| H01820 | |
| H番号 | H01820 |
| 名称 | カーニー複合 |
| 概要 | Carney complex (CNC) is a rare multiple neoplasia syndrome characterized by pigmented lesions of the skin and mucosa, cardiac, cutaneous and other myxomas, and multiple endocrine tumors. Further manifestations include primary pigmented nodular adrenocortical disease (PPNAD) [DS:H00260] leading to Cushing's syndrome [DS:H01431], pituitary adenomas [DS:H01102], thyroid nodules, testicular neoplasms, ovarian cysts, psammomatous melanotic schwannomas, ductal breast adenomas and osteochondromyxomas. Most CNC patients initially present with adrenocorticotropic hormone (ACTH)-independent Cushing's syndrome due to PPNAD or heart myxomas. Skin lesions are the most common CNC manifestation: lentigines are present in 70 to 75% of patients with CNC. Blue nevi are also typical of CNC. CNC is caused by inactivating mutations or large deletions of the PRKAR1A gene coding for the regulatory subunit type I alpha of protein kinase A (PKA). It may be inherited as an autosomal dominant trait but in a significant number of patients the disease is sporadic, presumably due to de novo mutations. |
| カテゴリ | 内分泌代謝疾患 |
| ネットワーク | - |
| 病因遺伝子 | PRKAR1A [HSA:5573] [KO:K04739] |
| 病原体 | - |
| 環境要因 | - |
| 発癌物質 | - |
| 治療薬 | - |
| コメント | - |
| リンク | ICD-11: 5A70.Y ICD-10: Q89.7 MeSH: D056733 OMIM: 160980 |
| 文献 | PMID:25592387 著者 Schernthaner-Reiter MH, Trivellin G, Stratakis CA タイトル MEN1, MEN4, and Carney Complex: Pathology and Molecular Genetics. 雑誌 Neuroendocrinology 103:18-31 (2016) DOI:10.1159/000371819 PMID:26130139 著者 Correa R, Salpea P, Stratakis CA タイトル Carney complex: an update. 雑誌 Eur J Endocrinol 173:M85-97 (2015) DOI:10.1530/EJE-15-0209 PMID:24012779 著者 Salpea P, Stratakis CA タイトル Carney complex and McCune Albright syndrome: an overview of clinical manifestations and human molecular genetics. 雑誌 Mol Cell Endocrinol 386:85-91 (2014) DOI:10.1016/j.mce.2013.08.022 PMID:11115848 著者 Kirschner LS, Sandrini F, Monbo J, Lin JP, Carney JA, Stratakis CA タイトル Genetic heterogeneity and spectrum of mutations of the PRKAR1A gene in patients with the carney complex. 雑誌 Hum Mol Genet 9:3037-46 (2000) DOI:10.1093/hmg/9.20.3037 |