Genetic aberrance of sporadic MEN 2A component tumours: analysis of RET

Nam Hoon Cho1, Hyun Woo Lee, Shin Young Lim

  • 1Department of Pathology, Yonsei University College of Medicine, Seoul, South Korea. cho1988@yumc.yonsei.ac.kr

Pathology
|May 7, 2005
PubMed
Abstract

Insights

Genetic mutations in the RET proto-oncogene are uncommon in sporadic medullary thyroid carcinoma (MTC). These RET mutations appear to play an insignificant role in the development of sporadic MTC and other endocrine tumors.

Area of Science:

  • Endocrinology
  • Oncology
  • Molecular Genetics

Background:

  • Familial multiple endocrine neoplasia (MEN) type 2 is linked to germline RET proto-oncogene mutations.
  • The role of RET mutations in sporadic endocrine tumors, particularly MEN 2 components, requires clarification.

Purpose of the Study:

  • To investigate the association between RET mutations and the tumorigenesis of sporadic MEN 2 component tumors.
  • To determine the incidence and significance of RET mutations in sporadic medullary thyroid carcinomas, adrenal pheochromocytomas, paragangliomas, and parathyroid adenomas.

Main Methods:

  • Direct sequencing of RET exons 10-16 and immunohistochemistry for RET were performed on 84 archival cases of sporadic endocrine tumors.
  • Tumor types included medullary thyroid carcinomas (MTCs), adrenal pheochromocytomas (APCs), paragangliomas (PGs), and parathyroid adenomas (PTAs).

Main Results:

  • Somatic point missense mutations in RET exon 13 were identified in 22.7% of sporadic MTCs.
  • No significant association between RET genotype and morphology was found in MTCs or APCs.
  • Adrenal pheochromocytomas showed significantly lower RET immunoexpression compared to paragangliomas.

Conclusions:

  • RET gene mutations have a low incidence and likely play a minor role in the molecular pathogenesis of sporadic MTC.
  • The molecular mechanisms underlying paragangliomas and adrenal pheochromocytomas appear distinct, despite shared embryological and histological features.

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