1.Vierimaa, O. Etal. Pituitary Adenoma Predisposition Caused by Germline Mutations in The

1.Vierimaa, O. Etal. Pituitary Adenoma Predisposition Caused by Germline Mutations in The

SupplementaryTable 1 | AIP mutations and clinical presentation at diagnosis of patients with sporadic pituitary adenomas
Mutation or variant (corresponding protein change) / Adenoma subtype (n) / Size (n) / Sex (n) / Age at diagnosis (years) (n) / Study
Nonsense
c.40C˃T
(Gln14*)‡ / GH-secreting (3), prolactinoma, GH-secreting+prolactinoma / N/A (5) / M (2), F (2), N/A / 35 (2), 36, 41, N/A / Vierimaa, O. etal.1, Georgitsi, M. etal.2, Raitila, A. etal.3
c.58G˃T
(Glu20*) / GH-secreting / MA / M / 14 / Cuny, T. etal.4
c.64C˃T
(Arg22*) / GH-secreting (2) / MA (2) / M (2) / 10, 24 / Barlier, A. etal.5, Tichomorowa, M.A. etal.6
c.55C˃T
(Gln184*) / GH-secreting / N/A / M / 21 / Tichomorowa, M.A. etal.6
c.601A˃T
(Lys201*) / GH-secreting (2) / MA (2) / M, F / 24, 27 / Cazabat, L. etal.7
c.721A˃T
(Lys241*) / Prolactinoma / GA / M / 18 / Stratakis, C.A. etal.8
c.783C˃G
(Tyr261*) / GH-secreting (2) / MA, GA / M (2) / 17, 28 / Tichomorowa, M.A. etal.6, Cazabat, L. etal.9
c.910C˃T
(Arg304*)‡ / GH-secreting (3) / GA (2), N/A / M (2), F / 17 (2), 25 / Tichomorowa, M.A. etal.6, Cazabat, L.etal.9
Frameshift
c.88–89delGA
(Asp30Trpfs*14) / NFPA / MA / M / 39 / Tichomorowa, M.A. etal.6
c.245–249delAAGGG
(Glu82Glyfs*8) / GH-secreting / GA / M / 15 / Tichomorowa, M.A. etal.6
c.350del
(Gly117Alafs*39) / GH-secreting (3), prolactinoma (3) / MA (4), G, N/A / M (5), F / 13, 16, 18, 20 (2), 30 / Cuny, T. etal.4, Tichomorowa, M.A. etal.6, Cazabat, L. etal.9
c.339–340insACCC
(Pro114Thrfs*17) / GH-secreting / MA / F / 14 / Stratakis, C.A. etal.8
c.404delA
(His135Leufs*21) / GH-secreting / MA / M / 14 / Cazabat, L. etal.7
c.630delG
(Asn211Thrfs*4) / NFPA / MA / M / 15 / Cuny, T. etal.4
c.752delT
(Leu251Argfs*52) / ACTH-secreting / MA / F / 25 / Cazabat, L. etal.9
c.824dupA
(His275Glnfs*13) / GH-secreting / N/A / M / 8 / Georgitsi, M. etal.2
Duplication
c.805–825dup
(Phe269–His275dup)‡ / GH-secreting+prolactinoma / MA / M / 14 / Cazabat, L. etal.9
Deletion
c.66–71delAGGAGA
(Gly23–Glu24del) / GH-secreting / N/A / M / 20 / Georgitsi, M. etal.2
c.736–738delGAG
(Glu246del) / NFPA / MA / M / 20 / Cuny, T. etal.4
c.742–744delTAC
(Tyr248del) / GH-secreting / MA / M / 19 / Georgitsi, M. etal.10
Initiation codon
c.2T˃C
(effect unknown) / GH-secreting / MA / M / 8 / Personnier, C. etal.11
Missense
c.26G˃A
(Arg9Gln) / GH-secreting, prolactinoma, ACTH-secreting / MA (2), MI / F (3) / 14, 21, 39 / Cazabat, L. etal.9, Oriola, J. etal.12
c.90T˃G
(Asp30Glu) / GH-secreting / MA / M / 23 / Cai, F. etal.13
c.166C˃T
(Arg56Cys) / Prolactinoma / GA / M / 26 / Tichomorowa, M.A. etal.6
c.145G˃A
(Val49Met) / GH-secreting / MA / M / 28 / Iwata, T. etal.14
c.174G˃C
(Lys58Asn) / Prolactinoma, gonadotroph / MA, GA / M, F / 20, 32 / Tichomorowa, M.A. etal.6, Cazabat, L. etal.9
c.250G˃A
(Glu84Lys) / GH-secreting / MA / F / 20 / Tichomorowa, M.A. etal.6
c.308A˃G
(Lys103Arg) / ACTH-secreting / MI / M / 6 / Stratakis, C.A. etal.8
c.509T˃C
(Met170Thr) / GH-secreting / MA / M / 32 / Cazabat, L. etal.9
c.563G˃A
(Arg188Gln) / Prolactinoma / MI / F / 24 / Cazabat, L. etal.9
c.584T˃C
(Val195Ala) / Prolactinoma / GA / M / 12 / Tichomorowa, M.A. etal.6
c.784G˃A
(Asp262Asn) / GH-secreting / MA / M / 35 / Cai, F. etal.13
c.803A˃G
(Tyr268Cys) / Prolactinoma / GA / M / 28 / Tichomorowa, M.A. etal.6
c.811C˃T
(Arg271Trp)‡ / GH-secreting / GA / M / 18 / Tichomorowa, M.A. etal.6
c.829G˃C
(Ala277Pro) / GH-secreting / MA / M / 12 / Tichomorowa, M.A. etal.6
c.871G˃A
(Val291Met) / GH-secreting / N/A / F / 30 / Occhi, G. etal.15
c.872T˃A
(Val291Glu) / GH-secreting + prolactinoma / MA / M / 21 / Cazabat, L. etal.9
c.881T˃C
(Leu294Pro) / GH-secreting / MA / F / 10 / Cuny, T. etal.4
c.911G˃A
(Arg304Gln)‡ / GH-secreting (2), prolactinoma (4), ACTH-secreting / MI (3), M (3), N/A / M (3), F 93), N/A / 15, 25, 26, 27, 36, 38, 67 / Georgitsi, M. etal.2, Cuny, T. etal.4, Tichomorowa, M.A. etal.6, Cazabat, L. etal.9, Occhi, G. etal.15
c.955G˃A
(Glu319Lys) / GH-secreting / MA / M / 11 / Cai, F. etal.13
c.976G˃A
(Gly326Arg) / GH-secreting / GA / M / 30 / Cai, F. etal.13
Intronic
c.469–2A˃G
(?) / GH-secreting+prolactinoma, prolactinoma / MA (2) / M (2) / 16, 40 / Cazabat, L. etal.9
c.468+1G˃A
(?) / GH-secreting / MI / F / 62 / Occhi, G. etal.15
c.280-1G˃C
(?) / GH-secreting / N/A / M / 20 / Georgitsi, M. etal.2
c.787+24C˃T
(?) / GH-secreting / MA / F / 44 / Oriola, J. etal.12
Synonymous
c.591G˃A
(=) / GH-secreting / MA / F / 23 / Tichomorowa, M.A. etal.6
c.687G˃A
(=) / GH-secreting / MA / M / 24 / Cai, F. etal.13
c.807C˃T
(=)ǂ / GH-secreting, prolactinoma, NFPA / N/A (3) / M, F, N/A / 10, 15, 50 / Tichomorowa, M.A. etal.6, Georgitsi, M. etal.10, Oriola, J. etal.12
Rare SNP
c.100–18C˃T
(?) / GH-secreting, prolactinoma / MA (2) / M (2) / 15, 35 / Tichomorowa, M.A. etal.6, Oriola, J. etal.12
c.47G˃A
(Arg16His) / GH-secreting, prolactinoma, ACTH-secreting, NFPA (2) / MI (2), G, N/A (2) / M (2), F, N/A (2) / 14, 20, 29, N/A (2) / Tichomorowa, M.A. etal.6, Cazabat, L. etal.9, Buchbinder, S. etal.16
c.355C˃T
(Arg119Trp) / GH-secreting / MA / F / 32 / Cai, F. etal.13
c.733G˃A
(Glu245Lys) / Prolactinoma / MA / F / 24 / Cai, F. etal.13
c.967C˃T
(Arg323Trp) / NFPA / MA / M / 41 / Cai, F. etal.13
The accession number used for the AIP transcript is NM_003977.2. *Translation stop codon.‡Mutation also found in patients with familial isolated pituitary adenoma.(=) Denotes silent change at protein level. Abbreviations: ACTH, adrenocorticotropic hormone; F, female; fs, frameshift; GA, giant adenoma (˃40mm in diameter); M, male; MA, macroadenoma; MI, microadenoma; N/A, not available; NFPA, nonfunctional pituitary adenoma.

1.Vierimaa, O. etal. Pituitary adenoma predisposition caused by germline mutations in the AIP gene. Science312, 1228–1230 (2006).

2.Georgitsi, M. etal. Molecular diagnosis of pituitary adenoma predisposition caused by aryl hydrocarbon receptor-interacting protein gene mutations. Proc. Natl Acad. Sci. USA104, 4101–4105 (2007).

3.Raitila, A. etal. No evidence of somatic aryl hydrocarbon receptor interacting protein mutations in sporadic endocrine neoplasia. Endocr. Relat. Cancer14, 901–906 (2007).

4.Cuny, T. etal. Genetic analysis in young patients with sporadic pituitary macroadenomas: besides AIP don’t forget MEN1 genetic analysis. Eur. J. Endocrinol.168, 533–541 (2013).

5.Barlier, A. etal. Mutations in the aryl hydrocarbon receptor interacting protein gene are not highly prevalent among subjects with sporadic pituitary adenomas. J. Clin. Endocrinol. Metab.92, 1952–1955 (2007).

6.Tichomirowa, M. A. etal. High prevalence of AIP gene mutations following focused screening in young patients with sporadic pituitary macroadenomas. Eur. J. Endocrinol.165, 509–515 (2011).

7.Cazabat, L. etal. Germline inactivating mutations of the aryl hydrocarbon receptor-interacting protein gene in a large cohort of sporadic acromegaly: mutations are found in a subset of young patients with macroadenomas. Eur. J. Endocrinol.157, 1–8 (2007).

8.Stratakis, C.A. etal.The role of germline AIP, MEN1, PRKAR1A, CDKN1B and CDKN2C mutations in causing pituitary adenomas in a large cohort of children, adolescents, and patients with genetic syndromes. Clin. Genet. 78, 457–463 (2010).

9.Cazabat, L. etal. Germline AIP mutations in apparently sporadic pituitary adenomas: prevalence in a prospective single-center cohort of 443 patients. J. Clin. Endocrinol. Metab.97, E663–E670 (2012).

10.Georgitsi, M. etal. Aryl hydrocarbon receptor interacting protein (AIP) gene mutation analysis in children and adolescents with sporadic pituitary adenomas. Clin. Endocrinol. (Oxf.)69, 621–627 (2008).

11.Personnier, C. etal. Clinical features and treatment of pediatric somatotropinoma: case study of an aggressive tumor due to a new AIP mutation and extensive literature review. Horm. Res. Paediatr.75, 392–402 (2011).

12.Oriola, J. etal. Germline mutations of AIP gene in somatotropinomas resistant to somatostatin analogues. Eur. J. Endocrinol.168, 9–13 (2013).

13.Cai, F. et al. Screening for AIP gene mutations in a Han Chinese pituitary adenoma cohort followed by LOH analysis. Eur. J. Endocrinol.169, 867–884 (2013).

14.Iwata, T. etal. The aryl hydrocarbon receptor-interacting protein gene is rarely mutated in sporadic GH-secreting adenomas. Clin. Endocrinol. (Oxf.)66, 499–502 (2007).

15.Occhi, G. et al. Prevalence of AIP mutations in a large series of sporadic Italian acromegalic patients and evaluation of CDKN1B status in acromegalic patients with multiple endocrine neoplasia. Eur. J. Endocrinol.163, 369– 376 (2010).

16.Buchbinder, S. etal. Aryl hydrocarbon receptor interacting protein gene (AIP) mutations are rare in patients with hormone secreting or non-secreting pituitary adenomas. Exp. Clin. Endocrinol. Diabetes116, 625–628 (2008).