RT Journal Article T1 Comprehensive analysis of RET common and rare variant patientsin a series of Spanish Hirschsprung patients confirms a synergistic effect of both kinds of events A1 Nuñez-Torres, Rocio A1 Fernandez, Raquel M A1 Acosta, Manuel Jesus A1 Enguix-Riego, Maria del Valle A1 Marba, Martina A1 de Agustin, Juan Carlos A1 Castaño, Luis A1 Antiñolo, Guillermo A1 Borrego, Salud K1 Enfermedad de Hirschsprung K1 Mutación K1 Proteínas Proto-Oncogénicas c-ret K1 Polimorfismo de Nucleótido Simple K1 Análisis Mutacional de ADN K1 Estudios de Casos y Controles K1 España AB Background. RET is the major gene associated to Hirschsprung disease (HSCR) with differential contributions of its rare and common, coding and noncoding mutations to the multifactorial nature of this pathology. In the present study, we have performed a comprehensive study of our HSCR series evaluating the involvement of both RET rare variants (RVs) and common variants (CVs) in the context of the disease. Methods. RET mutational screening was performed by dHPLC and direct sequencing for the identification of RVs. In addition Taqman technology was applied for the genotyping of 3 RET CVs previously associated to HSCR, including a variant lying in an enhancer domain within RET intron 1 (rs2435357). Statistical analyses were performed using the SPSS v.17.0 to analyze the distribution of the variants. Results. Our results confirm the strongest association to HSCR for the "enhancer" variant, and demonstrate a significantly higher impact of it in male versus female patients. Integration of the RET RVs and CVs analysis showed that in 91.66% of cases with both kinds of mutational events, the enhancer allele is in trans with the allele bearing the RET RV. Conclusions. A gender effect exists on both the transmission and distribution of rare coding and common HSCR causing mutations. In addition, these RET CVs and RVs seem to act in a synergistic way leading to HSCR phenotype. PB BioMed Central YR 2011 FD 2011-10-13 LK http://hdl.handle.net/10668/292 UL http://hdl.handle.net/10668/292 LA en NO Nuñez-Torres R, Fernandez RM, Acosta MJ, Enguix-Riego MV, Marba M, de Agustin JC, et al. Comprehensive analysis of RET common and rare variants in a series of Spanish Hirschsprung patients confirms a synergistic effect of both kinds of events. BMC Med Genet 2011;12:138 DS RISalud RD Apr 17, 2025