Loss of p27 expression is associated with MEN1 gene mutations in sporadic parathyroid adenomas

Simona Borsari, Elena Pardi, Natalia S. Pellegata, Misu Lee, Federica Saponaro, Liborio Torregrossa, Fulvio Basolo, Elena Paltrinieri, Maria Chiara Zatelli, Gabriele Materazzi, Paolo Miccoli, Claudio Marcocci, Filomena Cetani

Research output: Contribution to journalArticlepeer-review


MEN1 is the main gene responsible for tumorigenesis of syndromic and sporadic primary hyperparathyroidism (PHPT). Germline mutations of the CDKN1B/p27Kip gene have been associated with multiple endocrine tumors in rats and humans. To evaluate the involvement of the CDKN1B gene and its relationship with MEN1 in sporadic PHPT, we carried out sequencing and loss of heterozygosity analyses of the CDKN1B gene in 147 sporadic parathyroid adenomas. p27 immunohistochemistry and genetic screening of the MEN1 gene were performed in 50 cases. Three germline CDKN1B variants (c.-80C>T, c.-29_-26delAGAG, c.397C>A) were identified in 3/147 patients. Reduction of CDKN1B gene transcription rate was demonstrated in vitro for the novel c.-80C>T and the c.-29_-26delAGAG variants. Loss of p27 expression was detected in the tumor carrying the c.-29_-26delAGAG variant. Two tumors carrying the CDKN1B variants also harbored a MEN1 mutation. Fifty-four percent of 50 CDKN1B mutation-negative tumors had a reduction of p27 nuclear staining. Somatic MEN1 mutations, identified in 15/50 samples, significantly segregated in tumors negative for nuclear and cytoplasmic p27 staining. The germline nature of the CDKN1B mutations suggests that they might predispose to PHPT. The lack of somatic CDKN1B mutations in our samples points to a rare involvement in parathyroid adenomas, despite the frequent loss of nuclear p27 expression. MEN1 biallelic inactivation seems to be directly related to down-regulation of p27 expression through the inhibition of CDKN1B gene transcription.

Original languageEnglish
Pages (from-to)386-397
Number of pages12
Issue number2
Publication statusPublished - Feb 1 2017
Externally publishedYes


  • CDKN1B
  • MEN1-like
  • MEN4
  • Primary hyperparathyroidism

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology


Dive into the research topics of 'Loss of p27 expression is associated with MEN1 gene mutations in sporadic parathyroid adenomas'. Together they form a unique fingerprint.

Cite this