Crabtree J S, Scacheri P C, Ward J M, Garrett-Beal L, Emmert-Buck M R, Edgemon K A, Lorang D, Libutti S K, Chandrasekharappa S C, Marx S J, Spiegel A M, Collins F S
National Human Genome Research Institute, National Cancer Institute, and National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Proc Natl Acad Sci U S A. 2001 Jan 30;98(3):1118-23. doi: 10.1073/pnas.98.3.1118.
Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant cancer syndrome, characterized primarily by multiple tumors in the parathyroid glands, endocrine pancreas, and anterior pituitary. Other tumors, including gastrinoma, carcinoid, adrenal cortical tumors, angiofibroma, collagenoma, and lipoma, also occur in some patients. Individuals with MEN1 almost always have loss-of-function mutations in the MEN1 gene on chromosome 11, and endocrine tumors arising in these patients usually show somatic loss of the remaining wild-type allele. To examine the role of MEN1 in tumor formation, a mouse model was generated through homologous recombination of the mouse homolog Men1. Homozygous mice die in utero at embryonic days 11.5-12.5, whereas heterozygous mice develop features remarkably similar to those of the human disorder. As early as 9 months, pancreatic islets show a range of lesions from hyperplasia to insulin-producing islet cell tumors, and parathyroid adenomas are also frequently observed. Larger, more numerous tumors involving pancreatic islets, parathyroids, thyroid, adrenal cortex, and pituitary are seen by 16 months. All of the tumors tested to date show loss of the wild-type Men1 allele, further supporting its role as a tumor suppressor gene.
1型多发性内分泌腺瘤病(MEN1)是一种常染色体显性遗传癌症综合征,主要特征是甲状旁腺、内分泌胰腺和垂体前叶出现多个肿瘤。一些患者还会出现其他肿瘤,包括胃泌素瘤、类癌、肾上腺皮质肿瘤、血管纤维瘤、胶原瘤和脂肪瘤。MEN1患者几乎总是在11号染色体上的MEN1基因发生功能丧失性突变,这些患者中出现的内分泌肿瘤通常显示剩余野生型等位基因的体细胞缺失。为了研究MEN1在肿瘤形成中的作用,通过小鼠同源基因Men1的同源重组构建了一个小鼠模型。纯合子小鼠在胚胎期11.5 - 12.5天死于子宫内,而异合子小鼠表现出与人类疾病非常相似的特征。早在9个月时,胰岛就出现了从增生到产生胰岛素的胰岛细胞瘤的一系列病变,甲状旁腺腺瘤也经常被观察到。到16个月时,可以看到涉及胰岛、甲状旁腺、甲状腺、肾上腺皮质和垂体的更大、更多的肿瘤。迄今为止测试的所有肿瘤都显示野生型Men1等位基因缺失,进一步支持了它作为肿瘤抑制基因的作用。