Endocrine oncology

Accelerated MEN2A in homozygous RET carriers in the context of consanguinity

Eur J EndocrinolPublished Literature analysis of RET families

Authors' conclusion

These results, limited in scope and size and modulated by extent of consanguinity, are consistent with moderate dose-response effects accelerating MEN2A development.

Study context

Population
5 RET families with ≥1 homozygous carrier and ≥3 heterozygous carriers per family5 RET families
Comparison
Homozygous vs heterozygous RET carriers
Outcome
Age at node-positive MTC and pheochromocytoma, consanguineous families with first-degree cousins

Main finding

As reported in the abstract

Node-positive MTC earlier in homozygotes than heterozygotes

27.4 years

Pheochromocytoma earlier in homozygotes than heterozygotes

23 years

Further findings

Node-positive MTC in 15 families carrying founder mutation p.Leu666delinsAsnSer

Node-positive MTC earlier in homozygotes than heterozygotes
6 years
Smaller age differences; homozygotes developed node-positive MTC in mid-40s vs heterozygotes in early 50s

Original publication

Accelerated MEN2A in homozygous RET carriers in the context of consanguinity. Eur J Endocrinol. Published 11 March 2024. doi:10.1093/ejendo/lvae025

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