title: Genetic heterogeneity in Peutz-Jeghers syndrome.
abstract: LKB1, the human gene encoding a serine threonine kinase, was recently identified as a susceptibility gene for Peutz-Jeghers syndrome (PJS), a disease characterized by the constellation of intestinal hamartomata, oral mucocutaneous hyperpigmentation, and an increased risk for gastrointestinal as well as extraintestinal malignancies. To date, the majority of individuals with PJS have been found to have genetic alterations in LKB1, most of which result in protein truncation. Additionally, linkage analyses have suggested a modicum of genetic heterogeneity, with the majority of PJS families showing linkage to the LKB1 locus. In this study, we evaluated five kindreds with greater than two affected family members, five PJS probands with only one other affected family member, as well as 23 individuals with sporadic PJS for mutations within the LKB1 gene. Conformation sensitive gel electrophoresis was utilized for the initial screen, followed by direct sequence analysis for characterization. Long-range PCR was used for the detection of larger genetic insertions or deletions. Mutation analysis revealed genetic alterations in LKB1 in two probands who had a family history of PJS. LKB1 mutations were detected in only four of the remaining 23 cases of sporadic PJS. These data suggest the presence of significant genetic heterogeneity for PJS and the involvement of other loci in this syndrome.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Mayo Clinic, Mayo Foundation, Rochester, MN 55905, USA.
authors.forename: L A
authors.initials: LA
authors.lastname: Boardman
authors.forename: F J
authors.initials: FJ
authors.lastname: Couch
authors.forename: L J
authors.initials: LJ
authors.lastname: Burgart
authors.forename: D
authors.initials: D
authors.lastname: Schwartz
authors.forename: R
authors.initials: R
authors.lastname: Berry
authors.forename: S K
authors.initials: SK
authors.lastname: McDonnell
authors.forename: D J
authors.initials: DJ
authors.lastname: Schaid
authors.forename: L C
authors.initials: LC
authors.lastname: Hartmann
authors.forename: J J
authors.initials: JJ
authors.lastname: Schroeder
authors.forename: C A
authors.initials: CA
authors.lastname: Stratakis
authors.forename: S N
authors.initials: SN
authors.lastname: Thibodeau
mesh_terms: D000091162:AMP-Activated Protein Kinase Kinases; D004252:DNA Mutational Analysis; D017931:DNA Primers / Q000737:chemistry; D004587:Electrophoresis, Agar Gel; D005260:Female; D018740:Genetic Heterogeneity; D008040:Genetic Linkage / Q000235:genetics; D018095:Germ-Line Mutation / Q000235:genetics; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000235:genetics; D009690:Nucleic Acid Conformation; D010375:Pedigree; D010580:Peutz-Jeghers Syndrome / Q000235:genetics*; D016133:Polymerase Chain Reaction; D017346:Protein Serine-Threonine Kinases / Q000235:genetics; D017422:Sequence Analysis, DNA / Q000379:methods
chemical_list: D017931:DNA Primers; D017346:Protein Serine-Threonine Kinases; C109790:STK11 protein, human; D000091162:AMP-Activated Protein Kinase Kinases