© 2003 BMJ Publishing Group Ltd
LETTER TO JMG
Single nucleotide polymorphic alleles in the 5' region of the RET proto-oncogene define a risk haplotype in Hirschsprungs disease
1 Laboratorio di Genetica Molecolare, Istituto G Gaslini, Genova, Italy
2 Divisione e Cattedra di Chirurgia Pediatrica, Istituto G Gaslini, Genova, Italy
3 Laboratories di Genetica Moleculare, Istituto G Gaslini, Genova, Italy
4 Cattedra di Genetica Medica, Università di Bologna, Bologna, Italy
5 Department of Research, Nemours Childrens Clinic, Wilmington, Delaware, USA
Correspondence to:
Correspondence to:
Isabella Ceccherini, Laboratorio di Genetica Molecolare, Istituto Giannina Gaslini, L.go G Gaslini 5, 16148 Genova, Italy;
isa.c@unige.it
Keywords: Hirschsprungs disease; RET proto-oncogene; single nucleotide polymorphism; gene promoter
| The first 150 words of the full text of this article appear below. |
Hirschsprungs disease is a congenital disorder characterised by intestinal obstruction caused by the absence of parasympathetic intrinsic ganglion cells along variable lengths of the colon.1 The high proportion of sporadic cases (8090%), the variable expressivity, the incomplete sex dependent penetrance, and the involvement of several genes, most of which are yet to be identified, show a complex pattern of inheritance for this disorder.24 The RET proto-oncogene is the major gene involved in Hirschsprungs disease, accounting for a high proportion of both familial (about 50%) and sporadic cases (1015%). Five to ten per cent of patients show alterations in other genes such as the glial cell line derived neurotrophic factor (GDNF), neurturin (NTN), endothelin 3 (EDN3), endothelin B receptor (EDNRB), endothelin converting enzyme 1 (ECE1), transcriptional factor SOX10, and Smad interacting protein 1 (SIP1).1,5 The small number of
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