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Genotype-phenotype analysis of von Hippel-Lindau syndrome in Korean families: HIF-α binding site missense mutations elevate age-specific risk for CNS hemangioblastoma

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Authors
Lee, Jee-Soo; Lee, Ji-Hyun; Lee, Kyu Eun; Kim, Jung Hee; Hong, Joon Mo; Ra, Eun Kyung; Seo, Soo Hyun; Lee, Seung Jun; Kim, Man Jin; Park, Sung Sup; Seong, Moon-Woo
Issue Date
2016-07-20
Publisher
BioMed Central
Citation
BMC Medical Genetics, 17(1):48
Keywords
Genotype-phenotype correlationHypoxia-inducible factor 1von Hippel-Lindau diseasevon Hippel-Lindau Tumor suppressor protein
Abstract
Background
von Hippel-Lindau (VHL) disease is a rare hereditary tumor syndrome caused by VHL gene mutations that is characterized by heterogeneous phenotypes such as benign/malignant tumors of the central nervous system, retina, kidney, adrenal gland, and pancreas. The genotype-phenotype correlation has not been well characterized in the Korean population so far. Therefore, this study aimed to evaluate the VHL mutation spectrum and genotype-phenotype correlations in Korean VHL patients.

Methods
Thirteen unrelated subjects with VHL mutations were included. Direct sequencing and multiplex ligation-dependent probe amplification were performed. Consequently, the clinical manifestations and family histories of the subjects were evaluated.

Results
We identified 10 different VHL mutations. The c.160_161delAT frameshift mutation was novel. Missense mutations clustered in 2 domains (α domain in exon 1; β domain in exon 3). The most frequently observed mutation was c.208G > A (p.Glu70Lys). Milder phenotypes were observed in subjects with de novo mutations. Age-specific risk for CNS hemangioblastoma was significantly higher in subjects carrying missense mutations within the HIF-α binding site (P < 0.05).

Conclusions
This study provides insight into the genotype-phenotype correlation in that amino acid substitutions in the HIF-α binding site may predispose patients to age-related risks of CNS hemangioblastoma.
Language
English
URI
http://hdl.handle.net/10371/109779
DOI
https://doi.org/10.1186/s12881-016-0306-2
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College of Medicine/School of Medicine (의과대학/대학원)Laboratory Medicine (검사의학전공)Journal Papers (저널논문_검사의학전공)
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