[Analysis of mutations in the RET proto-oncogene in patients with medullary thyroid tumor]

F A Amosenko1, V Zh Brzhezovskiĭ, L N Liubchenko

  • 1Research Center for Medical Genetics, Russian Academy of Medical Sciences, Moscow, 115478 Russia. amossenko@medgen.ru

Genetika
|July 30, 2003
PubMed

Insights

RET protooncogene mutations are common in Russian medullary thyroid carcinoma (MTC) patients, with new mutations identified. Genetic screening aids in early detection and management of MTC and related endocrine disorders.

Area of Science:

  • Oncology
  • Genetics
  • Endocrinology

Background:

  • Medullary thyroid carcinoma (MTC) is a neuroendocrine tumor often associated with RET protooncogene mutations.
  • Understanding the mutation spectrum in specific populations is crucial for diagnosis and management.

Purpose of the Study:

  • To analyze the spectrum of RET protooncogene mutations in Russian patients with inherited or sporadic MTC.
  • To identify novel RET mutations and assess their prevalence.

Main Methods:

  • Molecular analysis of four RET protooncogene exons (11, 13, 15, and 16) in 19 sporadic MTC patients.
  • Analysis of RET mutations in patients with inherited multiple endocrine neoplasia type 2 (MEN 2).

Main Results:

  • Mutations were identified in 47.4% of sporadic MTC patients, with six distinct mutations found, including three novel ones.
  • The most frequent mutation was at codon 918 (M918T), present in 31.6% of alleles.
  • Four RET mutations were found in all analyzed patients with inherited MEN 2A, including asymptomatic carriers who underwent prophylactic thyroidectomy.

Conclusions:

  • RET protooncogene mutations are prevalent in Russian MTC patients, necessitating genetic screening.
  • Identification of novel mutations expands the known RET mutation landscape.
  • Genetic analysis supports early detection and preventative strategies for MTC and associated MEN 2A conditions.