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J Med Genet 1999;36:365-368 ( May )

Germline mutations of the LKB1 (STK11) gene in Peutz-Jeghers patients

Z-J Wanga b, M Churchmana, E Avizienytec, C McKeownd, S Daviese, D G R Evansf, A Fergusong, I Ellish, Wen-Huai Xub, Zhong-Yu Yanb, L A Aaltonenc, I P M Tomlinsona i

a Tumour Genetics Group, Nuffield Department of Clinical Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, UK, b Department of Surgery, The First School of Medicine, Beijing University of Medicine, Beijing, China, c Department of Medical Genetics, University of Helsinki, Haartman Institute, Haartmaninkatu 3, PO Box 21, Fin-00014, Helsinki, Finland, d Department of Clinical Genetics, Birmingham Women's Hospital, Edgbaston, Birmingham B15 2TG, UK, e Institute of Medical Genetics, University Hospital of Wales, Heath Park, Cardiff CF4 4XN, UK, f Department of Clinical Genetics, St Mary's Hospital, Manchester M13 0JH, UK, g Department of Gastroenterology, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK, h Department of Clinical Genetics, Royal Liverpool Children's Hospital, Liverpool L12 2AP, UK, i Molecular and Population Genetics Laboratory, Imperial Cancer Research Fund, 44 Lincoln's Inn Fields, London WC2A 3PX, UK

Correspondence to: Dr Tomlinson, London.

Received 6 November 1998; Revised version accepted for publication 25 January 1999

Germline mutations of the LKB1 (STK11) serine/threonine kinase gene (chromosome 19p13.3) cause Peutz-Jeghers syndrome, which is characterised by hamartomas of the gastrointestinal tract and typical pigmentation. Peutz-Jeghers syndrome carries an overall risk of cancer that may be up to 20 times that of the general population. Here, we report the results of a screen for germline LKB1 mutations by DNA sequencing in 12 Peutz-Jeghers patients (three sporadic and nine familial cases). Mutations were found in seven (58%) cases, in exons 1, 2, 4, 6, and 9. Five of these mutations, two of which are identical, are predicted to lead to a truncated protein (three frameshifts, two nonsense changes). A further mutation is an in frame deletion of 6 bp, resulting in a deletion of lysine and asparagine; the second of these amino acids is conserved between species. The seventh mutation is a missense change in exon 2, converting lysine to arginine, affecting non-conserved amino acids and of uncertain functional significance. Despite the fact that Peutz-Jeghers syndrome is usually an early onset disease with characteristic clinical features, predictive and diagnostic testing for LKB1 mutations will be useful for selected patients in both familial and non-familial contexts.


Keywords: Peutz-Jeghers syndrome; LKB1/STK11


© 1999 by J Med Genet



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