Copyright © 2006 The American Society of Human Genetics. All rights reserved.
The American Journal of Human Genetics, Volume 78, Issue 6, 1066-1074, 1 June 2006
doi:10.1086/504301
Report
Capucine Delnatte1, *, Damien Sanlaville2, *, Jean-François Mougenot3, Joris-Robert Vermeesch6, Claude Houdayer1, Marie-Christine de Blois2, David Genevieve2, Olivier Goulet3, Jean-Pierre Fryns6, Francis Jaubert4, Michel Vekemans2, Stanislas Lyonnet2, Serge Romana2, 5, Charis Eng7 and Dominique Stoppa-Lyonnet1,
, 
1 Department of Genetics, Institut Curie, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris
2 Department of Genetics, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris
3 Department of Pediatrics, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris
4 Department of Pathology, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris
5 INSERM Equipe Mixte INSERM E0210, Paris
6 Center of Human Genetics, Katholieke Universiteit Leuven, Leuven, Belgium
7 Cleveland Clinic Genomic Medicine Institute and Department of Genetics, Case Western Reserve University School of Medicine, Cleveland
Address for correspondence and reprints: Dr. Dominique Stoppa-Lyonnet, 26 rue d’Ulm, F-75248 Paris cedex 5, FranceAbstract
We describe four unrelated children who were referred to two tertiary referral medical genetics units between 1991 and 2005 and who are affected with juvenile polyposis of infancy. We show that these children are heterozygous for a germline deletion encompassing two contiguous genes, PTEN and BMPR1A. We hypothesize that juvenile polyposis of infancy is caused by the deletion of these two genes and that the severity of the disease reflects cooperation between these two tumor-suppressor genes.
| Variant Manifestation of Cowden Disease in Japan: Hamartomatous Polyposis of the Digestive Tract with Mutation of the PTEN Gene The American Journal of Human Genetics, Volume 64, Issue 1, 1 January 1999, Pages 308-310 Keisuke Kurose, Tsutomu Araki, Tsuyoshi Matsunaka, Yasuharu Takada and Mitsuru Emi | |
| Germline Mutations in BMPR1A/ALK3 Cause a Subset of Cases of Juvenile Polyposis Syndrome and of Cowden and Bannayan-Riley-Ruvalcaba Syndromes The American Journal of Human Genetics, Volume 69, Issue 4, 1 October 2001, Pages 704-711 Xiao-Ping Zhou, Kelly Woodford-Richens, Rainer Lehtonen, Keisuke Kurose, Micheala Aldred, Heather Hampel, Virpi Launonen, Sanno Virta, Robert Pilarski, Reijo Salovaara, Walter F. Bodmer, Beth A. Conrad, Malcolm Dunlop, Shirley V. Hodgson, Takeo Iwama, Heikki Järvinen, Ilmo Kellokumpu, J.C. Kim, Barbara Leggett, David Markie, Jukka-Pekka Mecklin, Kay Neale, Robin Phillips, Juan Piris, Paul Rozen, Richard S. Houlston, Lauri A. Aaltonen, Ian P.M. Tomlinson and Charis Eng Abstract Juvenile polyposis syndrome (JPS) is an inherited hamartomatous-polyposis syndrome with a risk for colon cancer. JPS is a clinical diagnosis by exclusion, and, before susceptibility genes were identified, JPS could easily be confused with other inherited hamartoma syndromes, such as Bannayan-Riley-Ruvalcaba syndrome (BRRS) and Cowden syndrome (CS). Germline mutations of MADH4 (SMAD4) have been described in a variable number of probands with JPS. A series of familial and isolated European probands without MADH4 mutations were analyzed for germline mutations in BMPR1A, a member of the transforming growth-factor β–receptor superfamily, upstream from the SMAD pathway. Overall, 10 (38%) probands were found to have germline BMPR1A mutations, 8 of which resulted in truncated receptors and 2 of which resulted in missense alterations (C124R and C376Y). Almost all available component tumors from mutation-positive cases showed loss of heterozygosity (LOH) in the BMPR1A region, whereas those from mutation-negative cases did not. One proband with CS/CS-like phenotype was also found to have a germline BMPR1A missense mutation (A338D). Thus, germline BMPR1A mutations cause a significant proportion of cases of JPS and might define a small subset of cases of CS/BRRS with specific colonic phenotype. Abstract | | |