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Published on: September 18, 2020
Correlation between genotype and phenotype in three families with Peutz-Jeghers Syndrome
Yanli Zhang1, Yao Ke2, Xueni Zheng1
1State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Oral Diseases, Department of Oral Biology, Clinic of Oral Rare and Genetic Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China.
Insights
Peutz-Jeghers syndrome (PJS) is a hereditary disorder. A study found that STK11 gene mutations in PJS patients show a dose-dependent relationship with clinical symptoms, and early oral pigmentations indicate severe gastrointestinal issues.
Area of Science:
- Genetics
- Oncology
- Gastroenterology
Background:
- Peutz-Jeghers syndrome (PJS) is an inherited disorder characterized by mucocutaneous pigmentations, gastrointestinal polyposis, and increased cancer risk.
- The genetic basis and genotype-phenotype correlations in PJS remain incompletely understood.
- This study investigates the genetic factors contributing to PJS in Chinese families.
Purpose of the Study:
- To identify causative genes for PJS in three Chinese families.
- To analyze the relationship between genetic mutations and clinical manifestations in PJS patients.
- To explore potential genotype-phenotype correlations within PJS.
Main Methods:
- Clinical and genetic analysis of three Chinese families with PJS.
- DNA extraction from blood samples of PJS patients and controls.
- Polymerase chain reaction amplification, sequencing, and cloning of STK11, OR4C45, and ZAN genes.
Main Results:
- A de novo single base deletion (c.842delC) in the STK11 gene was identified in two PJS patients.
- Clinical presentations correlated with the number of mutant STK11 gene copies in a dose-dependent manner.
- No pathogenic variants in OR4C45 or ZAN were found, though a new ZAN SNP (c.5768delG) was identified.
Conclusions:
- A dose-dependent genotype-phenotype relationship exists for STK11 mutations in PJS.
- Early onset and severe oral pigmentations in PJS suggest significant gastrointestinal involvement.
- Findings may assist in the diagnosis and management of Peutz-Jeghers syndrome.
Abstract:
Peutz-Jeghers syndrome (PJS) is a hereditary disorder characterized by mucocutaneous pigmentations, gastrointestinal (GI) polyposis and an increased risk of certain malignancies. Little is known about the causative genes of PJS, or their association with the clinical phenotypes of PJS. The present study reports the results of clinical and genetic analysis of three Chinese families with PJS. In addition, the medical histories and clinical manifestations of these families were compared. DNA was collected from the blood samples of patients with PJS and controls. Serine/threonine kinase 11 (STK11), olfactory receptor family 4 subfamily C member 45 (OR4C45) and zonadhesin (ZAN) were amplified by polymerase chain reaction, and analyzed by sequencing and cloning. Two PJS-affected members of one family had a de novo single base deletion (NM_000455.4:c.842delC) in the STK11 gene, and their clinical presentations reflected the quantity of mutant STK11 copies in a dose-dependent manner. No pathogenic variants of OR4C45 or ZAN were found in the patients with PJS, although a new single nucleotide polymorphism (NM_003386.2:c.5768delG) of ZAN was identified. The results of the current study identified that a STK11 mutation dose-dependent genotype-phenotype relationship exists in patients with PJS. In addition, an early onset and high severity of oral pigmentations in PJS was indicative of serious GI phenotypes. These findings may aid the diagnosis and treatment of PJS.
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