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The Role Of Birt Hogg Dube ( Bhd ) Syndrome

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The Role of Folliculin in Amino Acid Sensing
SPECIFIC AIMS
Birt-Hogg Dubé (BHD) syndrome is a rare autosomal dominant condition that’s characterized by the development of benign skin tumors and lung cysts. Moreover, these manifestations increase patients’ risk to develop renal cell carcinoma (RCC) and/or pneumothorax. Germline mutations in the Folliculin (FLCN) gene are responsible for patients to express the clinical hallmarks of BHD. Most of the BHD patient population contain mutations in the FLCN gene at exon 11, a disease-causing mutational hotspot. Research has shown mutations in FLCN are predicted to cause truncations of the gene resulting in its loss-of-function, resembling the function of a tumor suppressor. Furthermore, BHD clinical hallmarks are similar to the clinical manifestation caused by mutations in tumor suppressor, TSC1/2, such as: facial hamartomas and RCC. Although FLCN is predicted to be a tumor suppressor, the exact function of FLCN still remains unknown.
However, FLCN expression is conserved throughout the eukaryotic system. FLCN is known to have a binding partner, folliculin interacting proteins (FNIP) 1 and 2. FLCN interaction with FNIPs provides a functional insight due to FNIP1/2 interaction with AMP-activated protein kinase (AMPK), a direct energy sensor and negative regulator of mTOR, suggesting its role in AMPK and TOR signaling. FLCN’s role in TOR signaling was strengthen by mammalian cells with reduce expression of FLCN resulted in the

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