1. Germline SUCLG2 Variants in Patients With Pheochromocytoma and Paraganglioma
- Author
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Jun Zhu, Jiri Cerny, Ivana Jochmanova, Stepana Boukalova, Renata Zobalova, Sarka Dvorakova, Igor Hartmann, Hans K. Ghayee, Philip E. Knapp, Linda Krobova, Karel Pacak, Naris Nilubol, Svetlana Pack, Chunzhang Yang, Katerina Vanova, Timothy J. Garrett, David Taïeb, Zdenek Frysak, Thanh-Truc Huynh, Sona Hubackova, Xiaolin Wu, Jiri Neuzil, Bjoern Schuster, Zuzana Nahacka, Michal Kraus, Jakub Rohlena, Ying Pang, Ondrej Uher, Service de médecine nucléaire [Marseille], Université de la Méditerranée - Aix-Marseille 2-Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital de la Timone [CHU - APHM] (TIMONE), Centre Européen de Recherche en Imagerie médicale (CERIMED), Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)-École Centrale de Marseille (ECM)-Institut Paoli-Calmettes, and Fédération nationale des Centres de lutte contre le Cancer (FNCLCC)-Fédération nationale des Centres de lutte contre le Cancer (FNCLCC)-Centre National de la Recherche Scientifique (CNRS)
- Subjects
Cancer Research ,Candidate gene ,SDHB ,Adrenal Gland Neoplasms ,Pheochromocytoma ,Biology ,Germline ,Paraganglioma ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Gene ,Germ-Line Mutation ,030304 developmental biology ,Genetic testing ,0303 health sciences ,medicine.diagnostic_test ,Editorials ,medicine.disease ,Penetrance ,3. Good health ,Succinate Dehydrogenase ,Oncology ,030220 oncology & carcinogenesis ,Cancer research ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
Background Pheochromocytoma and paraganglioma (PPGL) are neuroendocrine tumors with frequent mutations in genes linked to the tricarboxylic acid cycle. However, no pathogenic variant has been found to date in succinyl-CoA ligase (SUCL), an enzyme that provides substrate for succinate dehydrogenase (SDH; mitochondrial complex II [CII]), a known tumor suppressor in PPGL. Methods A cohort of 352 patients with apparently sporadic PPGL underwent genetic testing using a panel of 54 genes developed at the National Institutes of Health, including the SUCLG2 subunit of SUCL. Gene deletion, succinate levels, and protein levels were assessed in tumors where possible. To confirm the possible mechanism, we used a progenitor cell line, hPheo1, derived from a human pheochromocytoma, and ablated and re-expressed SUCLG2. Results We describe 8 germline variants in the guanosine triphosphate–binding domain of SUCLG2 in 15 patients (15 of 352, 4.3%) with apparently sporadic PPGL. Analysis of SUCLG2-mutated tumors and SUCLG2-deficient hPheo1 cells revealed absence of SUCLG2 protein, decrease in the level of the SDHB subunit of SDH, and faulty assembly of the complex II, resulting in aberrant respiration and elevated succinate accumulation. Conclusions Our study suggests SUCLG2 as a novel candidate gene in the genetic landscape of PPGL. Large-scale sequencing may uncover additional cases harboring SUCLG2 variants and provide more detailed information about their prevalence and penetrance.
- Published
- 2021
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