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  • Starker, Lee F.Uppsala universitet,Experimentell kirurgi (author)

Frequent germ-line mutations of the MEN1, CASR, and HRPT2/CDC73 genes in young patients with clinically non-familial primary hyperparathyroidism

  • Article/chapterEnglish2012

Publisher, publication year, extent ...

  • 2011-12-21
  • Springer Science and Business Media LLC,2012
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-205584
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-205584URI
  • https://doi.org/10.1007/s12672-011-0100-8DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Familial primary hyperparathyroidism (FPHPT) may occur due to an underlying germ-line mutation in the MEN1, CASR, or HRPT2/CDC73 genes. The disease may be undiagnosed in the absence of a history suggestive of FHPT. Young PHPT patients (≤45 years of age) are more likely to harbor occult FPHPT. A total of 1,161 (136 were ≤45 years of age) PHPT patients underwent parathyroidectomy from 2001 to 2009. Thirty-four patients declined participation. Sixteen patients were diagnosed in the clinical routine with FPHPT (11 MEN1, four MEN2A, and one HPT-JT) and were not included in the genetic analysis. Eighty-six young (≤45 years of age) patients with clinically non-syndromic PHPT underwent genetic analysis. Sanger sequencing of all coding regions of the MEN1, CASR, and the HRPT2/CDC73 genes was performed. Eight of 86 (9.3%) young patients with clinically non-familial PHPT displayed deleterious germ-line mutations in the susceptibility genes (4 MEN1, 3 CASR, and 1 HRPT2/CDC73). There was one insertion, one deletion, two nonsense, and four missense mutations, all predicted to be highly damaging to protein function and absent in 3,244 control chromosomes. Germ-line mutations in known susceptibility genes within young patients with PHPT, including those diagnosed in the clinical routine, was 24/102 (23.5%; 15 MEN1, four RET, three CASR, and two HRPT2/CDC73). We demonstrate that germ-line inactivating mutations in susceptibility genes are common in young patients with clinically non-familial PHPT. Thus, enhanced use of genetic analysis may be warranted in clinically non-familial young PHPT patients.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Åkerström, TobiasUppsala universitet,Experimentell kirurgi(Swepub:uu)tobak884 (author)
  • Long, William D (author)
  • Delgado-Verdugo, AlbertoUppsala universitet,Experimentell kirurgi(Swepub:uu)aldel839 (author)
  • Donovan, Patricia (author)
  • Udelsman, Robert (author)
  • Lifton, Richard P (author)
  • Carling, Tobias (author)
  • Uppsala universitetExperimentell kirurgi (creator_code:org_t)

Related titles

  • In:Hormones & Cancer: Springer Science and Business Media LLC3:1-2, s. 44-511868-84971868-8500

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