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No difference in phenotype of the main Dutch SDHD founder mutations

Journal Contribution - Journal Article

OBJECTIVE: SDHD mutations predispose carriers to hereditary paraganglioma syndrome. The objective of this study was to assess the genotype-phenotype correlation of a large Dutch cohort of SDHD mutation carriers and evaluate potential differences in clinical phenotypes due to specific SDHD gene mutations.

DESIGN: Retrospective, descriptive single-centre study.

PATIENTS: All consecutive SDHD mutation carriers followed at the Department of Endocrinology of the Leiden University Medical Center were included.

MEASUREMENTS: Subjects were investigated according to structured protocols used for standard care, including repetitive biochemical and radiological screening for paragangliomas.

RESULTS: Two hundred and one SDHD mutation carriers with a mean age at presentation of 42·6 ± 14·4 years and a mean follow-up of 5·8 ± 5·4 years were evaluated. Eighty-one percent carried the SDHD c.274G>T (p.Asp92Tyr) mutation and 13% the SDHD c.416T>C (p.Leu139Pro) mutation. No differences in clinical phenotype between these two specific SDHD mutations were found. Ninety-one percent developed one or multiple paragangliomas in the head and neck region (HNPGLs), of which the carotid body tumour was the most prevalent (85%). Eighteen carriers developed pheochromocytomas, fifteen sympathetic paragangliomas and nine carriers (4%) suffered from malignant paraganglioma. By end of follow-up, sixteen SDHD mutation carriers (8%) displayed no biochemical or radiological evidence of manifest disease.

CONCLUSIONS: The two main Dutch SDHD founder mutations do not differ in clinical expression. SDHD mutations are associated with the development of multiple HNPGLs and predominantly benign disease.

Journal: Clinical Endocrinology
ISSN: 0300-0664
Issue: 6
Volume: 79
Pages: 824-831
Publication year:2013
Keywords:Adrenal Gland Neoplasms/genetics, Adult, Aged, Cohort Studies, Female, Founder Effect, Genetic Association Studies, Genetic Predisposition to Disease, Head and Neck Neoplasms/genetics, Heterozygote, Humans, Male, Middle Aged, Mutation, Neoplastic Syndromes, Hereditary/enzymology, Netherlands, Paraganglioma/enzymology, Pheochromocytoma/genetics, Retrospective Studies, Succinate Dehydrogenase/genetics, Young Adult