Germline mutations in FH predispose to dominantly inherited uterine fibroids, skin leiomyomata and papillary renal cell cancer the multiple leiomyoma consortium

Ian P M Tomlinson, N. Afrina Alam, Andrew J. Rowan, Ella Barclay, Emma E M Jaeger, David Kelsell, Irene Leigh, Patricia Gorman, Hanan Lamlum, Shamima Rahman, Rebecca R. Roylance, Simon Olpin, Stephen Bevan, Karen Barker, Nicholas Hearle, Richard S. Houlston, Maija Ht Kiuru, Rainer Lehtonen, Auli Karhu, Susa VilkkiPäivi Laiho, Carita Eklund, Outi Vierimaa, Kristiina Aittomäki, Marja Hietala, Pertti Sistonen, Anders Paetau, Reijo Salovaara, Riitta Herva, Virpi Launonen, Lauri A. Aaltonen

Research output: Contribution to journalArticle

1006 Scopus citations

Abstract

Uterine leiomyomata (fibroids) are common and clinically important tumors, but little is known about their etiology and pathogenesis1-3. We previously mapped a gene that predisposes to multiple fibroids, cutaneous leiomyomata and renal cell carcinoma to chromosome 1q42.3-q43 (refs 4-6). Here we show, through a combination of mapping critical recombinants, identifying individuals with germline mutations and screening known and predicted transcripts, that this gene encodes fumarate hydratase, an enzyme of the tricarboxylic acid cycle. Leiomyomatosis-associated mutations are predicted to result in absent or truncated protein, or substitutions or deletions of highly conserved amino acids. Activity of fumarate hydratase is reduced in lymphoblastoid cells from individuals with leiomyomatosis. This enzyme acts as a tumor suppressor in familial leiomyomata, and its measured activity is very low or absent in tumors from individuals with leiomyomatosis. Mutations in FH also occur in the recessive condition fumarate hydratase deficiency−11, and some parents of people with this condition are susceptible to leiomyomata. Thus, heterozygous and homozygous or compound heterozygous mutants have very different clinical phenotypes. Our results provide clues to the pathogenesis of fibroids and emphasize the importance of mutations of housekeeping and mitochondrial proteins in the pathogenesis of common types of tumor12-14.

Original languageEnglish (US)
Pages (from-to)406-410
Number of pages5
JournalNature Genetics
Volume30
Issue number4
DOIs
StatePublished - 2002
Externally publishedYes

ASJC Scopus subject areas

  • Genetics

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    Tomlinson, I. P. M., Alam, N. A., Rowan, A. J., Barclay, E., Jaeger, E. E. M., Kelsell, D., Leigh, I., Gorman, P., Lamlum, H., Rahman, S., Roylance, R. R., Olpin, S., Bevan, S., Barker, K., Hearle, N., Houlston, R. S., Kiuru, M. H., Lehtonen, R., Karhu, A., ... Aaltonen, L. A. (2002). Germline mutations in FH predispose to dominantly inherited uterine fibroids, skin leiomyomata and papillary renal cell cancer the multiple leiomyoma consortium. Nature Genetics, 30(4), 406-410. https://doi.org/10.1038/ng849