Clinical and genetic characteristics of chinese patients with Birt-Hogg-Dubé syndrome.
BACKGROUND
Birt-Hogg-Dubé syndrome (BHD) is an autosomal dominant disorder, the main manifestations of which are fibrofolliculomas, renal tumors, pulmonary cysts and recurrent pneumothorax. The known causative gene for BHD syndrome is the folliculin (FLCN) gene on chromosome 17p11.2. Studies of the FLCN mutation for BHD syndrome are less prevalent in Chinese populations than in Caucasian populations. Our study aims to investigate the genotype spectrum in a group of Chinese patients with BHD.


METHODS
We enrolled 51 patients with symptoms highly suggestive of BHD from January 2014 to February 2017. The FLCN gene was examined using PCR and Sanger sequencing in every patient, for those whose Sanger sequencing showed negative mutation results, multiplex ligation-dependent probe amplification (MLPA) testing was conducted to detect any losses of large segments.


MAIN RESULTS
Among the 51 patients, 27 had FLCN germline mutations. In total, 20 mutations were identified: 14 were novel mutations, including 3 splice acceptor site mutations, 2 different deletions, 6 nonsense mutations, 1 missense mutation, 1 small insertion, and 1 deletion of the whole exon 8.


CONCLUSIONS
We found a similar genotype spectrum but different mutant loci in Chinese patients with BHD compared with European and American patients, thus providing stronger evidence for the clinical molecular diagnosis of BHD in China. It suggests that mutation analysis of the FLCN gene should be systematically conducted in patients with cystic lung diseases.
['Liu|Yaping|Y|', 'Xu|Zhiyan|Z|', 'Feng|Ruie|R|', 'Zhan|Yongzhong|Y|', 'Wang|Jun|J|', 'Li|Guozhen|G|', 'Li|Xue|X|', 'Zhang|Weihong|W|', 'Hu|Xiaowen|X|', 'Tian|Xinlun|X|', 'Xu|Kai-Feng|KF|', 'Zhang|Xue|X|']
D000328:Adult D000368:Aged D044466:Asians D058249:Birt-Hogg-Dube Syndrome D005260:Female D006801:Humans D008297:Male D008875:Middle Aged D009154:Mutation D011518:Proto-Oncogene Proteins D025521:Tumor Suppressor Proteins
Birt-Hogg-Dubé syndrome FLCN Mutation spectrum