51. Targeting Cyclooxygenase-2 in Pheochromocytoma and Paraganglioma: Focus on Genetic Background
- Author
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Ullrich, M., Richter, S., Seifert, V., Hauser, S., Calsina, B., Martinez-Montes, A.M., Laak, M.C. ter, Ziegler, C.G., Timmers, H.J., Eisenhofer, G., Robledo, M., Pietzsch, J., Deutsche Forschungsgemeinschaft (Alemania), Paradifference Foundation, and Instituto de Salud Carlos III
- Subjects
Inflammation ,endocrine system diseases ,Mouse pheochromocytoma cells ,mouse pheochromocytoma cells ,Vascular damage Radboud Institute for Molecular Life Sciences [Radboudumc 16] ,Hypoxia-inducible factor ,succinate dehydrogenase ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Immunohistochemistry ,lcsh:RC254-282 ,Article ,Fluorescence imaging ,Succinate dehydrogenase ,fluorescence imaging ,NF1 ,EPAS1 ,inflammation ,VHL ,immunohistochemistry ,radiosensitization ,neoplasms ,hypoxia-inducible factor ,Radiosensitization - Abstract
Cyclooxygenase 2 (COX-2) is a key enzyme of the tumorigenesis-inflammation interface and can be induced by hypoxia. A pseudohypoxic transcriptional signature characterizes pheochromocytomas and paragangliomas (PPGLs) of the cluster I, mainly represented by tumors with mutations in von Hippel&ndash, Lindau (VHL), endothelial PAS domain-containing protein 1 (EPAS1), or succinate dehydrogenase (SDH) subunit genes. The aim of this study was to investigate a possible association between underlying tumor driver mutations and COX-2 in PPGLs. COX-2 gene expression and immunoreactivity were examined in clinical specimens with documented mutations, as well as in spheroids and allografts derived from mouse pheochromocytoma (MPC) cells. COX-2 in vivo imaging was performed in allograft mice. We observed significantly higher COX-2 expression in cluster I, especially in VHL-mutant PPGLs, however, no specific association between COX-2 mRNA levels and a hypoxia-related transcriptional signature was found. COX-2 immunoreactivity was present in about 60% of clinical specimens as well as in MPC spheroids and allografts. A selective COX-2 tracer specifically accumulated in MPC allografts. This study demonstrates that, although pseudohypoxia is not the major determinant for high COX-2 levels in PPGLs, COX-2 is a relevant molecular target. This potentially allows for employing selective COX-2 inhibitors as targeted chemotherapeutic agents and radiosensitizers. Moreover, available models are suitable for preclinical testing of these treatments.
- Published
- 2019