title: Novel c-KIT germline mutation in a family with gastrointestinal stromal tumors and cutaneous hyperpigmentation.
abstract: Mutations in the c-KIT gene have been identified in many sporadic and familial cases of gastrointestinal stromal tumor (GIST). We report a familial case of GIST with cutaneous hyperpigmentation associated with a novel germline mutation in the c-KIT gene. Screening for mutations in exon 11 of the c-KIT gene in genomic DNA from tumors and peripheral blood of the members of a family with GISTs was undertaken by direct genomic sequencing. Tumors from GIST patients were analyzed histologically and immunohistochemically. Clinical examination of GIST patients was also performed to detect other systemic diseases associated with c-KIT mutations. Histological study showed that the tumors were GISTs expressing CD34 and c-KIT protein. This GIST-hyperpigmentation disease was associated in the family with a germline mutation in the c-KIT gene. The mutation is a duplication of the sequence CAACTT located in exon 11 of the c-KIT gene, which introduces two extra glutamine and leucine residues in the encoding protein between positions 576 and 577. This Spanish family was affected with GISTs and cutaneous hyperpigmentation associated with a novel germline mutation Leu576_Pro577insGlnLeu in the juxtamembrane domain of the c-KIT receptor. These types of mutation in the c-KIT gene activate the tyrosine kinase activity of the c-KIT receptor and induce constitutive signaling leading to GISTs, in some cases associated with cutaneous hyperpigmentation.
authors.affiliation: Laboratori de Biologia i Genètica Molecular, Servei de Laboratori, Hospital de Terrassa, Terrassa, Spain. mcarballo@csdt.es
authors.forename: Miguel
authors.initials: M
authors.lastname: Carballo
authors.forename: Ignasi
authors.initials: I
authors.lastname: Roig
authors.forename: Francesc
authors.initials: F
authors.lastname: Aguilar
authors.forename: Maria Antonia
authors.initials: MA
authors.lastname: Pol
authors.forename: María José
authors.initials: MJ
authors.lastname: Gamundi
authors.forename: Imma
authors.initials: I
authors.lastname: Hernan
authors.forename: María
authors.initials: M
authors.lastname: Martinez-Gimeno
mesh_terms: D000328:Adult; D001483:Base Sequence; D004252:DNA Mutational Analysis; D004273:DNA, Neoplasm / Q000737:chemistry / Q000235:genetics; D005192:Family Health; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000235:genetics* / Q000378:metabolism / Q000473:pathology; D018095:Germ-Line Mutation; D006801:Humans; D017495:Hyperpigmentation / Q000235:genetics* / Q000378:metabolism / Q000473:pathology; D007150:Immunohistochemistry; D007223:Infant; D008297:Male; D008875:Middle Aged; D010375:Pedigree; D019009:Proto-Oncogene Proteins c-kit / Q000032:analysis / Q000235:genetics*
chemical_list: D004273:DNA, Neoplasm; D019009:Proto-Oncogene Proteins c-kit