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RET proto-oncogene mutations are restricted to codon 618 in Cypriot families with multiple endocrine neoplasia 2
V Neocleous1, N Skordis, G Portides
1Department of Molecular Genetics, Function and Therapy, Cyprus Institute of Neurology and Genetics, P.O. Box 23462, 1683 Nicosia, Cyprus.
Background:
RET germline mutations predispose to the development of inherited cancer syndrome multiple endocrine neoplasia type 2 (MEN2). Several variants of the RET proto-oncogene including G691S and S904S have been suggested to act as genetic modifiers at the age of onset ofMEN2.
Aim:
The aim of this study is to characterize clinically and molecularly 7 Cypriot patients with familial medullary thyroid carcinoma (FMTC) and 1 with MEN2A and also to determine the allelic frequencies of the RET variants G691S and S904S.
Subjects And Methods:
Seven probands from FMTC families and 1 from MEN2A were screened for the presence of RET mutations and the G691S and S904S variants. Additionally, 226 healthy Cypriots, who served as controls were analysed in an attempt to compare the frequencies of G691S and S904S RET variants to those observed in the 8 patients.
Results:
The clinical diagnosis of the probands was based on clinical presentation and supported with biochemical findings. The germline C618R mutation of exon 10 was identified in all 8 probands and in 15 relatives from 7 different families. No significant difference in the G691S/S904S variants allele frequencies between patients (4/16 or 25%) and controls (124/452 or 27.4%) was found.
Conclusions:
Mutational screening of the RET gene identified a common mutation (C618R) in all 8 (7 FMTC and 1 MEN2A) unrelated Cypriot patients which may be explained by a founder effect. Additionally, no association of the G691S/S904S variants was linked with the disease.
Insights
A common RET C618R mutation was found in Cypriot patients with multiple endocrine neoplasia type 2 (MEN2), suggesting a founder effect. The G691S and S904S RET variants were not associated with the disease in this cohort.
Area of Science:
- Oncology
- Genetics
- Endocrinology
Background:
- Multiple endocrine neoplasia type 2 (MEN2) is an inherited cancer syndrome linked to RET germline mutations.
- RET proto-oncogene variants, such as G691S and S904S, have been investigated as potential genetic modifiers influencing the age of MEN2 onset.
Observation:
- This study investigated 8 Cypriot patients (7 familial medullary thyroid carcinoma, 1 MEN2A) and 226 healthy controls.
- Molecular screening identified the germline C618R mutation in exon 10 of the RET gene in all 8 patients and 15 relatives across 7 families.
Findings:
- The C618R mutation was consistently identified in all unrelated Cypriot patients, indicating a possible founder effect.
- Allele frequencies of the RET variants G691S and S904S did not differ significantly between patients (25%) and controls (27.4%).
Implications:
- The findings suggest a common ancestral origin for the C618R mutation in the Cypriot population with MEN2.
- The study concludes that the G691S and S904S RET variants are not associated with MEN2 in this cohort, ruling them out as disease modifiers in this context.
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