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Birt-Hogg-Dubé Syndrome Manifesting as Spontaneous Pneumothorax: A Novel Mutation of the Folliculin Gene

  • Kim, Kyung Soo (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Choi, Hang Jun (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jang, Woori (Department of Laboratory Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Chae, Hyojin (Department of Laboratory Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Myungshin (Department of Laboratory Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Moon, Seok Whan (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2016.10.24
  • Accepted : 2016.11.14
  • Published : 2017.10.05

Abstract

$Birt-Hogg-Dub{\acute{e}}$ syndrome (BHDS) is a rare disease with autosomal dominant inheritance that manifests through skin tumors, pulmonary cystic lesions, and renal tumors. A mutation of FLCN located on chromosome 17p11.2, which encodes a tumor-suppressor protein (folliculin), is responsible for the development of BHDS. We report the case of a patient presenting with spontaneous pneumothorax, in whom a familial genetic study revealed a novel nonsense mutation: $p.(Arg379^*)$ in FLCN.

Keywords

References

  1. Van Steensel MA, Verstraeten VL, Frank J, et al. Novel mutations in the BHD gene and absence of loss of heterozygosity in fibrofolliculomas of Birt-Hogg-Dube patients. J Invest Dermatol 2007;127:588-93. https://doi.org/10.1038/sj.jid.5700592
  2. Den Dunnen JT, Antonarakis SE. Mutation nomenclature extensions and suggestions to describe complex mutations: a discussion. Hum Mutat 2000;15:7-12. https://doi.org/10.1002/(SICI)1098-1004(200001)15:1<7::AID-HUMU4>3.0.CO;2-N
  3. Lim DH, Rehal PK, Nahorski MS, et al. A new locus-specific database (LSDB) for mutations in the folliculin (FLCN) gene. Hum Mutat 2010;31:E1043-51. https://doi.org/10.1002/humu.21130
  4. Wei MH, Blake PW, Shevchenko J, Toro JR. The folliculin mutation database: an online database of mutations associated with Birt-Hogg-Dube syndrome. Hum Mutat 2009;30:E880-90. https://doi.org/10.1002/humu.21075
  5. Menko FH, van Steensel MA, Giraud S, et al. Birt-Hogg-Dube syndrome: diagnosis and management. Lancet Oncol 2009;10:1199-206. https://doi.org/10.1016/S1470-2045(09)70188-3
  6. Dal Sasso AA, Belem LC, Zanetti G, et al. Birt-Hogg-Dube syndrome: state-of-the-art review with emphasis on pulmonary involvement. Respir Med 2015;109:289-96. https://doi.org/10.1016/j.rmed.2014.11.008
  7. Toro JR, Pautler SE, Stewart L, et al. Lung cysts, spontaneous pneumothorax, and genetic associations in 89 families with Birt-Hogg-Dube syndrome. Am J Respir Crit Care Med 2007;175:1044-53. https://doi.org/10.1164/rccm.200610-1483OC
  8. Agarwal PP, Gross BH, Holloway BJ, Seely J, Stark P, Kazerooni EA. Thoracic CT findings in Birt-Hogg-Dube syndrome. AJR Am J Roentgenol 2011;196:349-52. https://doi.org/10.2214/AJR.10.4757
  9. Graham RB, Nolasco M, Peterlin B, Garcia CK. Nonsense mutations in folliculin presenting as isolated familial spontaneous pneumothorax in adults. Am J Respir Crit Care Med 2005;172:39-44. https://doi.org/10.1164/rccm.200501-143OC
  10. Kim J, Yoo JH, Kang DY, Cho NJ, Lee KA. Novel in-frame deletion mutation in FLCN gene in a Korean family with recurrent primary spontaneous pneumothorax. Gene 2012;499:339-42. https://doi.org/10.1016/j.gene.2012.03.037
  11. Schmidt LS, Nickerson ML, Warren MB, et al. Germline BHD-mutation spectrum and phenotype analysis of a large cohort of families with Birt-Hogg-Dube syndrome. Am J Hum Genet 2005;76:1023-33. https://doi.org/10.1086/430842
  12. Vocke CD, Yang Y, Pavlovich CP, et al. High frequency of somatic frameshift BHD gene mutations in Birt-Hogg-Dube-associated renal tumors. J Natl Cancer Inst 2005;97:931-5. https://doi.org/10.1093/jnci/dji154
  13. Kim EH, Jeong SY, Kim HJ, Kim YC. A case of Birt-Hogg-Dube syndrome. J Korean Med Sci 2008;23:332-5. https://doi.org/10.3346/jkms.2008.23.2.332
  14. Park G, Seo HJ, Jang SJ, Shin BS, Hong R, Lee SK. A case of primary spontaneous pneumothorax with a three nucleotide deletion mutation of the FLCN gene. Korean J Thorac Cardiovasc Surg 2010;43:824-8. https://doi.org/10.5090/kjtcs.2010.43.6.824

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  1. Birt-Hogg-Dubé syndrome caused by a mutation of FLCN gene in a CVST patient: a case report vol.130, pp.5, 2017, https://doi.org/10.1080/00207454.2019.1691204