We report on a patient with multiple congenital anomalies and ring chromosome 22 who died at age 16 years of bronchopneumonia. Autopsy documented multiple psammomatous meningiomas of the spinal dura and tentorium. n m o r tissue for cytogenetic analysis was not available. Although abnormalities of c
Constitutional DNA-level aberrations in chromosome 22 in a patient with multiple meningiomas
โ Scribed by Ronald H. Lekanne Deprez; Nicole A. Groen; Derrick Louz; Theo H. Van Der Kwast; Ellen C. Zwarthoff; Anne Hagemeijer; Ellen Van Drunen; Dirk Bootsma; Jan W. Koper; Cees J. J. Avezaat
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 452 KB
- Volume
- 9
- Category
- Article
- ISSN
- 1045-2257
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โฆ Synopsis
We describe a patient who developed multiple meningiomas but had no clear evidence of neurofibromatosis type 2. Four of the tumors, derived from three different sites, were analyzed cytogenetically and/or at the DNA level using chromosome 22 specific probes. All four tumors showed loss of the same copy of chromosome 22. On the chromosome that was retained in the tumors, we found two constitutional aberrations, a I .5 kb deletion and a point mutation. The patient had inherited both alterations from her father. The father has not developed any meningiomas so far but he has been treated for a welldifferentiated adenocarcinoma of the lung and a brain metastasis from this tumor. The mother and 75 unrelated individuals did not show any of the chromosome 22 alterations. The multiple tumors found in the patient suggest that she has a predisposing gene for the development of meningiomas. The finding that all investigated tumors lost the same, constitutionally normal copy of chromosome 22 could indicate that the predisposing gene resides on chromosome 22 and was affected by the constitutional mutations. Genes Chrom Cancer 9:/ 24-128 (1994).
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Neurofibromatosis type 2 (NF2) is an autosomal dominant disorder characterized by development of bilateral acoustic neurinomas and increased incidence nf meningiomas. Frequent losses of I allele of chromosome 22 in neurinomas and meningiomas has indicated that the gene responsible for NF2 functions
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