Nephrology Dialysis Transplantation, Vol 13, Issue 2 348-355, Copyright © 1998 by Oxford University Press
C Inagaki, M Dousseau, N Pacher, E Sarfati, T Drueke and J Gogusev
Background. The genetic molecular anomalies in
patients with primary (I°) and secondary (II°)
hyperparathyroidism (HPTH) are still largely unknown. In particular, the
changes underlying monoclonal growth in the parathyroids of patients with
II° HPTH are not well understood. Methods. We
screened genomic DNA from a total of 30 patients with I° HPTH and
29 patients with II° uraemic HPTH for possible rearrangement or
allelic losses of several gene markers located on chromosome 11p near the
PTH gene, namely Ha-ras, IGF-2,
WT1, and the PTH gene itself. In addition,
two other gene markers, PRAD1 (localized on 11q13) and
RET localized on 10q11) were examined for possible
structural alterations. Moreover, we used fluorescence in
situ hybridization (FISH) which is another technique to detect
numerical alterations of chromosome 11. Results. The
results show that one of 13 patients with I° HPTH (8%) exhibited a
rearrangement for the PRAD-1 gene. Loss of
heterozygosity of Ha-ras locus was observed in one of
11 uraemic patients with II° HPTH (9%). Three of 10 patients with
I° HPTH (30%) and one of 7 patients with II° HPTH (14%)
showed an allelic loss of the WT1 gene. No evidence of
rearrangement of allelic loss was detected for the IGF-2,
PTH or RET genes respectively. Using FISH
method, three normal parathyroid glands, six I° HPTH adenomas and
eight II° HPTH hyperplastic glands from uraemic patients were
studied with centromeric probe for chromosome 11. Monosomy 11 was observed
in one case of I° HPTH and in one other case of II° HPTH.
Conclusion. Evidence of loss of heterozygosity for
several genes located on human chromosome 11p has been found in a series of
parathyroid glands from several patients with I° and II°
uraemic HPTH, corresponding to monosomy of chromosome 11 11 in some cases.
Keywords: hyperparathyroidism; primary; secondary;
chronic renal failure; haemodialysis; PRAD1; Ha-ras; WT1;
RET; allelic loss; rearrangement; Southern blot; fluorescence
in situ hybridization (FISH)
ORIGINAL ARTICLES
Structural analysis of gene marker loci on chromosomes 10 and 11 in primary and secondary uraemic hyperparathyroidism
INSERM Unite 90, Hopital Necker, 161 rue de Sevres, F-75743 Paris, France; Service de Chirurgie Generale, Hopital Saint Louis, Paris, France; Corresponding author
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