Abstract |
Clinically relevant pituitary adenomas occur 3-5 times more frequently than previously thought. The majority are isolated cases, but their presentation can be familial in the setting of known syndromes such as multiple endocrine neoplasia (MEN)-1 and Carney complex. When 2 or more cases of pituitary adenomas occur in the same family in the absence of the above-mentioned syndromes, a diagnosis of FIPA (familial isolated pituitary adenomas) is made, which accounts for 1-2% of all pituitary adenomas. Mutations of the gene AIP ( aryl hydrocarbon receptor-interacting protein) may account for 15% of FIPA families (50% of familial acromegaly), and as such the genetic causes continue to be studied. Also mutations in AIP can be detected in sporadic adenomas among young populations (< 30 years of age). We describe the characteristics of FIPA, detailing the study of a spanish family, in this case AIP mutation negative. Also, the reported findings in sporadic adenomas in the young population are detailed, accompanied by the description of a 19- year old patient with an intronic AIP mutation. Multicenter studies have provided understanding of aspects such as mutations in AIP; however, further studies are necessary to identify other genes involved in FIPA and sporadic pituitary adenomas occurring at a young age.
|
Authors | Carmen Fajardo-Montañana, Adrian F Daly, Pedro Riesgo-Suárez, José Gómez-Vela, María A Tichomirowa, Rosa Camara-Gómez, Albert Beckers |
Journal | Endocrinologia y nutricion : organo de la Sociedad Espanola de Endocrinologia y Nutricion
(Endocrinol Nutr)
2009 Aug-Sep
Vol. 56
Issue 7
Pg. 369-77
ISSN: 1575-0922 [Print] Spain |
Vernacular Title | Mutaciones de AIP en adenomas hipofisarios familiares y esporádicos: experiencia local y revisión de la literatura. |
PMID | 19883897
(Publication Type: Case Reports, English Abstract, Journal Article, Review)
|
Chemical References |
- Intracellular Signaling Peptides and Proteins
- aryl hydrocarbon receptor-interacting protein
|
Topics |
- Adenoma
(genetics)
- Female
- Humans
- Intracellular Signaling Peptides and Proteins
(genetics)
- Middle Aged
- Mutation
- Pedigree
- Phenotype
- Pituitary Neoplasms
(genetics)
- Young Adult
|