help button home button Endocrine Society JCEM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH

This version published online on June 6, 2006
Journal of Clinical Endocrinology & Metabolism, doi:10.1210/jc.2006-0183
A more recent version of this article appeared on August 1, 2006
This Article
Right arrow Author Manuscript (PDF)
Right arrow All Versions of this Article:
91/8/3071    most recent
Author Manuscript (PDF)
Right arrow Submit a related Letter to the Editor
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Carvajal-Carmona, L. G.
Right arrow Articles by Tomlinson, I. P. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Carvajal-Carmona, L. G.
Right arrow Articles by Tomlinson, I. P. M.

Submitted on January 26, 2006
Accepted on May 25, 2006

Adult Leydig-cell tumors of the testis caused by germline fumarate hydratase mutations

Luis G. Carvajal-Carmona*, N. Afrina Alam, Patrick J. Pollard, Angela M. Jones, Ella Barclay, Noel Wortham, Massimo Pignatelli, Alex Freeman, Sabine Pomplun, Ian Ellis, Richard Poulsom, Mona A. El-Bahrawy, Daniel M. Berney, and Ian P. M. Tomlinson

Molecular and Population Genetics Laboratory (L.G.C-C., N.A.A., P.J.P., A.M.J., E.B., N.W., I.P.M.T.) and Histopathology Unit and In Situ Hybridisation Service (R.H.), London Research Institute, Cancer Research UK, London, United Kingdom; Department of Pathology and Microbiology, Division of Histopathology, Bristol Royal Infirmary (M.P.), Bristol, United Kingdom; Department of Pathology, University College Hospital (A.F.), London, United Kingdom; Department of Pathology, Kings College Hospital (S.P.), London, United Kingdom; Department of Histopathology, Nottingham City Hospital (I.E.), Nottingham, United Kingdom; Department of Histopathology, Division of Investigative Science, Imperial College (M.A.E-B.), London, United Kingdom; Department of Pathology, St Bartholomew's Hospital (D.M.B.), London, United Kingdom

* To whom correspondence should be addressed. E-mail: luis.carvajal{at}cancer.org.uk.

Context: Leydig-cell tumors (LCTs) are the most common non-germ cell neoplasms of the testis. LCTs are often hormonally active and can result in precocious virilisation or in adult feminisation. We identified a LCT in an affected individual from a kindred with hereditary leiomyomatosis and renal cell cancer (HLRCC) and a germline fumarate hydratase (FH) mutation (N64T).

Objective: To investigate the role of FH mutations in predisposition to LCTs.

Design: We tested for pathogenic effects of the N64T mutation and screened a further 29 unselected LCTs for FH alterations. We also tested these LCTs for mutations in two genes, the LH/choriogonadotropin receptor (LHCGR) and the guanine nucleotide binding protein {alpha} (GNAS) that had been implicated in LCT tumorigenesis.

Results: No mutations were found in GNAS and one tumor had a LHCGR somatic substitution. In addition to the HLRCC case with the N64T germline FH mutation, we identified one other LCT with a previously unreported FH mutation (M411I). Both LCTs from these patients showed loss of the wild-type FH allele. Immunohistochemical and in situ hybridization analyses demonstrated activation of the hypoxia/angiogenesis pathway not only in the tumors belonging to the FH mutation carriers, but also in several other mutation-negative LCTs.

Conclusions: Our study shows that some LCTs are caused by FH mutations and represents one of the first reports of germline mutations in any type of adult testicular tumor.


Key words: Leydig-cell tumors • fumatate hydratase • testicular cancer • hypoxia




This article has been cited by other articles:


Home page
Clin. Cancer Res.Home page
J. A. Mayr, D. Meierhofer, F. Zimmermann, R. Feichtinger, C. Kogler, M. Ratschek, N. Schmeller, W. Sperl, and B. Kofler
Loss of Complex I due to Mitochondrial DNA Mutations in Renal Oncocytoma
Clin. Cancer Res., April 15, 2008; 14(8): 2270 - 2275.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Endocrinology Endocrine Reviews J. Clin. End. & Metab.
Molecular Endocrinology Recent Prog. Horm. Res. All Endocrine Journals
Copyright © 2006 by The Endocrine Society