PMID- 10323403 OWN - NLM STAT- MEDLINE DCOM- 19990527 LR - 20131121 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 84 IP - 5 DP - 1999 May TI - A novel 9-base pair duplication in RET exon 8 in familial medullary thyroid carcinoma. PG - 1700-4 AB - Familial medullary thyroid carcinoma (FMTC) and multiple endocrine neoplasia type 2A syndromes are dominantly inherited diseases caused by activating germline mutations of the RET protooncogene. The majority of these patients carry a germline point mutation affecting one of five cysteine residues encoded by exon 10 (codon 609, 611, 618, or 620) or 11 (codon 634). In a few FMTC families, point mutations involving noncysteine codons in exon 13 (codons 768, 790, and 791), 14 (codon 804), or 15 (codon 891) have been reported. Hirschsprung's disease is a nonneoplastic disorder associated with RET mutations leading to a loss of function effect. Mutations are identified in 50% of the familial cases and are scattered along the gene. We now report the study of a FMTC family with four affected members and a history of fatal neonatal intestinal obstruction in the sister of the proband. Genetic analysis demonstrated the absence of an usual FMTC mutation and the presence of a germline 9-bp duplication in RET exon 8 in the heterozygous state in all patients with MTC. This new mutation creates an additional cysteine residue in the extracellular cysteine-rich domain of RET. Further studies are warranted to confirm whether this new mutation is causing MTC only or could be associated with Hirschsprung's disease. FAU - Pigny, P AU - Pigny P AD - Laboratoire de Biochimie-Secteur commun de Biologie Moleculaire de l'Hopital Huriez, Centre Hospitalier Regional Universitaire, Lille, France. p-pigny@chru-lille.fr FAU - Bauters, C AU - Bauters C FAU - Wemeau, J L AU - Wemeau JL FAU - Houcke, M L AU - Houcke ML FAU - Crepin, M AU - Crepin M FAU - Caron, P AU - Caron P FAU - Giraud, S AU - Giraud S FAU - Calender, A AU - Calender A FAU - Buisine, M P AU - Buisine MP FAU - Kerckaert, J P AU - Kerckaert JP FAU - Porchet, N AU - Porchet N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Coatomer Protein) RN - 0 (Membrane Proteins) RN - K848JZ4886 (Cysteine) SB - IM MH - Adult MH - Carcinoma, Medullary/*genetics MH - Child MH - Coatomer Protein MH - Cysteine/blood/genetics MH - *Exons MH - Female MH - Germ-Line Mutation MH - Hirschsprung Disease/genetics MH - Humans MH - Male MH - Membrane Proteins/*genetics MH - Middle Aged MH - Mutation MH - Pedigree MH - Reverse Transcriptase Polymerase Chain Reaction MH - Thyroid Neoplasms/*genetics EDAT- 1999/05/14 00:00 MHDA- 1999/05/14 00:01 CRDT- 1999/05/14 00:00 PHST- 1999/05/14 00:00 [pubmed] PHST- 1999/05/14 00:01 [medline] PHST- 1999/05/14 00:00 [entrez] AID - 10.1210/jcem.84.5.5665 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 1999 May;84(5):1700-4. doi: 10.1210/jcem.84.5.5665.