M918V RET mutation causes familial medullary thyroid carcinoma: study of 8 affected kindreds

Germline mutations in codon 918 of exon 16 of the RET gene (M918T) are classically associated with multiple endocrine neoplasia type 2B ( MEN 2B) with highly aggressive medullary thyroid cancer (MTC), pheochromocytoma and a unique phenotype. The objectives of this study are to describe the rare M918...

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Autores: Martins-Costa, Maria Cecilia [UNIFESP], Cunha, Lucas Leite [UNIFESP], Lindsey, Susan Chow [UNIFESP], Camacho, Cléber Pinto [UNIFESP], Dotto, Renata Pires [UNIFESP], Furuzawa, Gilberto Koiti [UNIFESP], Sousa, Maria Sharmila Alina de [UNIFESP], Kasamatsu, Teresa Sayoko [UNIFESP], Kunii, Ilda Sizue [UNIFESP], Martins, Marcio Maciel [UNIFESP], Machado, Alberto L. [UNIFESP], Martins, João Roberto Maciel [UNIFESP], Dias-da-Silva, Magnus Régios [UNIFESP], Maciel, Rui Monteiro de Barros [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/56652
Acceso en línea:http://dx.doi.org/10.1530/ERC-16-0141
https://repositorio.unifesp.br/handle/11600/56652
Access Level:acceso abierto
Palabra clave:medullary thyroid
carcinoma
RET mutation
RET M918V
founder effect
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spelling M918V RET mutation causes familial medullary thyroid carcinoma: study of 8 affected kindredsmedullary thyroidcarcinomaRET mutationRET M918Vfounder effectGermline mutations in codon 918 of exon 16 of the RET gene (M918T) are classically associated with multiple endocrine neoplasia type 2B ( MEN 2B) with highly aggressive medullary thyroid cancer (MTC), pheochromocytoma and a unique phenotype. The objectives of this study are to describe the rare M918V RET mutation discovered in 8 MTC kindreds from Brazil lacking the MEN 2B phenotype classically observed in M918T patients and to investigate the presence of a founder effect for this germline mutation. Eight apparently sporadic MTC cases were diagnosed with the germline M918V RET mutation. Subsequently, their relatives underwent clinical and genetic assessment (n = 113), and M918V was found in 42 of them. Until today, 20/50 M918V carriers underwent thyroidectomy and all presented MTC/C-cell hyperplasiathe remainder carriers are on clinical follow-up. None of the M918V carriers presented clinical features of MEN 2B. Their clinical presentation was heterogeneous, and the age at tumor diagnosis ranged from 24 to 59 years. Lymph node metastases were present in 12/20 patients, and presumable distant metastases in 2/20in contrast, we observed a carrier of up to 87 years of age without evidence of MTC. Ethnographic fieldwork and haplotype analyses suggested that the founder mutation first settled in that area fifteen generations ago and originated from Portugal. Our study is the first to demonstrate the RET M918V mutation co-segregating in 8 familial MTC kindreds with validated evidence of a founder effect. We suggest that M918V MTC should be clinically considered an American Thyroid Association (ATA) moderate-risk category.Univ Fed Sao Paulo, Escola Paulista Med, Thyroid Dis Ctr, Dept Med, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Div Endocrinol, Lab Mol & Translat Endocrinol, Sao Paulo, SP, BrazilHosp Geral Fortaleza, Ctr Endocrinol & Metabol, Fortaleza, Ceara, BrazilUniv Fortaleza, Dept Med, Fortaleza, Ceara, BrazilFleury Med & Hlth, Sao Paulo, SP, BrazilDepartment of Medicine, Thyroid Diseases Center, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, BrazilLaboratory of Molecular and Translational Endocrinology, Division of Endocrinology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, BrazilWeb of ScienceFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fleury Group Research GrantFAPESP: 2006/60402-1FAPESP: 2010/51547-1FAPESP: 2014/06570-6FAPESP: 2009/50575-4FAPESP: 2010/51546-5FAPESP: 2012/21942-1Fleury Group Research Grant: 12518Bioscientifica Ltd2020-07-31T12:47:12Z2020-07-31T12:47:12Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion909-920http://dx.doi.org/10.1530/ERC-16-0141Endocrine-Related Cancer. Bristol, v. 23, n. 12, p. 909-920, 2016.10.1530/ERC-16-01411351-0088https://repositorio.unifesp.br/handle/11600/56652WOS:000388940100015ark:/48912/001300002tgjvengEndocrine-Related CancerBristolinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPMartins-Costa, Maria Cecilia [UNIFESP]Cunha, Lucas Leite [UNIFESP]Lindsey, Susan Chow [UNIFESP]Camacho, Cléber Pinto [UNIFESP]Dotto, Renata Pires [UNIFESP]Furuzawa, Gilberto Koiti [UNIFESP]Sousa, Maria Sharmila Alina de [UNIFESP]Kasamatsu, Teresa Sayoko [UNIFESP]Kunii, Ilda Sizue [UNIFESP]Martins, Marcio Maciel [UNIFESP]Machado, Alberto L. [UNIFESP]Martins, João Roberto Maciel [UNIFESP]Dias-da-Silva, Magnus Régios [UNIFESP]Maciel, Rui Monteiro de Barros [UNIFESP]2022-02-08T12:05:23Zoai:repositorio.unifesp.br:11600/56652Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652022-02-08T12:05:23Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv M918V RET mutation causes familial medullary thyroid carcinoma: study of 8 affected kindreds
title M918V RET mutation causes familial medullary thyroid carcinoma: study of 8 affected kindreds
spellingShingle M918V RET mutation causes familial medullary thyroid carcinoma: study of 8 affected kindreds
Martins-Costa, Maria Cecilia [UNIFESP]
medullary thyroid
carcinoma
RET mutation
RET M918V
founder effect
title_short M918V RET mutation causes familial medullary thyroid carcinoma: study of 8 affected kindreds
title_full M918V RET mutation causes familial medullary thyroid carcinoma: study of 8 affected kindreds
title_fullStr M918V RET mutation causes familial medullary thyroid carcinoma: study of 8 affected kindreds
title_full_unstemmed M918V RET mutation causes familial medullary thyroid carcinoma: study of 8 affected kindreds
title_sort M918V RET mutation causes familial medullary thyroid carcinoma: study of 8 affected kindreds
dc.creator.none.fl_str_mv Martins-Costa, Maria Cecilia [UNIFESP]
Cunha, Lucas Leite [UNIFESP]
Lindsey, Susan Chow [UNIFESP]
Camacho, Cléber Pinto [UNIFESP]
Dotto, Renata Pires [UNIFESP]
Furuzawa, Gilberto Koiti [UNIFESP]
Sousa, Maria Sharmila Alina de [UNIFESP]
Kasamatsu, Teresa Sayoko [UNIFESP]
Kunii, Ilda Sizue [UNIFESP]
Martins, Marcio Maciel [UNIFESP]
Machado, Alberto L. [UNIFESP]
Martins, João Roberto Maciel [UNIFESP]
Dias-da-Silva, Magnus Régios [UNIFESP]
Maciel, Rui Monteiro de Barros [UNIFESP]
author Martins-Costa, Maria Cecilia [UNIFESP]
author_facet Martins-Costa, Maria Cecilia [UNIFESP]
Cunha, Lucas Leite [UNIFESP]
Lindsey, Susan Chow [UNIFESP]
Camacho, Cléber Pinto [UNIFESP]
Dotto, Renata Pires [UNIFESP]
Furuzawa, Gilberto Koiti [UNIFESP]
Sousa, Maria Sharmila Alina de [UNIFESP]
Kasamatsu, Teresa Sayoko [UNIFESP]
Kunii, Ilda Sizue [UNIFESP]
Martins, Marcio Maciel [UNIFESP]
Machado, Alberto L. [UNIFESP]
Martins, João Roberto Maciel [UNIFESP]
Dias-da-Silva, Magnus Régios [UNIFESP]
Maciel, Rui Monteiro de Barros [UNIFESP]
author_role author
author2 Cunha, Lucas Leite [UNIFESP]
Lindsey, Susan Chow [UNIFESP]
Camacho, Cléber Pinto [UNIFESP]
Dotto, Renata Pires [UNIFESP]
Furuzawa, Gilberto Koiti [UNIFESP]
Sousa, Maria Sharmila Alina de [UNIFESP]
Kasamatsu, Teresa Sayoko [UNIFESP]
Kunii, Ilda Sizue [UNIFESP]
Martins, Marcio Maciel [UNIFESP]
Machado, Alberto L. [UNIFESP]
Martins, João Roberto Maciel [UNIFESP]
Dias-da-Silva, Magnus Régios [UNIFESP]
Maciel, Rui Monteiro de Barros [UNIFESP]
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.por.fl_str_mv medullary thyroid
carcinoma
RET mutation
RET M918V
founder effect
topic medullary thyroid
carcinoma
RET mutation
RET M918V
founder effect
description Germline mutations in codon 918 of exon 16 of the RET gene (M918T) are classically associated with multiple endocrine neoplasia type 2B ( MEN 2B) with highly aggressive medullary thyroid cancer (MTC), pheochromocytoma and a unique phenotype. The objectives of this study are to describe the rare M918V RET mutation discovered in 8 MTC kindreds from Brazil lacking the MEN 2B phenotype classically observed in M918T patients and to investigate the presence of a founder effect for this germline mutation. Eight apparently sporadic MTC cases were diagnosed with the germline M918V RET mutation. Subsequently, their relatives underwent clinical and genetic assessment (n = 113), and M918V was found in 42 of them. Until today, 20/50 M918V carriers underwent thyroidectomy and all presented MTC/C-cell hyperplasia
publishDate 2016
dc.date.none.fl_str_mv 2016
2020-07-31T12:47:12Z
2020-07-31T12:47:12Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1530/ERC-16-0141
Endocrine-Related Cancer. Bristol, v. 23, n. 12, p. 909-920, 2016.
10.1530/ERC-16-0141
1351-0088
https://repositorio.unifesp.br/handle/11600/56652
WOS:000388940100015
dc.identifier.dark.fl_str_mv ark:/48912/001300002tgjv
url http://dx.doi.org/10.1530/ERC-16-0141
https://repositorio.unifesp.br/handle/11600/56652
identifier_str_mv Endocrine-Related Cancer. Bristol, v. 23, n. 12, p. 909-920, 2016.
10.1530/ERC-16-0141
1351-0088
WOS:000388940100015
ark:/48912/001300002tgjv
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Endocrine-Related Cancer
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 909-920
dc.coverage.none.fl_str_mv Bristol
dc.publisher.none.fl_str_mv Bioscientifica Ltd
publisher.none.fl_str_mv Bioscientifica Ltd
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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