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Departments of Internal Medicine (S.-D.M., J.-H.K., J.-H.H., S.-J.Y., K.-H.Y., M.-I.K., K.-W.L., H.-Y.S., S.-K.K., B.-Y.C.) and Clinical Pathology (K.-M.K.), and Research Institute of Molecular Genetics, Catholic Research Institutes of Medical Science, Department of Biomedical Sciences (E.-M.K., S.-J.K.Y.), The Catholic University of Korea College of Medicine, Seoul, 137-701 Korea; Korean Hereditary Tumor Registry (J.-H.P., J.-G.P., I.-J.K., H.C.K.), Laboratory of Cell Biology, Cancer Research Center and Cancer Research Institute, Seoul National University, Seoul, 151-742 Korea; Research Institute and Hospital (J.-G.P.), National Cancer Center, Goyang, Gyeonggi, 411-769 Korea; Departments of Pathology (S.-W.H.) and Internal Medicine (K.-R.K.), Yonsei University College of Medicine, Seoul, 120-749 Korea; and Departments of Internal Medicine (S.-D.M., J.-H.H.) and Surgery (S.-J.O.), Our Lady of Mercy Hospital, The Catholic University of Korea College of Medicine, Incheon, 403-720 Korea
Address all correspondence and requests for reprints to: Dr. Je-Ho Han, Division of Endocrinology and Metabolism, Department of Internal Medicine, Our Lady of Mercy Hospital, The Catholic University of Korea College of Medicine, 665 Pupyung-dong Pupyung-gu, Incheon 403-720, Korea. E-mail: hjh60103{at}dreamwiz.com.
HRPT2, the gene associated with hyperparathyroidism-jaw tumor (HPT-JT) syndrome, was previously mapped to 1q24-q32. It was recently cloned, and several germline mutations were found to predispose to HPT-JT syndrome. We sequenced the complete HRPT2 coding sequence and splice-junctional regions in a Korean family with HPT-JT syndrome and identified a novel germline mutation, IVS2-1G>A in intron 2, that caused the autosomal dominant trait of HPT-JT syndrome in this family. RT-PCR and sequencing of the transcripts revealed that this splicing mutation generated alternative splicing errors leading to the formation of two different transcripts, one with exon 3 deleted, the other lacking the first 23 bp of exon 3 due to the use of an internal splice acceptor in exon 3. Translation of both transcripts results in premature termination. In addition, we detected two novel somatic mutations of HRPT2 in malignant parathyroid tumors from the affected individuals. One, 85delG, causes premature termination; the other, an 18 bp in-frame deletion of 13_30delCTTAGCGTCCTGCGACAG, suggests that this region may be important in the development of the parathyroid carcinomas in HPT-JT syndrome. These findings provide further evidence that mutation of HRPT2 is associated with the formation of parathyroid tumors in HPT-JT syndrome.
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