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Genotype Phenotype Relationships in Neurofibromatosis 2

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Mia MacCollin, M.D., Principal Investigator

Neurofibromatosis 2 (NF2) is a genetic disorder characterized by the development of bilateral vestibular schwannoma and other nervous system tumors. Both NF2 and neurofibromatosis 1 (NF1) show great clinical variability between individuals with regards to tumor burden, severity of disease and age of onset and death. Despite these overall differences and unlike NF1, NF2 shows remarkable homogeneity within families, suggesting an effect of the underlying mutation on the resultant clinical problems. This project is investigating the role of the underlying genetic changes or mutations in determining the clinical problems that NF2 patients and their affected family members face. Currently, three broad areas of investigation are active:

  • The vast majority of NF2 affected individuals harbor small genetic "mis-spellings" of the NF2 gene. What effect does the type and location of these small changes, or mutations have upon the resulting clinical problems?

  • Up to one third of the mutations in individuals with NF2 cannot be detected with current methods, and individuals with these "unfound" changes predominantly have mild NF2. What is the genetic mechanism for mild NF2 and what implications does it have for the function of the NF2 protein in tumor prevention?

  • What is the role of the NF2 gene in atypical NF2, such as young children with unilateral vestibular tumors or people with NF2 on only one side of the body?

Mia MacColin, M.D.
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