PMID- 9893679 OWN - NLM STAT- MEDLINE DCOM- 19990121 LR - 20091119 IS - 0012-0472 (Print) IS - 0012-0472 (Linking) VI - 123 IP - 51-52 DP - 1998 Dec 18 TI - [Germline mutations in the MEN1 gene: basis for predictive genetic screening and clinical management of multiple endocrine neoplasia type 1 (MEN1) families]. PG - 1535-40 AB - BACKGROUND AND OBJECTIVE: Mutations in the MEN 1 gene were recently discovered as the causative genetic defect of the autosomal dominantly inherited multiple endocrine neoplasia type 1. It was the aim of this study to evaluate the spectrum of MEN 1 mutations in our own series of patients in order to obtain a basis for predictive family screening. PATIENTS AND METHODS: Genomic DNA from peripheral blood of 21 patients with MEN 1, members of 14 non-related MEN 1 families, was examined for MEN 1 germ-line mutations by means of single-strand conformation variant analysis (SSCP) and direct DNA sequencing. In addition, blood from 20 asymptomatic family members of five families was tested for its predictive value. RESULTS: Eleven different heterozygotic germ-line mutations, among them eight frameshift, two missense and one nonsense mutations, were identified. In four of the 20 asymptomatic members from five MEN 1 families who had been tested after appropriate genetic counselling, the MEN 1 mutation characteristic for the particular family was found. Clinical screening programme in three mutation carriers revealed abnormal findings in all three: one primary hyperparathyroidism, one prolactinoma and one nonfunctioning pancreatic tumour each. The 16 family members without MEN 1 mutation were spared further unnecessary screening investigations. CONCLUSION: Although the function of the MEN 1 gene is not yet known, molecular genetic tests provide a basis for genetic counselling, predictive genetic screening and clinical management of MEN 1 families. FAU - Bartsch, D AU - Bartsch D AD - Klinik fur Allgemeinchirurgie, Philipps-Universitat Marburg. bartsch@mailer.uni.marburg.de FAU - Kopp, I AU - Kopp I FAU - Bergenfelz, A AU - Bergenfelz A FAU - Rieder, H AU - Rieder H FAU - Deiss, Y AU - Deiss Y FAU - Munch, K AU - Munch K FAU - Rothmund, M AU - Rothmund M FAU - Simon, B AU - Simon B LA - ger PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't TT - Keimbahnmutationen im MEN1-Gen: Basis fur pradiktives genetisches Screening und klinisches Management von MEN1-Familien. PL - Germany TA - Dtsch Med Wochenschr JT - Deutsche medizinische Wochenschrift (1946) JID - 0006723 RN - 0 (Codon, Nonsense) RN - 9007-49-2 (DNA) SB - IM MH - Adult MH - Codon, Nonsense/genetics MH - DNA/blood/chemistry MH - Female MH - Frameshift Mutation MH - *Genetic Testing MH - *Germ-Line Mutation MH - Heterozygote MH - Humans MH - Male MH - Multiple Endocrine Neoplasia Type 1/*genetics/therapy MH - Mutation, Missense MH - Polymorphism, Single-Stranded Conformational MH - Predictive Value of Tests MH - Sequence Analysis, DNA EDAT- 1999/01/20 00:00 MHDA- 1999/01/20 00:01 CRDT- 1999/01/20 00:00 PHST- 1999/01/20 00:00 [pubmed] PHST- 1999/01/20 00:01 [medline] PHST- 1999/01/20 00:00 [entrez] AID - 10.1055/s-2007-1024219 [doi] PST - ppublish SO - Dtsch Med Wochenschr. 1998 Dec 18;123(51-52):1535-40. doi: 10.1055/s-2007-1024219.