PMID- 7581969 OWN - NLM STAT- MEDLINE DCOM- 19951130 LR - 20190904 IS - 0804-4643 (Print) IS - 0804-4643 (Linking) VI - 133 IP - 4 DP - 1995 Oct TI - Familial acromegaly: a specific clinical entity--further evidence from the genetic study of a three-generation family. PG - 451-6 AB - Familial acromegaly is a very rare inherited disorder, characterized by the clustering within a single family of several related cases with somatotroph adenomas and acromegaly. The causes of these dominantly inherited pituitary tumours remain unknown. Although these families have a clinical presentation distinct from that of multiple endocrine neoplasia type 1 (MEN-1), the question of this syndrome as being linked to the MEN-1 locus has remained open. Our aim was to study a three-generation family with cases of acromegaly in a mother and her son, to explore better the clinical presentation of the disease, its pattern of inheritance and to test the hypothesis of a genetic linkage to the MEN-1 locus using closely linked polymorphic genetic markers. The refined analysis of 15 unaffected relatives revealed miscellaneous non-specific endocrine dysfunctions and the presence of multiple lipomata, as noted previously in some cases. Moreover, the notion of acromegalo-gigantism in the maternal grandmother and an incomplete penetrance appeared even more typical, suggesting that familial acromegaly is a specific clinical entity. Finally, under the hypotheses assumed for segregation analysis, no clinical, biological or genetic evidence of linkage to the MEN-1 locus could be retained in this family. However, these conclusions were limited because of incomplete penetrance and uncertain definition of the carrier status. Therefore, we conclude that further identification of the genetic predisposition to familial acromegaly might be obtained from the combined molecular genetic analysis of several families presenting with the same clinical features. FAU - Benlian, P AU - Benlian P AD - Department of Endocrinology and Metabolic Diseases, Pitie Salpetriere Hospital, Paris, France. FAU - Giraud, S AU - Giraud S FAU - Lahlou, N AU - Lahlou N FAU - Roger, M AU - Roger M FAU - Blin, C AU - Blin C FAU - Holler, C AU - Holler C FAU - Lenoir, G AU - Lenoir G FAU - Sallandre, J AU - Sallandre J FAU - Calender, A AU - Calender A FAU - Turpin, G AU - Turpin G LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Eur J Endocrinol JT - European journal of endocrinology JID - 9423848 RN - 0 (Genetic Markers) SB - IM MH - Acromegaly/diagnosis/*genetics MH - Adenoma/genetics MH - Adult MH - Aged MH - Child MH - Child, Preschool MH - Chromosomes, Human, Pair 11 MH - Female MH - Genetic Linkage MH - Genetic Markers MH - Haplotypes MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/genetics MH - Pedigree MH - Pituitary Neoplasms/genetics EDAT- 1995/10/01 00:00 MHDA- 1995/10/01 00:01 CRDT- 1995/10/01 00:00 PHST- 1995/10/01 00:00 [pubmed] PHST- 1995/10/01 00:01 [medline] PHST- 1995/10/01 00:00 [entrez] AID - 10.1530/eje.0.1330451 [doi] PST - ppublish SO - Eur J Endocrinol. 1995 Oct;133(4):451-6. doi: 10.1530/eje.0.1330451.