MEN consortium in Japan

Multiple endocrine neoplasia (MEN) is a hereditary tumor syndrome with a development of tumors in multiple endocrine organs and is clinically divided into MEN1 and MEN2. MEN1 is autosomal dominantly inherited syndrome characterized by primary hyperparathyroidism (parathyroid hyperplasia), pancreatic...

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Published inJOURNAL OF FAMILIAL TUMORS Vol. 19; no. 1; pp. 40 - 44
Main Authors Uchino, Shinya, Suzuki, Shinichi, Kosugi, Shinji, Sakurai, Akihiro, Okamoto, Takahiro, Imai, Tsuneo
Format Journal Article
LanguageJapanese
Published The Japanese Society for Familial Tumors 2019
一般社団法人日本遺伝性腫瘍学会
The Japanese Society for Hereditary Tumors
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ISSN1346-1052
2189-6674
DOI10.18976/jsft.19.1_40

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Abstract Multiple endocrine neoplasia (MEN) is a hereditary tumor syndrome with a development of tumors in multiple endocrine organs and is clinically divided into MEN1 and MEN2. MEN1 is autosomal dominantly inherited syndrome characterized by primary hyperparathyroidism (parathyroid hyperplasia), pancreatic gastroduodenal neuroendocrine tumor, pituitary tumor, adrenal cortical hyperplasia, and thymic neuroendocrine tumor. The causative gene for this syndrome is MEN1 gene located on chromosome 11q13. MEN2 is also autosomal dominantly inherited syndrome characterized by medullary thyroid carcinoma, pheochromocytoma and primary hyperparathyroidism (parathyroid hyperplasia). The causative gene for MEN2 is RET gene located on chromosome 10q11.2. Both syndromes are rare diseases with the occurrence rate being only about between 1/30,000 and 1/40,000 peoples, and the details of the disease characteristics in Japanese patients had not been well known. Therefore, we established MEN consortium Japan in 2008. The aims of activities in MEN consortium Japan are the construction of database, current situation survey for Japanese MEN patients, the construction of clinical guideline, improvement of diagnosis and treatment, support for MEN patients and families, and educational activities. The achievements of this consorsium are the collection and analysis of clinical data of MEN patients, the construction of diagnostic flowchart, the construction of degree of severity of the disease, accession of genetic diagnosis of the MEN1 and RET genes, the promotion of genetic diagnosis to advanced medical technology and insurance listing, the spread of information of the diseases by consortium’s home page, the publication of clinical guide book, the publication of patient’s book for MEN, the support for patient’s association, held of public open lectures all over Japan. To continue these activities, it is necessary to maintain not only the network for doctors performing a medical care for MEN, but also the economic base.
AbstractList Multiple endocrine neoplasia (MEN) is a hereditary tumor syndrome with a development of tumors in multiple endocrine organs and is clinically divided into MEN1 and MEN2. MEN1 is autosomal dominantly inherited syndrome characterized by primary hyperparathyroidism (parathyroid hyperplasia), pancreatic gastroduodenal neuroendocrine tumor, pituitary tumor, adrenal cortical hyperplasia, and thymic neuroendocrine tumor. The causative gene for this syndrome is MEN1 gene located on chromosome 11q13. MEN2 is also autosomal dominantly inherited syndrome characterized by medullary thyroid carcinoma, pheochromocytoma and primary hyperparathyroidism (parathyroid hyperplasia). The causative gene for MEN2 is RET gene located on chromosome 10q11.2. Both syndromes are rare diseases with the occurrence rate being only about between 1/30,000 and 1/40,000 peoples, and the details of the disease characteristics in Japanese patients had not been well known. Therefore, we established MEN consortium Japan in 2008. The aims of activities in MEN consortium Japan are the construction of database, current situation survey for Japanese MEN patients, the construction of clinical guideline, improvement of diagnosis and treatment, support for MEN patients and families, and educational activities. The achievements of this consorsium are the collection and analysis of clinical data of MEN patients, the construction of diagnostic flowchart, the construction of degree of severity of the disease, accession of genetic diagnosis of the MEN1 and RET genes, the promotion of genetic diagnosis to advanced medical technology and insurance listing, the spread of information of the diseases by consortium’s home page, the publication of clinical guide book, the publication of patient’s book for MEN, the support for patient’s association, held of public open lectures all over Japan. To continue these activities, it is necessary to maintain not only the network for doctors performing a medical care for MEN, but also the economic base. 多発性内分泌腫瘍症(Multiple endocrine neoplasia; MEN)は全身の内分泌臓器に多発性に腫瘍を発生する遺伝性疾患であり,臨床的に1型(MEN1)と2型(MEN2)に分けられる.MEN1は,原発性副甲状腺機能亢進症(副甲状腺過形成),膵胃十二指腸神経内分泌腫瘍,下垂体腫瘍,副腎皮質過形成,胸腺神経内分泌腫瘍などを発生する常染色体優性遺伝性疾患であり,原因遺伝子は染色体11q13上に位置する MEN1遺伝子である.また多発性内分泌腺腫瘍症2型(MEN2)は,甲状腺髄様癌,褐色細胞腫,原発性副甲状腺機能亢進症(副甲状腺過形成)を発生する常染色体優性遺伝性疾患であり,原因遺伝子は染色体10q11.2上に位置する RET遺伝子である.いずれも約3〜4万人に1人の割合で発症する稀少疾患であるため,国内での現状把握が十分なされていない状況であった.そこで筆者らは2008年にMENコンソーシアムを設立した.MENコンソーシアムの活動目的としては,データベースの構築,実態調査,診療指針の作成,診断・治療法の向上,患者・家族の支援,啓蒙活動などである.実績として,症例データの収集と解析,診断のフローチャート作成,重症度分類の作成,遺伝学的検査の受託,遺伝学的検査の先進医療・保険収載への推進,ホームページからの発信,診療ガイドブックの刊行,患者手帳の作成,患者会のサポート,MENに関する市民公開講座の開催などである.このような活動を続けていくためには,MENを熱心に診療する医師のネットワークを維持していくことが重要であり,なおかつ継続的な経済的基盤も必要となる.
Multiple endocrine neoplasia (MEN) is a hereditary tumor syndrome with a development of tumors in multiple endocrine organs and is clinically divided into MEN1 and MEN2. MEN1 is autosomal dominantly inherited syndrome characterized by primary hyperparathyroidism (parathyroid hyperplasia), pancreatic gastroduodenal neuroendocrine tumor, pituitary tumor, adrenal cortical hyperplasia, and thymic neuroendocrine tumor. The causative gene for this syndrome is MEN1 gene located on chromosome 11q13. MEN2 is also autosomal dominantly inherited syndrome characterized by medullary thyroid carcinoma, pheochromocytoma and primary hyperparathyroidism (parathyroid hyperplasia). The causative gene for MEN2 is RET gene located on chromosome 10q11.2. Both syndromes are rare diseases with the occurrence rate being only about between 1/30,000 and 1/40,000 peoples, and the details of the disease characteristics in Japanese patients had not been well known. Therefore, we established MEN consortium Japan in 2008. The aims of activities in MEN consortium Japan are the construction of database, current situation survey for Japanese MEN patients, the construction of clinical guideline, improvement of diagnosis and treatment, support for MEN patients and families, and educational activities. The achievements of this consorsium are the collection and analysis of clinical data of MEN patients, the construction of diagnostic flowchart, the construction of degree of severity of the disease, accession of genetic diagnosis of the MEN1 and RET genes, the promotion of genetic diagnosis to advanced medical technology and insurance listing, the spread of information of the diseases by consortium’s home page, the publication of clinical guide book, the publication of patient’s book for MEN, the support for patient’s association, held of public open lectures all over Japan. To continue these activities, it is necessary to maintain not only the network for doctors performing a medical care for MEN, but also the economic base.
Author Imai, Tsuneo
Suzuki, Shinichi
Uchino, Shinya
Sakurai, Akihiro
Kosugi, Shinji
Okamoto, Takahiro
Author_FL 内野 眞也
小杉 眞司
鈴木 眞一
今井 常夫
岡本 高宏
櫻井 晃洋
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  fullname: 内野 眞也
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  fullname: 櫻井 晃洋
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  fullname: 今井 常夫
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  fullname: 小杉 眞司
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  fullname: Uchino, Shinya
  organization: Department of Endocrine Surgery, Noguchi Thyroid Clinic and Hospital Foundation, Beppu, Oita, Japan
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  fullname: Suzuki, Shinichi
  organization: Department of Thyroid Endocrinology, Fukushima Medical University, Fukushima, Japan
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  fullname: Kosugi, Shinji
  organization: Department of Medical Ethics/Medical Genetics, Graduate School of Medicine, Kyoto University, Kyoto, Japan
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  fullname: Sakurai, Akihiro
  organization: Department of Medical Genetics and Genomics, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan
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  fullname: Okamoto, Takahiro
  organization: Department of Breast and Endocrine Surgery, Tokyo Womens Medical University, Tokyo, Japan
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  fullname: Imai, Tsuneo
  organization: Department of Breast and Endocrine Surgery, National Hospital Organization Higashinagoya National Hospital, Nagoya, Japan
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一般社団法人日本遺伝性腫瘍学会
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References 11)内野眞也,塚谷延枝:遺伝性腫瘍の遺伝学的検査の保険収載.医学のあゆみ.2017 ; 260, 977–981.
3)内野眞也:多発性内分泌腫瘍症研究コンソーシアム.日外会誌.2012 ; 113 : 362–367.
4)Sakurai A, Suzuki S, Kosugi S, et al. : Multiple endocrine neoplasia type 1 in Japan: establishment and analysis of a multicenter database. Clin Endocrinol (Oxf) 2012 ; 76 : 533–539.
8)Sakurai A, Imai T, Kikumori T, et al. : Thymic neuroendocrine tumour in multiple endocrine neoplasia type 1: female patients are not rare exceptions. Clin Endocrinol (Oxf) 2013 ; 78 : 248–254.
1)櫻井晃洋:多発性内分泌腫瘍症研究コンソーシアム.日外会誌.2012 ; 113 : 351–355.
5)Yamazaki M, Suzuki S, Kosugi S, et al. : Delay in the diagnosis of multiple endocrine neoplasia type 1 : typical symptoms are frequently overlooked. Endocr J 2012 ; 59 : 797–807.
12)多発性内分泌腫瘍症診療ガイドブック.多発性内分泌腫瘍症診療ガイドブック編集委員会(編):東京:金原出版,2013
2)鈴木眞一:多発性内分泌腫瘍症研究コンソーシアム.日外会誌.2012 ; 113 : 356–361.
9)内野眞也:小児遺伝性髄様がんの発症前診断と甲状腺全摘の時期.最新医学.2013 ; 68 : 1867–1873.
7)Sakurai A, Yamazaki M, Suzuki S, et al. : Clinical features of insulinoma in patients with multiple endocrine neoplasia type 1: analysis of the database of the MEN consortium of Japan. Endocr J 2012 ; 59 : 859–866.
6)Imai T, Uchino S, Okamoto T, et al. : High penetrance of pheochromocytoma in multiple endocrine neoplasia 2 caused by germ line RET codon 634 mutation in Japanese patients. Eur J Endocrinol 2013 ; 168 : 683–687.
10)内野眞也,野口志郎,渡邉紳,他:先進医療「甲状腺髄様癌におけるRET遺伝子診断」.内分泌外科.2009 ; 26, 213–217.
References_xml – reference: 7)Sakurai A, Yamazaki M, Suzuki S, et al. : Clinical features of insulinoma in patients with multiple endocrine neoplasia type 1: analysis of the database of the MEN consortium of Japan. Endocr J 2012 ; 59 : 859–866.
– reference: 2)鈴木眞一:多発性内分泌腫瘍症研究コンソーシアム.日外会誌.2012 ; 113 : 356–361.
– reference: 6)Imai T, Uchino S, Okamoto T, et al. : High penetrance of pheochromocytoma in multiple endocrine neoplasia 2 caused by germ line RET codon 634 mutation in Japanese patients. Eur J Endocrinol 2013 ; 168 : 683–687.
– reference: 3)内野眞也:多発性内分泌腫瘍症研究コンソーシアム.日外会誌.2012 ; 113 : 362–367.
– reference: 5)Yamazaki M, Suzuki S, Kosugi S, et al. : Delay in the diagnosis of multiple endocrine neoplasia type 1 : typical symptoms are frequently overlooked. Endocr J 2012 ; 59 : 797–807.
– reference: 11)内野眞也,塚谷延枝:遺伝性腫瘍の遺伝学的検査の保険収載.医学のあゆみ.2017 ; 260, 977–981.
– reference: 4)Sakurai A, Suzuki S, Kosugi S, et al. : Multiple endocrine neoplasia type 1 in Japan: establishment and analysis of a multicenter database. Clin Endocrinol (Oxf) 2012 ; 76 : 533–539.
– reference: 8)Sakurai A, Imai T, Kikumori T, et al. : Thymic neuroendocrine tumour in multiple endocrine neoplasia type 1: female patients are not rare exceptions. Clin Endocrinol (Oxf) 2013 ; 78 : 248–254.
– reference: 9)内野眞也:小児遺伝性髄様がんの発症前診断と甲状腺全摘の時期.最新医学.2013 ; 68 : 1867–1873.
– reference: 10)内野眞也,野口志郎,渡邉紳,他:先進医療「甲状腺髄様癌におけるRET遺伝子診断」.内分泌外科.2009 ; 26, 213–217.
– reference: 1)櫻井晃洋:多発性内分泌腫瘍症研究コンソーシアム.日外会誌.2012 ; 113 : 351–355.
– reference: 12)多発性内分泌腫瘍症診療ガイドブック.多発性内分泌腫瘍症診療ガイドブック編集委員会(編):東京:金原出版,2013.
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Snippet Multiple endocrine neoplasia (MEN) is a hereditary tumor syndrome with a development of tumors in multiple endocrine organs and is clinically divided into MEN1...
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StartPage 40
SubjectTerms MEN consortium Japan, Multiple endocrine neoplasia type 1, Multiple endocrine neoplasia type 2, Genetic diagnosis of the MEN1 gene, Genetic diagnosis of the RET gene
MENコンソーシアム,多発性内分泌腺腫瘍症1型,多発性内分泌腺腫瘍症2型,MEN1遺伝学的検査,RET遺伝学的検査
Title MEN consortium in Japan
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