Although 1p is one of the most common loci showing loss of heterozygosity (LOH) in primary parathyroid adenoma, fine mapping has not been previously examined. In this study, we analyzed LOH in 32 primary parathyroid adenomas using five microsatellite markers at 1p36 (proximal-D1S507-D1S450-D1S2893-D1S468-D1S243-distal). All cases were heterozygous for at least one marker. The frequency of LOH varied from 41.2% (D1S468) to 7.1% (D1S507) among the different markers. LOH was detected consistently in a group of nine adenomas (28.1%, 9/32). A single region (7 cM) showing a consistent LOH at 1p36.3 was obtained that was flanked distally by D1S468 and proximally by D1S2893. Because the p73 gene is localized within this region and acts as a tumor suppressor gene, we examined the possible involvement of p73 in the development of parathyroid tumor. Allelic loss of p73 was identified in four adenomas (25%, 4/16 informative cases) that were all from the group of the nine adenomas with LOH, but somatic mutation was not detected in the remaining allele. At the StyI polymorphism of Exon 2, four of the six adenomas with LOH at 1p36 were heterozygous and expressed the GC allele. Of the six heterozygous adenomas without LOH, 4 showed biallelic and 2 monoallelic expressions (GC allele). All adenomas mainly expressed the p73␣ isoform. p73 protein was observed in five of the six adenomas with LOH and in two of the six adenomas without LOH. There were no differences in p73 protein levels between the samples with and without LOH. In conclusion, a candidate gene for parathyroid tumorigenesis is present within a 7-cM region at 1p36.3, however p73 is unlikely to be the target of the LOH at 1p36.3.
KEY WORDS: 1p36, Hyperparathyroidism, Loss of heterozygosity, Parathyroid neoplasia, p73. Mod Pathol 2001;14(4):273-278Parathyroid adenoma is one of the most common endocrine tumors, characterized by excessive secretion of parathyroid hormone (PTH) and enlargement of mostly one parathyroid gland. The molecular mechanism of parathyroid tumorigenesis is still poorly understood (1). MEN 1 gene abnormality has been found in only about 20% of the sporadic parathyroid adenomas. Cyclin D1/PTH gene rearrangement seems to be involved only in a small subset of these tumors, and p53 gene mutations also appear to be rare. To localize the gene responsible for parathyroid tumorigenesis, loss of heterozygosity (LOH) has been analyzed in various loci, and different frequencies of LOH have been identified (2, 3