Pituitary & hypothalamus

Increased Prevalence of Germline Pathogenic CHEK2 Variants in Individuals With Pituitary Adenomas

J Clin Endocrinol MetabPublished Genetic prevalence study

Authors' conclusion

This is the first study to suggest a role for the breast cancer predisposition gene, CHEK2, in pituitary tumorigenesis, with pathogenic/likely pathogenic variants found in 3% of patients with PAs. As PAs are relatively common and typically lack classic autosomal dominant family histories, risk alleles-such as these variants found in CHEK2-might be a significant contributor to PA risk in the general population.

Study context

Population
Individuals with pituitary adenomas; primary cohort with germline and tumor whole-exome sequencing, second cohort with targeted next-generation sequencing panel (germline and tumor DNA n = 52, germline DNA alone n = 84)2 cohorts (29 + 136)
Participants
165 individuals
Exposure
PA cohort vs national control data
  • PAn = 165
Outcome
Rate and pathogenicity of CHEK2 variants
Methodological detailsgermline and tumor sequencing, primary cohort and independent second cohort
  • Germline and tumor sequencing
  • Primary cohort and independent second cohort

Main finding

As reported in the abstract

Rare, coding, nonsynonymous germline CHEK2 variants

PA

3.0%

5 of 165

Primary cohort: 3 of 29
10.3%
Pathogenic definitive null variants (c.1100delC, c.444 + 1G > A)
2
Likely pathogenic missense variants (p.Asn186His, p.Thr476Met)
2

Observational data: associations, not effects.

Further findings

Null CHEK2 variants only · higher in PA cohort

P = 0.049

Original publication

Increased Prevalence of Germline Pathogenic CHEK2 Variants in Individuals With Pituitary Adenomas. J Clin Endocrinol Metab. Published 23 April 2024. doi:10.1210/clinem/dgae268

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