Familial Lymphoproliferative Malignancies and Tandem Duplication of NF1 Gene

Background. Neurofibromatosis type 1 is a genetic disorder caused by loss-of-function mutations in a tumor suppressor gene (NF1) which codifies the protein neurofibromin. The frequent genetic alterations that modify neurofibromin function are deletions and insertions. Duplications are rare and pheno...

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Main Authors: Gustavo Fernandes, Mirela Souto, Frederico Costa, Edite Oliveira, Bernardo Garicochea
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2014/685857
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author Gustavo Fernandes
Mirela Souto
Frederico Costa
Edite Oliveira
Bernardo Garicochea
author_facet Gustavo Fernandes
Mirela Souto
Frederico Costa
Edite Oliveira
Bernardo Garicochea
author_sort Gustavo Fernandes
collection DOAJ
description Background. Neurofibromatosis type 1 is a genetic disorder caused by loss-of-function mutations in a tumor suppressor gene (NF1) which codifies the protein neurofibromin. The frequent genetic alterations that modify neurofibromin function are deletions and insertions. Duplications are rare and phenotype in patients bearing duplication of NF1 gene is thought to be restricted to developmental abnormalities, with no reference to cancer susceptibility in these patients. We evaluated a patient who presented with few clinical signs of neurofibromatosis type 1 and a conspicuous personal and familiar history of different types of cancer, especially lymphoproliferative malignancies. The coding region of the NF-1 gene was analyzed by real-time polymerase chain reaction and direct sequencing. Multiplex ligation-dependent probe amplification was performed to detect the number of mutant copies. The NF1 gene analysis showed the following alterations: mosaic duplication of NF1, TRAF4, and MYO1D. Fluorescence in situ hybridization using probes (RP5-1002G3 and RP5-92689) flanking NF1 gene in 17q11.2 and CEP17 for 17q11.11.1 was performed. There were three signals (RP5-1002G3conRP5-92689) in the interphases analyzed and two signals (RP5-1002G3conRP5-92689) in 93% of cells. These findings show a tandem duplication of 17q11.2. Conclusion. The case suggests the possibility that NF1 gene duplication may be associated with a phenotype characterized by lymphoproliferative disorders.
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spelling doaj-art-0eb80e62326f420ba27d30d6e032225f2025-02-03T05:57:10ZengWileyCase Reports in Oncological Medicine2090-67062090-67142014-01-01201410.1155/2014/685857685857Familial Lymphoproliferative Malignancies and Tandem Duplication of NF1 GeneGustavo Fernandes0Mirela Souto1Frederico Costa2Edite Oliveira3Bernardo Garicochea4Sirio Libanês Hospital, D. Adma Jafet, 91 Bela Vista, 01308-000 São Paulo, SP, BrazilSirio Libanês Hospital, D. Adma Jafet, 91 Bela Vista, 01308-000 São Paulo, SP, BrazilSirio Libanês Hospital, D. Adma Jafet, 91 Bela Vista, 01308-000 São Paulo, SP, BrazilSirio Libanês Hospital, D. Adma Jafet, 91 Bela Vista, 01308-000 São Paulo, SP, BrazilSirio Libanês Hospital, D. Adma Jafet, 91 Bela Vista, 01308-000 São Paulo, SP, BrazilBackground. Neurofibromatosis type 1 is a genetic disorder caused by loss-of-function mutations in a tumor suppressor gene (NF1) which codifies the protein neurofibromin. The frequent genetic alterations that modify neurofibromin function are deletions and insertions. Duplications are rare and phenotype in patients bearing duplication of NF1 gene is thought to be restricted to developmental abnormalities, with no reference to cancer susceptibility in these patients. We evaluated a patient who presented with few clinical signs of neurofibromatosis type 1 and a conspicuous personal and familiar history of different types of cancer, especially lymphoproliferative malignancies. The coding region of the NF-1 gene was analyzed by real-time polymerase chain reaction and direct sequencing. Multiplex ligation-dependent probe amplification was performed to detect the number of mutant copies. The NF1 gene analysis showed the following alterations: mosaic duplication of NF1, TRAF4, and MYO1D. Fluorescence in situ hybridization using probes (RP5-1002G3 and RP5-92689) flanking NF1 gene in 17q11.2 and CEP17 for 17q11.11.1 was performed. There were three signals (RP5-1002G3conRP5-92689) in the interphases analyzed and two signals (RP5-1002G3conRP5-92689) in 93% of cells. These findings show a tandem duplication of 17q11.2. Conclusion. The case suggests the possibility that NF1 gene duplication may be associated with a phenotype characterized by lymphoproliferative disorders.http://dx.doi.org/10.1155/2014/685857
spellingShingle Gustavo Fernandes
Mirela Souto
Frederico Costa
Edite Oliveira
Bernardo Garicochea
Familial Lymphoproliferative Malignancies and Tandem Duplication of NF1 Gene
Case Reports in Oncological Medicine
title Familial Lymphoproliferative Malignancies and Tandem Duplication of NF1 Gene
title_full Familial Lymphoproliferative Malignancies and Tandem Duplication of NF1 Gene
title_fullStr Familial Lymphoproliferative Malignancies and Tandem Duplication of NF1 Gene
title_full_unstemmed Familial Lymphoproliferative Malignancies and Tandem Duplication of NF1 Gene
title_short Familial Lymphoproliferative Malignancies and Tandem Duplication of NF1 Gene
title_sort familial lymphoproliferative malignancies and tandem duplication of nf1 gene
url http://dx.doi.org/10.1155/2014/685857
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