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Risk Profile of the RET A883F Germline Mutation: An International Collaborative Study.

Identifieur interne : 000B49 ( PubMed/Corpus ); précédent : 000B48; suivant : 000B50

Risk Profile of the RET A883F Germline Mutation: An International Collaborative Study.

Auteurs : Jes Sloth Mathiesen ; Mouhammed Amir Habra ; John Howard Duncan Bassett ; Sirazum Mubin Choudhury ; Sabapathy Prakash Balasubramanian ; Trevor A. Howlett ; Bruce G. Robinson ; Anne-Paule Gimenez-Roqueplo ; Frederic Castinetti ; Peter Vestergaard ; Karin Frank-Raue

Source :

RBID : pubmed:28323957

English descriptors

Abstract

The A883F germline mutation of the rearranged during transfection (RET) proto-oncogene causes multiple endocrine neoplasia 2B. In the revised American Thyroid Association (ATA) guidelines for the management of medullary thyroid carcinoma (MTC), the A883F mutation has been reclassified from the highest to the high-risk level, although no well-defined risk profile for this mutation exists.

DOI: 10.1210/jc.2016-3640
PubMed: 28323957

Links to Exploration step

pubmed:28323957

Le document en format XML

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<term>Adrenal Gland Neoplasms (genetics)</term>
<term>Adult</term>
<term>Carcinoma, Neuroendocrine (etiology)</term>
<term>Carcinoma, Neuroendocrine (genetics)</term>
<term>Carcinoma, Neuroendocrine (surgery)</term>
<term>Child</term>
<term>Female</term>
<term>Genetic Predisposition to Disease</term>
<term>Germ-Line Mutation</term>
<term>Humans</term>
<term>Male</term>
<term>Multiple Endocrine Neoplasia Type 2b (complications)</term>
<term>Multiple Endocrine Neoplasia Type 2b (genetics)</term>
<term>Mutation</term>
<term>Penetrance</term>
<term>Pheochromocytoma (etiology)</term>
<term>Pheochromocytoma (genetics)</term>
<term>Proto-Oncogene Proteins c-ret (genetics)</term>
<term>Retrospective Studies</term>
<term>Risk Assessment</term>
<term>Survival Rate</term>
<term>Thyroid Neoplasms (etiology)</term>
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<term>Thyroidectomy</term>
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<term>Multiple Endocrine Neoplasia Type 2b</term>
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<term>Adrenal Gland Neoplasms</term>
<term>Carcinoma, Neuroendocrine</term>
<term>Pheochromocytoma</term>
<term>Thyroid Neoplasms</term>
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<term>Carcinoma, Neuroendocrine</term>
<term>Multiple Endocrine Neoplasia Type 2b</term>
<term>Pheochromocytoma</term>
<term>Thyroid Neoplasms</term>
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<term>Carcinoma, Neuroendocrine</term>
<term>Thyroid Neoplasms</term>
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<term>Adult</term>
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<front>
<div type="abstract" xml:lang="en">The A883F germline mutation of the rearranged during transfection (RET) proto-oncogene causes multiple endocrine neoplasia 2B. In the revised American Thyroid Association (ATA) guidelines for the management of medullary thyroid carcinoma (MTC), the A883F mutation has been reclassified from the highest to the high-risk level, although no well-defined risk profile for this mutation exists.</div>
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<PMID Version="1">28323957</PMID>
<DateCreated>
<Year>2017</Year>
<Month>03</Month>
<Day>21</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>09</Month>
<Day>11</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>11</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1945-7197</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>102</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2017</Year>
<Month>Jun</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>The Journal of clinical endocrinology and metabolism</Title>
<ISOAbbreviation>J. Clin. Endocrinol. Metab.</ISOAbbreviation>
</Journal>
<ArticleTitle>Risk Profile of the RET A883F Germline Mutation: An International Collaborative Study.</ArticleTitle>
<Pagination>
<MedlinePgn>2069-2074</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1210/jc.2016-3640</ELocationID>
<Abstract>
<AbstractText Label="Context" NlmCategory="UNASSIGNED">The A883F germline mutation of the rearranged during transfection (RET) proto-oncogene causes multiple endocrine neoplasia 2B. In the revised American Thyroid Association (ATA) guidelines for the management of medullary thyroid carcinoma (MTC), the A883F mutation has been reclassified from the highest to the high-risk level, although no well-defined risk profile for this mutation exists.</AbstractText>
<AbstractText Label="Objective" NlmCategory="UNASSIGNED">To create a risk profile for the A883F mutation for appropriate classification among the ATA risk levels.</AbstractText>
<AbstractText Label="Design" NlmCategory="UNASSIGNED">Retrospective analysis.</AbstractText>
<AbstractText Label="Setting" NlmCategory="UNASSIGNED">International collaboration.</AbstractText>
<AbstractText Label="Patients" NlmCategory="UNASSIGNED">Included were 13 A883F carriers.</AbstractText>
<AbstractText Label="Intervention" NlmCategory="UNASSIGNED">The intervention was thyroidectomy.</AbstractText>
<AbstractText Label="Main Outcome Measures" NlmCategory="UNASSIGNED">Earliest age of MTC, regional lymph node metastases, distant metastases, age-related penetrance of MTC and pheochromocytoma (PHEO), overall and disease-specific survival, and biochemical cure rate.</AbstractText>
<AbstractText Label="Results" NlmCategory="UNASSIGNED">One and three carriers were diagnosed at age 7 to 9 years (median, 7.5 years) with a normal thyroid and C-cell hyperplasia, respectively. Nine carriers were diagnosed with MTC at age 10 to 39 years (median, 19 years). The earliest age of MTC, regional lymph node metastasis, and distant metastasis was 10, 20, and 20 years, respectively. Fifty percent penetrance of MTC and PHEO was achieved by age 19 and 34 years, respectively. Five- and 10-year survival rates (both overall and disease specific) were 88% and 88%, respectively. Biochemical cure for MTC at latest follow-up was achieved in 63% (five of eight carriers) with pertinent data.</AbstractText>
<AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">MTC of A883F carriers seems to have a more indolent natural course compared with that of M918T carriers. Our results support the classification of the A883F mutation in the ATA high-risk level.</AbstractText>
</Abstract>
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<Affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Odense University Hospital, DK-5000 Odense, Denmark.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Institute of Clinical Research, University of Southern Denmark, DK-5000 Odense, Denmark.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
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</AffiliationInfo>
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</AffiliationInfo>
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</AffiliationInfo>
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</AffiliationInfo>
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<Affiliation>Cancer Genetics Kolling Institute, Royal North Shore Hospital, University of Sydney, St. Leonards, New South Wales 2065, Australia.</Affiliation>
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<Affiliation>Department of Genetics, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, F-75015 Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>INSERM, Unité Mixte de Recherche 970, Paris-Cardiovascular Research Center, F-75015 Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Paris Descartes University, Faculty of Medicine, F-75006 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Castinetti</LastName>
<ForeName>Frederic</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Department of Endocrinology, La Timone Hospital, Hôpitaux de Marseille, Aix-Marseille University, 13385 Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Vestergaard</LastName>
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<AffiliationInfo>
<Affiliation>Department of Clinical Medicine and Endocrinology, Aalborg University Hospital, DK-9000 Aalborg, Denmark.</Affiliation>
</AffiliationInfo>
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<LastName>Frank-Raue</LastName>
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<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Endocrine Practice, Moleculargenetic Laboratory, 69120 Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
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<Country>United States</Country>
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<RegistryNumber>EC 2.7.10.1</RegistryNumber>
<NameOfSubstance UI="D051096">Proto-Oncogene Proteins c-ret</NameOfSubstance>
</Chemical>
<Chemical>
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<NameOfSubstance UI="C099282">RET protein, human</NameOfSubstance>
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