Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2010-5-17
pubmed:abstractText
Hereditary leiomyomatosis and renal cell cancer (HLRCC) is a tumor predisposition syndrome caused by heterozygous germline mutations in the fumarate hydratase (FH) gene. Cutaneous and uterine leiomyomas are the most common clinical manifestations of HLRCC, whereas only approximately 20% of the families display renal cell cancer (RCC). The number of RCC cases in these families varies from one to five. Interestingly, families with multiple RCC cases are mainly found in Finland and the USA. Such aggregation of RCC in only some families and populations has led to the hypothesis that besides FH mutations also other inherited genetic and/or environmental factors may contribute to the malignant kidney tumor formation. To search for such a genetic modifier we have performed a genome-wide linkage analysis in two and an identical by descent analysis in four Finnish HLRCC families with several RCC patients. Additional Finnish and French families were used in fine-mapping and haplotype analyses. The only region compatible with linkage was the locus surrounding the FH gene itself in chromosome 1q43. The genes in the putative candidate region were screened, but no potentially pathogenic alterations were observed. Although these data do not rule out the existence of a genetic modifier, they emphasize the contribution of the FH genotype in HLRCC related RCC. Therefore, as all FH mutation carriers may have an increased risk for developing renal cancer, counseling and genetic testing should be offered for all HLRCC family members and clinical follow-up should be organized for the mutation carriers.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1573-7292
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
245-51
pubmed:meshHeading
pubmed-meshheading:20091131-Adult, pubmed-meshheading:20091131-Aged, 80 and over, pubmed-meshheading:20091131-Carcinoma, Renal Cell, pubmed-meshheading:20091131-DNA Mutational Analysis, pubmed-meshheading:20091131-Evidence-Based Medicine, pubmed-meshheading:20091131-Female, pubmed-meshheading:20091131-Finland, pubmed-meshheading:20091131-Fumarate Hydratase, pubmed-meshheading:20091131-Genetic Association Studies, pubmed-meshheading:20091131-Genetic Predisposition to Disease, pubmed-meshheading:20091131-Germ-Line Mutation, pubmed-meshheading:20091131-Humans, pubmed-meshheading:20091131-Kidney Neoplasms, pubmed-meshheading:20091131-Leiomyoma, pubmed-meshheading:20091131-Leiomyomatosis, pubmed-meshheading:20091131-Male, pubmed-meshheading:20091131-United States, pubmed-meshheading:20091131-Uterine Neoplasms
pubmed:year
2010
pubmed:articleTitle
No evidence for a genetic modifier for renal cell cancer risk in HLRCC syndrome.
pubmed:affiliation
Department of Medical Genetics, Biomedicum Helsinki, University of Helsinki, Helsinki, Finland.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't