The role of AIP variants in pituitary adenomas and concomitant thyroid carcinomas in the Netherlands: a nationwide pathology registry (PALGA) study

Abstract Purpose Germline mutations in the aryl-hydrocarbon receptor interacting protein ( AIP ) have been identified often in the setting of familial isolated pituitary adenoma (FIPA). To date there is no strong evidence linking germline AIP mutations to other neoplasms apart from the pituitary. Our primary objective was to investigate the prevalence of AIP gene mutations and mutations in genes that have been associated with neuroendocrine tumors in series of tumors from patients presenting with both pituitary adenomas and differentiated thyroid carcinomas (DTCs). Methods Pathology samples we... Mehr ...

Verfasser: Coopmans, E. C.
Muhammad, A.
Daly, A. F.
de Herder, W. W.
van Kemenade, F. J.
Beckers, A.
de Haan, M.
van der Lely, A. J.
Korpershoek, E.
Neggers, S. J. C. M. M.
Dokumenttyp: Artikel
Erscheinungsdatum: 2020
Reihe/Periodikum: Endocrine ; volume 68, issue 3, page 640-649 ; ISSN 1355-008X 1559-0100
Verlag/Hrsg.: Springer Science and Business Media LLC
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27627560
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://dx.doi.org/10.1007/s12020-020-02303-7

Abstract Purpose Germline mutations in the aryl-hydrocarbon receptor interacting protein ( AIP ) have been identified often in the setting of familial isolated pituitary adenoma (FIPA). To date there is no strong evidence linking germline AIP mutations to other neoplasms apart from the pituitary. Our primary objective was to investigate the prevalence of AIP gene mutations and mutations in genes that have been associated with neuroendocrine tumors in series of tumors from patients presenting with both pituitary adenomas and differentiated thyroid carcinomas (DTCs). Methods Pathology samples were retrieved from all pituitary adenomas in patients with concomitant DTCs, including one with a known germline AIP variant. Subsequently, two additional patients with known germline AIP variants were included, of which one presented only with a follicular thyroid carcinoma (FTC). Results In total, 17 patients (14 DTCs and 15 pituitary adenomas) were investigated by targeted next generation sequencing (NGS). The pituitary tumor samples revealed no mutations, while among the thyroid tumor samples BRAF (6/14, 42.9%) was the most frequently mutated gene, followed by NRAS (3/11, 27.3%). In one AIP -mutated FIPA kindred, the AIP -variant c.853C>T; p.Q285* was confirmed in the FTC specimen, including evidence of loss of heterozygosity (LOH) at the AIP locus in the tumor DNA. Conclusion Although most observed variants in pituitary adenomas and DTCs were similar to those of sporadic DTCs, we confirmed in one AIP mutation-positive case the AIP -variant and LOH at this locus in an FTC specimen, which raises the potential role of the AIP mutation as a rare initiating event.