PMID- 9922473 OWN - NLM STAT- MEDLINE DCOM- 19990420 LR - 20101118 IS - 0025-7680 (Print) IS - 0025-7680 (Linking) VI - 58 IP - 5 Pt 1 DP - 1998 TI - [Molecular diagnosis in an Argentinian family with multiple endocrine neoplasia type-1 (MEN-1)]. PG - 441-5 AB - MEN-1 is a hereditary autosomal dominant syndrome characterized by the involvement of parathyroid glands, pancreatic islet cells and anterior pituitary gland. Today molecular genetics permit gene carrier analysis to compare the data obtained with the clinical biochemical tests. The twenty living members of the first, second and third generation of a family with MEN-1 were studied to determine the presence of genetic markers in MEN-1 loci 11q13, by linkage analysis and in affected individuals by biochemical tests and clinical examination. Two very informative polymorphic markers immediately flanking the MEN-1 gene on chromosome 11 band q13 were detected: PYGM and D11S987, haplotypes segregated by two members of the second generation, inherited from their father and two of the third generation: the affected one and one presymptomatic. The third generation had the affected member with renal stones and elevated PTH, PRL and glucagon. The presymptomatic carrier of MEN-1 allele showed elevated PTH. Among the members who inherited the normal allele we found one with elevated gastrin, one with elevated glucagon and one with elevated PTH, all asymptomatic. Of one Argentine family studied, molecular diagnosis allowed us to detect one presymptomatic carrier in the members at risk. As suggested by the available literature, accuracy of molecular diagnosis seems to make it the test of choice to exclude those members at risk for MEN-1 inheriting the normal allele. FAU - Guadagna, M AU - Guadagna M AD - Servicio de Endocrinologia, Hospital Nacional Alejandro Posadas, Ramos Mejia, Buenos Aires, Argentina. FAU - Migliano, M AU - Migliano M FAU - Herrera, J AU - Herrera J FAU - Rodriguez, P AU - Rodriguez P FAU - Sciorra, J AU - Sciorra J FAU - Alfieri, A AU - Alfieri A FAU - Corino, M AU - Corino M FAU - Costa, L AU - Costa L FAU - Karothy, B AU - Karothy B FAU - Ortiz, J AU - Ortiz J FAU - Tarruella, M AU - Tarruella M LA - spa PT - English Abstract PT - Journal Article TT - Diagnostico molecular de neoplasia endocrina multiple tipo 1 (MEN-1) en una familia Argentina afectada. PL - Argentina TA - Medicina (B Aires) JT - Medicina JID - 0204271 RN - 0 (Genetic Markers) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Argentina MH - Chromosomes, Human, Pair 11 MH - Female MH - Genetic Linkage MH - Genetic Markers MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*diagnosis/genetics MH - Pedigree EDAT- 1999/01/29 00:00 MHDA- 1999/01/29 00:01 CRDT- 1999/01/29 00:00 PHST- 1999/01/29 00:00 [pubmed] PHST- 1999/01/29 00:01 [medline] PHST- 1999/01/29 00:00 [entrez] PST - ppublish SO - Medicina (B Aires). 1998;58(5 Pt 1):441-5.