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Supplementary Table 2 MEN1, HRPT2 and CASR germline mutations detected in patients with FIHP. Gene Mutation typea Exon Codon Predicted effect References (see below) 2 83–84 Frameshift, premature stopc 6 3 177–178 17 7 350 19 8 353 20 8 363 Frameshift, premature stop at codon 183 Frameshift, premature stop at codon 365 Frameshift, premature stop at codon 407 Inframe deletion of Glu363 23 9 414 Inframe deletion of Leu414 26 10 458–459 Frameshift, premature stopc 28 10 553 Frameshift, premature stopc 29 10 559 Frameshift, premature stop at codon 561 Karges et al. (2000)25 Pannett et al. (2003)26 Pannett et al. (2003)26 Warner et al. (2004)27 Miedlich et al. (2001)28 Sato et al. (1998)29 Takami et al. (2000)30 Villablanca et al. (2002)31 Cetani et al. (2002)32 2 85–86 3 2 86 Frameshift, premature stop at codon 121 Inframe insertion of 6 amino acids 27 10 515–516 Frameshift, premature stop at codon 529 Nonsense 21 8 366 Glu366Stop Takami et al. (2000)30 Missense 4 2 112 Leu112Val 5 3 153 Asp153Val 7 3 184 Val184Glu 8 3 197 Thr197Ile 9 4 220 Trp220Leu 10 4 225 Gly225Arg 11 4 255 Glu255Lys 12 4 260 Gln260Pro 14 5 267 Leu267Pro 16 7 305 Gly305Asp 18 8 351 Tyr351Asn 22 9 411 Ala411Pro 24 9 418 Asp418His Villablanca et al. (2002)31 Pannett et al. (2003)26 Fujimori et al. (1998)34 Warner et al. (2004)27 This study (Figure 1) Mizusawa et al. (2006)35 Teh et al. (1998)36 Kassem et al. (2000)37 Poncin et al. (1999)38 Honda et al. (2000)39 This study (Figure 1) Pannett et al. (2003)26 Warner J et al. (2004)27; Cetani et al. (2006)40 MEN1 Intragenic deletion 1 Intragenic insertion 2 Warner et al. (2004)27 Bergman et al. (2000)33 Warner et al. (2004)27 Supplemantary table 2 Continued. Gene Mutation typea Exon Codon Predicted effect Referencee Boundary between intron 4 and exon 5 Boundary between exon 5 and intron 5 Boundary between exon 9 and intron 9 Nucleotide 806–9b Acceptor splice-site alterationd Cetani et al. (2006)40 Nucleotide 847+1b Donor splice-site alterationd Cetani et al. (2006)40 Nucleotide 1350+1b Donor splice-site alterationd Carrasco CA et al. (2004)42 1 21–22 Frameshift, premature stopd 2 47–48 7 172–173 Frameshift, premature stop at codon 62 Frameshift, premature stopd 7 229 Frameshift, premature stop at codon 254 Mizusawa et al. (2006)35 Kelly et al. (2006)42 Mizusawa et al. (2006)35 Guarnieri et al. (2006)43 7 226 Frameshift, premature stop at codon 229 Simonds et al. (2004)44 8 248 Frameshift, premature stop at codon 265 Bradley et al. (2006)45 2 64 Leu64Pro Villablanca et al. (2004)46 Boundary between exon 1 and intron 1 Nucleotide 131+1b Donor splice-site alterationd Boundary between exon 2 and intron 2 Nucleotide 237+1b Donor splice-site alterationd Cetani F et al. (2004)47; Bradley et al. (2005)48 Villablanca et al. (2004)46 4 336 Inframe deletion of Lys336 Warner et al. (2004)27 3 100 Thr100Ile 7 650 Leu 650Pro 7 689 Val689Met 7 881 Phe881Leu Warner et al. (2004)27 Warner et al. (2004)27 Warner et al. (2004)27 Carling et al. (2000)49 MEN1 Splice-site 13 15 25 HRPT2 Intragenic deletion Intragenic insertion Missense Splice-site CASR Intragenic deletion Missense Abbreviations: CASR, calcium-sensing receptor gene; FIHP, familial isolated hyperparathyroidism; HRPT2, hyperparathyroidism 2 gene; MEN1, multiple endocrine neoplasia type 1 gene. aMutation number and symbol refers to location shown in Supplementary Figure 2. bNucleotide positions start from initiation codon. cLocation of premature stop codon not known. dPredicted to lead to protein truncation. References 25 Karges W et al. (2000) Multiple endocrine neoplasia type 1 (MEN1) gene mutations in a subset of patients with sporadic and familial primary hyperparathyroidism target the coding sequence but spare the promoter region . J Endocrinol 166: 1–9 26 Pannett AA et al. (2003) Multiple endocrine neoplasia type 1 (MEN1) germline mutations in familial isolated primary hyperparathyroidism. Clin Endocrinol (Oxf) 58: 639–646 27 Warner J et al. (2004) Genetic testing in familial isolated hyperparathyroidism: unexpected results and their implications. J Med Genet 41: 155–160 28 Miedlich S et al. (2001) Familial isolated primary hyperparathyroidism--a multiple endocrine neoplasia type 1 variant? Eur J Endocrinol 145: 155–160 29 Sato M et al. (1998) Identification of five novel germline mutations of the MEN1 gene in Japanese multiple endocrine neoplasia type 1 (MEN1) families. J Med Genet 35: 915–919 30 Takami H et al. (2000) Familial hyperparathyroidism. Biomed Pharmacother 54 (Suppl 1): 21s–24s 31 Villablanca A et al. (2002) Involvement of the MEN1 gene locus in familial isolated hyperparathyroidism. Eur J Endocrinol 147: 313–322 32 Cetani F et al. (2002) Genetic analysis of the MEN1 gene and HPRT2 locus in two Italian kindreds with familial isolated hyperparathyroidism. Clin Endocrinol (Oxf) 56: 457–464 33 Bergman L et al. (2000) Identification of MEN1 gene mutations in families with MEN 1 and related disorders. Br J Cancer 83: 1009–1014 34 Fujimori M et al. (1998) Novel V184E MEN1 germline mutation in a Japanese kindred with familial hyperparathyroidism. Am J Med Genet 80: 221–222 35 Mizusawa N et al. (2006) Genetic analyses in patients with familial isolated hyperparathyroidism and hyperparathyroidism-jaw tumour syndrome. Clin Endocrinol (Oxf) 65: 9–16 36 Teh BT et al. (1998) A family with isolated hyperparathyroidism segregating a missense MEN1 mutation and showing loss of the wild-type alleles in the parathyroid tumors. Am J Hum Genet 63: 1544–1549 37 Kassem M et al. (2000) Familial isolated hyperparathyroidism as a variant of multiple endocrine neoplasia type 1 in a large Danish pedigree. J Clin Endocrinol Metab 85: 165–167 38 Poncin J et al. (1999) Mutation analysis of the MEN1 gene in Belgian patients with multiple endocrine neoplasia type 1 and related diseases. 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