-4426 AD - Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Study of Florence, Viale Pieraccini 6, 50139 Florence, Italy. FAU - Marini, Francesca AU - Marini F AD - Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Study of Florence, Viale Pieraccini 6, 50139 Florence, Italy. FAU - Palmini, Gaia AU - Palmini G AUID- ORCID: 0000-0002-8376-7404 AD - Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Study of Florence, Viale Pieraccini 6, 50139 Florence, Italy. FAU - Miglietta, Francesca AU - Miglietta F AD - Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Study of Florence, Viale Pieraccini 6, 50139 Florence, Italy. FAU - Aurilia, Cinzia AU - Aurilia C AD - Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Study of Florence, Viale Pieraccini 6, 50139 Florence, Italy. FAU - Brandi, Maria Luisa AU - Brandi ML AD - Department of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Study of Florence, Viale Pieraccini 6, 50139 Florence, Italy. AD - Unit of Bone and Mineral Diseases, University Hospital of Florence, Largo Palagi 1, 50139 Florence, Italy. AD - Fondazione Italiana Ricerca sulle Malattie dell'Osso (FIRMO Onlus), 50141 Florence, Italy. LA - eng PT - Journal Article PT - Review DEP - 20201014 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Biomarkers, Tumor) RN - 0 (Circulating MicroRNA) RN - 0 (MEN1 protein, human) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - Animals MH - Biomarkers, Tumor/blood/*genetics/metabolism MH - Circulating MicroRNA/blood/*genetics/metabolism MH - Humans MH - Multiple Endocrine Neoplasia Type 1/diagnosis/*genetics/metabolism/therapy MH - Proto-Oncogene Proteins/genetics/metabolism PMC - PMC7589704 OTO - NOTNLM OT - GEP-NETs OT - MEN1 OT - circulating miRNAs OT - miRNAs OT - non-invasive biomarkers OT - parathyroid glands OT - personalized medicine OT - pituitary gland COIS- All the authors declare no conflict of interest. EDAT- 2020/10/18 06:00 MHDA- 2021/02/26 06:00 PMCR- 2020/10/01 CRDT- 2020/10/17 01:04 PHST- 2020/09/24 00:00 [received] PHST- 2020/10/12 00:00 [revised] PHST- 2020/10/12 00:00 [accepted] PHST- 2020/10/17 01:04 [entrez] PHST- 2020/10/18 06:00 [pubmed] PHST- 2021/02/26 06:00 [medline] PHST- 2020/10/01 00:00 [pmc-release] AID - ijms21207592 [pii] AID - ijms-21-07592 [pii] AID - 10.3390/ijms21207592 [doi] PST - epublish SO - Int J Mol Sci. 2020 Oct 14;21(20):7592. doi: 10.3390/ijms21207592.