MEN1 gene mutations in sporadic neuroendocrine tumors of foregut derivation.

Autor: Fujii, Takeshi, Kawai, Toshiro, Saito, Ken, Hishima, Tsunekazu, Hayashi, Yukiko, Imura, Joji, Hironaka, Mitsugu, Hosoya, Yoshinori, Koike, Morio, Fukayama, Masashi
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Zdroj: Pathology International; Nov99, Vol. 49 Issue 11, p968-973, 6p
Abstrakt: Foregut-derived neuroendocrine (NE) tumors occur sporadically or in association with multiple endocrine neoplasia type 1 (MEN1) syndrome. Thirty-nine sporadic NE tumors of foregut derivation (six thymic, 21 bronchial, three gastric, and nine pancreatic tumors) as well as two hindgut-derived rectal carcinoids for somatic MEN1 gene mutation were analyzed by direct sequencing analysis. Five tumors showed mutations: nonsense mutations (Q393X and R98X) in thymic and pancreatic NE tumors, respectively, a 4 b.p. deletion (357del4) in a gastric NE carcinoma, and missense mutations (D172Y and S178Y) in pancreatic NE tumors. No mutation was identified in pulmonary or rectal NE tumors. In a patient with a pancreatic NE tumor (D172Y), the corresponding germline DNA showed the same mutation, suggesting that sporadic MEN1 syndrome was masked in this case. Somatic MEN1 gene mutations and deletions may play a crucial role in the tumorigenesis of a subset of foregut-derived NE tumors. Sporadic MEN1 syndrome may occur as a sporadic NE tumor of the pancreas. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index