Abstract
Multiple endocrine neoplasia type 2A and 2B (MEN-2A and MEN-2B) are autosomal dominantly inherited syndromes in which medullary thyroid cancers are associated with adrenal pheochromocytomas. A double-blind analysis of high-resolution G-banded chromosomes was performed on blood specimens from patients in four MEN-2A families and five MEN-2B (mucosal neuroma phenotype) families and from control subjects. Excluding studies on duplicate blood specimens, 9 of 11 control subjects were scored as having normal chromosomes 20, and 11 of 14 MEN-2 patients were scored as having chromosomal deletion: del(20)(p12.2p12.2) (phi 2 = 9.00; P less than 0.001). Two new mutant MEN-2B patients had apparently normal chromosomes 20. These findings demonstrate that the dominant mutation in most MEN-2A and MEN-2B families is a visible chromosome deletion within band 20p12.2.
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- Balaban-Malenbaum G., Gilbert F., Nichols W. W., Hill R., Shields J., Meadows A. T. A deleted chromosome no. 13 in human retinoblastoma cells: relevance to tumorigenesis. Cancer Genet Cytogenet. 1981 Apr;3(3):243–250. doi: 10.1016/0165-4608(81)90091-1. [DOI] [PubMed] [Google Scholar]
- Baylin S. B., Hsu S. H., Gann D. S., Smallridge R. C., Wells S. A., Jr Inherited medullary thyroid carcinoma: a final monoclonal mutation in one of multiple clones of susceptible cells. Science. 1978 Jan 27;199(4327):429–431. doi: 10.1126/science.619463. [DOI] [PubMed] [Google Scholar]
- Benedict W. F., Murphree A. L., Banerjee A., Spina C. A., Sparkes M. C., Sparkes R. S. Patient with 13 chromosome deletion: evidence that the retinoblastoma gene is a recessive cancer gene. Science. 1983 Feb 25;219(4587):973–975. doi: 10.1126/science.6336308. [DOI] [PubMed] [Google Scholar]
- Block M. A., Jackson C. E., Greenawald K. A., Yott J. B., Tashjian A. H., Jr Clinical characteristics distinguishing hereditary from sporadic medullary thyroid carcinoma. Treatment implications. Arch Surg. 1980 Feb;115(2):142–148. doi: 10.1001/archsurg.1980.01380020012004. [DOI] [PubMed] [Google Scholar]
- Carney J. A., Sizemore G. W., Sheps S. G. Adrenal medullary disease in multiple endocrine neoplasia, type 2: pheochromocytoma and its precursors. Am J Clin Pathol. 1976 Aug;66(2):279–290. doi: 10.1093/ajcp/66.2.279. [DOI] [PubMed] [Google Scholar]
- Cavenee W. K., Dryja T. P., Phillips R. A., Benedict W. F., Godbout R., Gallie B. L., Murphree A. L., Strong L. C., White R. L. Expression of recessive alleles by chromosomal mechanisms in retinoblastoma. 1983 Oct 27-Nov 2Nature. 305(5937):779–784. doi: 10.1038/305779a0. [DOI] [PubMed] [Google Scholar]
- Cohen A. J., Li F. P., Berg S., Marchetto D. J., Tsai S., Jacobs S. C., Brown R. S. Hereditary renal-cell carcinoma associated with a chromosomal translocation. N Engl J Med. 1979 Sep 13;301(11):592–595. doi: 10.1056/NEJM197909133011107. [DOI] [PubMed] [Google Scholar]
- DeLellis R. A., Wolfe H. J., Gagel R. F., Feldman Z. T., Miller H. H., Gang D. L., Reichlin S. Adrenal medullary hyperplasia. A morphometric analysis in patients with familial medullary thyroid carcinoma. Am J Pathol. 1976 Apr;83(1):177–196. [PMC free article] [PubMed] [Google Scholar]
- Emmertsen K., Lamm L. U., Rasmussen K. Z., Elbrønd O., Hansen H. H., Henningsen K., Jørgensen J., Petersen G. B. Linkage and chromosome study of multiple endocrine neoplasia IIa. Cancer Genet Cytogenet. 1983 Jul;9(3):251–259. doi: 10.1016/0165-4608(83)90009-2. [DOI] [PubMed] [Google Scholar]
- Francke U., Holmes L. B., Atkins L., Riccardi V. M. Aniridia-Wilms' tumor association: evidence for specific deletion of 11p13. Cytogenet Cell Genet. 1979;24(3):185–192. doi: 10.1159/000131375. [DOI] [PubMed] [Google Scholar]
- Francke U., Oliver N. Quantitative analysis of high-resolution trypsin-giemsa bands on human prometaphase chromosomes. Hum Genet. 1978 Dec 18;45(2):137–165. doi: 10.1007/BF00286957. [DOI] [PubMed] [Google Scholar]
- Hashem N., Khalifa S. Retinoblastoma. A model of hereditary fragile chromosomal regions. Hum Hered. 1975;25(1):35–49. doi: 10.1159/000152706. [DOI] [PubMed] [Google Scholar]
- Hershfield M. S., Francke U. The human genes for S-adenosylhomocysteine hydrolase and adenosine deaminase are syntenic on chromosome 20. Science. 1982 May 14;216(4547):739–742. doi: 10.1126/science.7079734. [DOI] [PubMed] [Google Scholar]
- Hsu T. C., Pathak S., Samaan N., Hickey R. C. Chromosome instability in patients with medullary carcinoma of the thyroid. JAMA. 1981 Nov 6;246(18):2046–2048. [PubMed] [Google Scholar]
- Jackson C. E., Block M. A., Greenawald K. A., Tashjian A. H., Jr The two-mutational-event theory in medullary thyroid cancer. Am J Hum Genet. 1979 Nov;31(6):704–710. [PMC free article] [PubMed] [Google Scholar]
- Jackson C. E., Conneally P. M., Sizemore G. W., Tashjian A. H. Possible linear order of genes for endocrine neoplasia type 2, the P red cell antigen and HL-A on chromosome 6. Birth Defects Orig Artic Ser. 1976;12(1):159–164. [PubMed] [Google Scholar]
- Jackson C. E., Tashjian A. H., Jr, Block M. A. Detection of medullary thyroid cancer by calcitonin assay in families. Ann Intern Med. 1973 Jun;78(6):845–852. doi: 10.7326/0003-4819-78-6-845. [DOI] [PubMed] [Google Scholar]
- Kalousek D. K., Thérien S. Deletion of the short arms of chromosome 20. Hum Genet. 1976 Sep 10;34(1):89–92. doi: 10.1007/BF00284443. [DOI] [PubMed] [Google Scholar]
- Knudson A. G., Jr, Meadows A. T., Nichols W. W., Hill R. Chromosomal deletion and retinoblastoma. N Engl J Med. 1976 Nov 11;295(20):1120–1123. doi: 10.1056/NEJM197611112952007. [DOI] [PubMed] [Google Scholar]
- Knudson A. G., Jr Mutation and cancer: statistical study of retinoblastoma. Proc Natl Acad Sci U S A. 1971 Apr;68(4):820–823. doi: 10.1073/pnas.68.4.820. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Levan G., Mitelman F., Telenius M. Chromosomes in Sipple's syndrome. Lancet. 1973 Jun 30;1(7818):1510–1510. doi: 10.1016/s0140-6736(73)91847-3. [DOI] [PubMed] [Google Scholar]
- Magenis R. E., Webb M. J., McKean R. S., Tomar D., Allen L. J., Kammer H., Van Dyke D. L., Lovrien E. Translocation(X;Y)(p22.33;p11.2) in XX males: etiology of male phenotype. Hum Genet. 1982;62(3):271–276. doi: 10.1007/BF00333535. [DOI] [PubMed] [Google Scholar]
- Mark J. Chromosomal analysis of a human retinoblastoma. Acta Ophthalmol (Copenh) 1970;48(1):124–135. doi: 10.1111/j.1755-3768.1970.tb06580.x. [DOI] [PubMed] [Google Scholar]
- Motegi T. Lymphocyte chromosome survey in 42 patients with retinoblastoma: effort to detect 13q14 deletion mosaicism. Hum Genet. 1981;58(2):168–173. doi: 10.1007/BF00278704. [DOI] [PubMed] [Google Scholar]
- Nankin H., Hydovitz J., Sapira J. Normal chromosomes in mucosol neuroma variant of medullary thyroid carcinoma syndrome. J Med Genet. 1970 Dec;7(4):374–378. doi: 10.1136/jmg.7.4.374. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pathak S., Strong L. C., Ferrell R. E., Trindade A. Familial renal cell carcinoma with a 3;11 chromosome translocation limited to tumor cells. Science. 1982 Sep 3;217(4563):939–941. doi: 10.1126/science.7112106. [DOI] [PubMed] [Google Scholar]
- Strong L. C., Riccardi V. M., Ferrell R. E., Sparkes R. S. Familial retinoblastoma and chromosome 13 deletion transmitted via an insertional translocation. Science. 1981 Sep 25;213(4515):1501–1503. doi: 10.1126/science.7280668. [DOI] [PubMed] [Google Scholar]
- Talpos G. B., Jackson C. E., Yott J. B., Van Dyke D. L. Phenotype mapping of the multiple endocrine neoplasia type II syndrome. Surgery. 1983 Oct;94(4):650–654. [PubMed] [Google Scholar]
- Wolfe H. J., Melvin K. E., Cervi-Skinner S. J., Saadi A. A., Juliar J. F., Jackson C. E., Tashjian A. H., Jr C-cell hyperplasia preceding medullary thyroid carcinoma. N Engl J Med. 1973 Aug 30;289(9):437–441. doi: 10.1056/NEJM197308302890901. [DOI] [PubMed] [Google Scholar]
- Wulfsberg E. A., Klisak I. J., Sparkes R. S. High resolution chromosome banding in the Rubinstein-Taybi syndrome. Clin Genet. 1983 Jan;23(1):35–37. doi: 10.1111/j.1399-0004.1983.tb00434.x. [DOI] [PubMed] [Google Scholar]
- Yunis J. J., Ball D. W., Sawyer J. R. G-banding patterns of high-resolution human chromosomes 6--22, X, and Y. Hum Genet. 1979 Jul 18;49(3):291–306. doi: 10.1007/BF00569349. [DOI] [PubMed] [Google Scholar]
- Yunis J. J., Ramsay N. K. Familial occurrence of the aniridia-Wilms tumor syndrome with deletion 11p13-14.1. J Pediatr. 1980 Jun;96(6):1027–1030. doi: 10.1016/s0022-3476(80)80630-5. [DOI] [PubMed] [Google Scholar]
- Yunis J. J., Ramsay N. Retinoblastoma and subband deletion of chromosome 13. Am J Dis Child. 1978 Feb;132(2):161–163. doi: 10.1001/archpedi.1978.02120270059012. [DOI] [PubMed] [Google Scholar]
- Yunis J. J., Sawyer J. R., Ball D. W. The characterization of high-resolution G-banded chromosomes of man. Chromosoma. 1978 Aug 14;67(4):293–307. doi: 10.1007/BF00285963. [DOI] [PubMed] [Google Scholar]