1. Role of MDH2 pathogenic variant in pheochromocytoma and paraganglioma patients
- Author
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Laurence Amar, Judith Balmaña, Laura Contreras, Jorgina Satrústegui, Anne-Paule Gimenez-Roqueplo, Iñaki Comino-Méndez, Karel Pacak, Tirso Pons, Régis Cohen, Rocío Letón, Massimo Mannelli, Esther Korpershoek, Alberto Cascón, Cristina Rodríguez-Antona, Martin Fassnacht, Felix Beuschlein, Timo Deutschbein, Ronald R. de Krijger, Antoine Martin, Judith Favier, Elena Rapizzi, Maria Currás-Freixes, Alexandre Buffet, Berta Obispo, Mercedes Robledo, Laurent Vroonen, Nicole Dölker, María Calatayud, Henri J L M Timmers, Susan Richter, Bruna Calsina, Laura Remacha, Graeme Eisenhofer, and Pathology
- Subjects
Adult ,Male ,0301 basic medicine ,Mutation, Missense ,Adrenal Gland Neoplasms ,Pheochromocytoma ,Disease ,Biology ,Article ,Germline ,Paraganglioma ,03 medical and health sciences ,0302 clinical medicine ,Germline mutation ,All institutes and research themes of the Radboud University Medical Center ,Malate Dehydrogenase ,medicine ,Protein Isoforms ,Humans ,Missense mutation ,Genetic Predisposition to Disease ,Gene ,Germ-Line Mutation ,Genetics (clinical) ,Genetics ,Vascular damage Radboud Institute for Molecular Life Sciences [Radboudumc 16] ,Middle Aged ,medicine.disease ,Associated phenotype ,030104 developmental biology ,030220 oncology & carcinogenesis ,Female - Abstract
PURPOSE: MDH2 (malate dehydrogenase 2) has recently been proposed as a novel potential pheochromocytoma/paraganglioma (PPGL) susceptibility gene, but its role in the disease has not been addressed. This study aimed to determine the prevalence of MDH2 pathogenic variants among PPGL patients and determine the associated phenotype. METHODS: Eight hundred thirty patients with PPGLs, negative for the main PPGL driver genes, were included in the study. Interpretation of variants of unknown significance (VUS) was performed using an algorithm based on 20 computational predictions, by implementing cell-based enzymatic and immunofluorescence assays, and/or by using a molecular dynamics simulation approach. RESULTS: Five variants with potential involvement in pathogenicity were identified: three missense (p.Arg104Gly, p.Val160Met and p.Ala256Thr), one in-frame deletion (p.Lys314del), and a splice-site variant (c.429+1G>T). All were germline and those with available biochemical data, corresponded to noradrenergic PPGL. CONCLUSION: This study suggests that MDH2 pathogenic variants may play a role in PPGL susceptibility and that they might be responsible for less than 1% of PPGLs in patients without pathogenic variants in other major PPGL driver genes, a prevalence similar to the one recently described for other PPGL genes. However, more epidemiological data are needed to recommend MDH2 testing in patients negative for other major PPGL genes.
- Published
- 2018
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