Association of germline variants in the ZFX gene with primary hyperparathyroidism.

Somatic variants in the ZFX gene have been found in human sporadic parathyroid adenomas. This gene encodes a transcriptional factor recently described as a transcriptional activator in multiple types of human tumors. We present the clinical and molecular characterization of three patients diagnosed...

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Main Authors: Ainhoa Camille Aranaga-Decori, Pedro González, Sara Gómez-Conde, Leire Madariaga, Nuria Valdes, Luis Castaño, Alejandro García-Castaño, Calcium and Phosphorus Metabolism Molecular Biology Group
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0329388
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author Ainhoa Camille Aranaga-Decori
Pedro González
Sara Gómez-Conde
Leire Madariaga
Nuria Valdes
Luis Castaño
Alejandro García-Castaño
Calcium and Phosphorus Metabolism Molecular Biology Group
author_facet Ainhoa Camille Aranaga-Decori
Pedro González
Sara Gómez-Conde
Leire Madariaga
Nuria Valdes
Luis Castaño
Alejandro García-Castaño
Calcium and Phosphorus Metabolism Molecular Biology Group
author_sort Ainhoa Camille Aranaga-Decori
collection DOAJ
description Somatic variants in the ZFX gene have been found in human sporadic parathyroid adenomas. This gene encodes a transcriptional factor recently described as a transcriptional activator in multiple types of human tumors. We present the clinical and molecular characterization of three patients diagnosed with primary hyperparathyroidism (PHPT) who have germline variants in the ZFX gene. The first patient had a pathogenic missense variant (c.2321A > G; p.(Tyr774Cys)) in the heterozygous state. This patient exhibited PHPT along with ear, nose and forehead abnormalities. Additionally, she presented other characteristics seen in patients with pathogenic variants in the ZFX gene, such as hearing loss and multiple cutaneous nevi. The second and third patients had a missense variant of uncertain significance (c.1606C > T; p.(Arg536Cys)) and an in-frame insertion (c.452_460dup; p.(Gly151_Val153dup)) of uncertain significance, respectively, both in the heterozygous state. These patients had no hearing loss, cutaneous melanocytic nevi, or bone or facial deformities. ZFX may be one of the genes to be analyzed in women affected by PHPT with suspected genetic inheritance, especially if they have other features such as facial deformities, hearing loss, and cutaneous melanocytic nevi.
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spelling doaj-art-a745cd79565e450f9fbbd30be2b24fac2025-08-23T05:31:55ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01208e032938810.1371/journal.pone.0329388Association of germline variants in the ZFX gene with primary hyperparathyroidism.Ainhoa Camille Aranaga-DecoriPedro GonzálezSara Gómez-CondeLeire MadariagaNuria ValdesLuis CastañoAlejandro García-CastañoCalcium and Phosphorus Metabolism Molecular Biology GroupSomatic variants in the ZFX gene have been found in human sporadic parathyroid adenomas. This gene encodes a transcriptional factor recently described as a transcriptional activator in multiple types of human tumors. We present the clinical and molecular characterization of three patients diagnosed with primary hyperparathyroidism (PHPT) who have germline variants in the ZFX gene. The first patient had a pathogenic missense variant (c.2321A > G; p.(Tyr774Cys)) in the heterozygous state. This patient exhibited PHPT along with ear, nose and forehead abnormalities. Additionally, she presented other characteristics seen in patients with pathogenic variants in the ZFX gene, such as hearing loss and multiple cutaneous nevi. The second and third patients had a missense variant of uncertain significance (c.1606C > T; p.(Arg536Cys)) and an in-frame insertion (c.452_460dup; p.(Gly151_Val153dup)) of uncertain significance, respectively, both in the heterozygous state. These patients had no hearing loss, cutaneous melanocytic nevi, or bone or facial deformities. ZFX may be one of the genes to be analyzed in women affected by PHPT with suspected genetic inheritance, especially if they have other features such as facial deformities, hearing loss, and cutaneous melanocytic nevi.https://doi.org/10.1371/journal.pone.0329388
spellingShingle Ainhoa Camille Aranaga-Decori
Pedro González
Sara Gómez-Conde
Leire Madariaga
Nuria Valdes
Luis Castaño
Alejandro García-Castaño
Calcium and Phosphorus Metabolism Molecular Biology Group
Association of germline variants in the ZFX gene with primary hyperparathyroidism.
PLoS ONE
title Association of germline variants in the ZFX gene with primary hyperparathyroidism.
title_full Association of germline variants in the ZFX gene with primary hyperparathyroidism.
title_fullStr Association of germline variants in the ZFX gene with primary hyperparathyroidism.
title_full_unstemmed Association of germline variants in the ZFX gene with primary hyperparathyroidism.
title_short Association of germline variants in the ZFX gene with primary hyperparathyroidism.
title_sort association of germline variants in the zfx gene with primary hyperparathyroidism
url https://doi.org/10.1371/journal.pone.0329388
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