PMID- 35324455 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231104 IS - 2049-3614 (Print) IS - 2049-3614 (Electronic) IS - 2049-3614 (Linking) VI - 11 IP - 5 DP - 2022 May 11 TI - Bone phenotypes in multiple endocrine neoplasia type 1: survey on the MEN1 Florentine database. LID - e210456 [pii] LID - 10.1530/EC-21-0456 [doi] AB - Multiple endocrine neoplasia type 1 (MEN1) is a rare, inherited cancer syndrome characterized by the development of multiple endocrine and non-endocrine tumors. MEN1 patients show a reduction of bone mass and a higher prevalence of early onset osteoporosis, compared to healthy population of the same age, gender, and ethnicity. During the monitoring and follow-up of MEN1 patients, the attention of clinicians is primarily focused on the diagnosis and therapy of tumors, while the assessment of bone health and mineral metabolism is, in many cases, marginally considered. In this study, we retrospectively analyzed bone and mineral metabolism features in a series of MEN1 patients from the MEN1 Florentine database. Biochemical markers of bone and mineral metabolism and densitometric parameters of bone mass were retrieved from the database and were analyzed based on age ranges and genders of patients and presence/absence of the three main MEN1-related endocrine tumor types. Our evaluation confirmed that patients with a MEN1 diagnosis have a high prevalence of earlyonset osteopenia and osteoporosis, in association with levels of serum and urinary markers of bone turnover higher than the normal reference values, regardless of their different MEN1 tumors. Fifty percent of patients younger than 26 years manifested osteopenia and 8.3% had osteoporosis, in at least one of the measured bone sites. These data suggest the importance of including biochemical and instrumental monitoring of bone metabolism and bone mass in the routine medical evaluation and follow-up of MEN1 patients and MEN1 carriers as important clinical aspects in the management of the syndrome. FAU - Marini, Francesca AU - Marini F AD - Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy. AD - F.I.R.M.O. Italian Foundation for the Research on Bone Diseases, Florence, Italy. FAU - Giusti, Francesca AU - Giusti F AD - Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy. FAU - Iantomasi, Teresa AU - Iantomasi T AD - Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy. FAU - Cioppi, Federica AU - Cioppi F AD - University Hospital of Florence, Azienda Ospedaliero Universitaria Careggi (AOUC), Florence, Italy. FAU - Brandi, Maria Luisa AU - Brandi ML AUID- ORCID: 0000-0002-8741-0592 AD - F.I.R.M.O. Italian Foundation for the Research on Bone Diseases, Florence, Italy. LA - eng PT - Journal Article DEP - 20220511 PL - England TA - Endocr Connect JT - Endocrine connections JID - 101598413 PMC - PMC9175581 OTO - NOTNLM OT - bone modeling OT - bone tissue OT - bone turnover OT - mineral metabolism OT - multiple endocrine neoplasia type 1 (MEN1) OT - osteoporosis EDAT- 2022/03/25 06:00 MHDA- 2022/03/25 06:01 PMCR- 2022/03/23 CRDT- 2022/03/24 17:23 PHST- 2022/03/11 00:00 [received] PHST- 2022/03/23 00:00 [accepted] PHST- 2022/03/25 06:00 [pubmed] PHST- 2022/03/25 06:01 [medline] PHST- 2022/03/24 17:23 [entrez] PHST- 2022/03/23 00:00 [pmc-release] AID - e210456 [pii] AID - EC-21-0456 [pii] AID - 10.1530/EC-21-0456 [doi] PST - epublish SO - Endocr Connect. 2022 May 11;11(5):e210456. doi: 10.1530/EC-21-0456.