PMID- 36112497 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231105 IS - 2049-3614 (Print) IS - 2049-3614 (Electronic) IS - 2049-3614 (Linking) VI - 11 IP - 11 DP - 2022 Nov 1 TI - Systematic detection of mosaicism by using digital NGS reveals three new MEN1 mosaicisms. LID - e220093 [pii] LID - 10.1530/EC-22-0093 [doi] AB - PURPOSE: Mosaicism is a feature of several inherited tumor syndromes. Only a few cases of mosaicism have been described in multiple endocrine neoplasia type 1 (MEN1). Next-generation sequencing (NGS) offers new possibilities for detecting mosaicism. Here, we report the first study to systematically look for MEN1 mosaicism, using blood DNA, in MEN1-suspected patients but without MEN1 pathogenic variants (PV) in a heterozygous state. METHODS: Digital targeted NGS, including unique molecular identifiers (UMIs), was performed in routine practice, and the analytic performance of this method was verified. RESULTS: Among a cohort of 119 patients harboring from 2 to 5 MEN1 lesions, we identified 3 patients with MEN1 mosaic PVs. The allele frequencies ranged from 2.3 to 9.5%. The detection rate of MEN1 mosaicism in patients bearing at least 3 MEN1 lesions was 17% (3/18). No cases were detected in patients with two lesions. CONCLUSION: We report here three new cases with MEN1 mosaicism. This study examined the performance of UMI in the diagnosis of MEN1 mosaicism in routine practice, and our results underline that the frequency of mosaicism is probably underestimated in patients with suspected MEN1. FAU - Lagarde, Arnaud AU - Lagarde A AD - Aix Marseille Univ, APHM, INSERM, MMG, Laboratory of Molecular Biology Hospital La Conception, Marseille, France. FAU - Mougel, Gregory AU - Mougel G AD - Aix Marseille Univ, APHM, INSERM, MMG, Laboratory of Molecular Biology Hospital La Conception, Marseille, France. FAU - Coppin, Lucie AU - Coppin L AD - Univ. Lille, CNRS, Inserm, CHU Lille, UMR9020-U1277 - CANTHER - Cancer - Heterogeneity Plasticity and Resistance to Therapies, Lille, France. FAU - Haissaguerre, Magalie AU - Haissaguerre M AD - Service d'Endocrinologie, Centre Hospitalier Universitaire, Hopital du Haut Leveque, Pessac, France. FAU - Le Collen, Lauriane AU - Le Collen L AD - Endocrinology, Diabetology and Nutrition Unit, University Hospital of Reims, Reims, France. AD - Inserm/CNRS UMR 1283/8199, Pasteur Institute of Lille, EGID, Lille, France. FAU - Mohamed, Amira AU - Mohamed A AD - Laboratory of Molecular Biology, Hospital La Conception, APHM, Marseille, France. FAU - Klein, Marc AU - Klein M AD - Service Endocrinologie, CHU de Nancy, Hopital de Brabois, Vandoeuvre-les-Nancy, France. FAU - Odou, Marie-Francoise AU - Odou MF AUID- ORCID: 0000-0002-6120-1098 AD - CHU Lille, Service de Biochimie et Biologie Moleculaire 'Hormonologie, Metabolisme-Nutrition, Oncologie', Lille, France. AD - Univ. Lille, Inserm, CHU Lille, U1286 - Infinite - Institute for Translational Research in Inflammation, Lille, France. FAU - Tabarin, Antoine AU - Tabarin A AD - Service d'Endocrinologie, Centre Hospitalier Universitaire, Hopital du Haut Leveque, Pessac, France. FAU - Brixi, Hedia AU - Brixi H AD - Department of Gastroenterology and Digestive Oncology, Reims University Hospital, Reims, France. FAU - Cuny, Thomas AU - Cuny T AUID- ORCID: 0000-0002-8440-0030 AD - Aix Marseille Univ, APHM, INSERM, MMG, Department of Endocrinology, Hospital La Conception, Marseille, France. FAU - Delemer, Brigitte AU - Delemer B AD - Endocrinology, Diabetology and Nutrition Unit, University Hospital of Reims, Reims, France. FAU - Barlier, Anne AU - Barlier A AD - Aix Marseille Univ, APHM, INSERM, MMG, Laboratory of Molecular Biology Hospital La Conception, Marseille, France. FAU - Romanet, Pauline AU - Romanet P AUID- ORCID: 0000-0003-1775-9569 AD - Aix Marseille Univ, APHM, INSERM, MMG, Laboratory of Molecular Biology Hospital La Conception, Marseille, France. LA - eng PT - Journal Article DEP - 20221014 PL - England TA - Endocr Connect JT - Endocrine connections JID - 101598413 PMC - PMC9578105 OTO - NOTNLM OT - MEN1 OT - NGS OT - de novo OT - deep-sequencing OT - digital NGS OT - hyperparathyroidism OT - mosaic OT - mosaicism OT - pancreatic neuroendocrine tumor OT - pituitary adenoma OT - thymic tumor OT - unique molecular identifier EDAT- 2022/09/17 06:00 MHDA- 2022/09/17 06:01 PMCR- 2022/10/14 CRDT- 2022/09/16 12:32 PHST- 2022/09/02 00:00 [received] PHST- 2022/09/16 00:00 [accepted] PHST- 2022/09/17 06:00 [pubmed] PHST- 2022/09/17 06:01 [medline] PHST- 2022/09/16 12:32 [entrez] PHST- 2022/10/14 00:00 [pmc-release] AID - e220093 [pii] AID - EC-22-0093 [pii] AID - 10.1530/EC-22-0093 [doi] PST - epublish SO - Endocr Connect. 2022 Oct 14;11(11):e220093. doi: 10.1530/EC-22-0093. Print 2022 Nov 1.