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Frequency of Von Hippel‐Lindau germline mutations in classic and non‐classic Von Hippel‐Lindau disease identified by DNA sequencing, Southern blot analysis and multiplex ligation‐dependent probe amplification
Author(s) -
Hes FJ,
van der Luijt RB,
Janssen ALW,
Zewald RA,
de Jong GJ,
Lenders JW,
Links TP,
Luyten GPM,
Sijmons RH,
Eussen HJ,
Halley DJJ,
Lips CJM,
Pearson PL,
van den Ouweland AMW,
MajoorKrakauer DF
Publication year - 2007
Publication title -
clinical genetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.543
H-Index - 102
eISSN - 1399-0004
pISSN - 0009-9163
DOI - 10.1111/j.1399-0004.2007.00827.x
Subject(s) - multiplex ligation dependent probe amplification , von hippel–lindau disease , germline , germline mutation , hemangioblastoma , multiplex , medicine , penetrance , disease , cancer research , biology , mutation , genetics , pathology , phenotype , gene , exon
The current clinical diagnosis of Von Hippel‐Lindau (VHL) disease demands at least one specific a sporadic VHL manifestation in a patient with familial VHL disease, or, in asporadic patient, at least two or more hemangioblastomas or a single hemangioblastoma in combination with a typical visceral lesion. To evaluate this definition, we studied the frequency of germline VHL mutation in three patients groups: (i) multi‐organ involvement (classic VHL), (ii) limited VHL manifestations meeting criteria (non‐classic VHL) and (iii) patients with VHL‐associated tumors not meeting current diagnostic VHL criteria. In addition, we validated multiplex ligation‐dependent probe amplification (MLPA) as a rapid and reliable quantitative method for the identification of germline VHL deletions. The frequency of germline VHL mutations was very high in classic VHL cases with multi‐organ involvement (95%), lower in non‐classic cases that meet current diagnostic criteria but have limited VHL manifestations or single‐organ involvement (24%) and low (3.3%), but tangible in cases not meeting current diagnostic VHL criteria. The detection of germline VHL mutations in patients or families with limited VHL manifestations, or single‐organ involvement is relevant for follow‐up of probands and early identification of at‐risk relatives.