Recurrent Germline DLST Mutations in Individuals with Multiple Pheochromocytomas and Paragangliomas

التفاصيل البيبلوغرافية
العنوان: Recurrent Germline DLST Mutations in Individuals with Multiple Pheochromocytomas and Paragangliomas
المؤلفون: Gromoslaw A. Smolen, Marcos Lahera, Raúl M. Luque, Rocío Letón, Graeme Eisenhofer, Lorena Maestre, Miguel Urioste, Javier Aller, Cristina Moreno-Rengel, Rafael Torres-Pérez, María Ángeles Gálvez, Giovanni Cianchetta, Belen Herraez, Javier Coloma, Emiliano Honrado, Maria Currás-Freixes, Christopher E. Mahoney, Bruna Calsina, Susan Richter, Laura Remacha, Mercedes Robledo, Oscar Llorca, Óscar García-Uriarte, David Pirman, Guillermo Pita, Cristina Rodríguez-Antona, Cristina Montero-Conde, Alberto Cascón
المصدر: The American Journal of Human Genetics. 104:651-664
بيانات النشر: Elsevier BV, 2019.
سنة النشر: 2019
مصطلحات موضوعية: DLST, Adult, Male, 0301 basic medicine, Carcinogenesis, Citric Acid Cycle, Adrenal Gland Neoplasms, Loss of Heterozygosity, Pheochromocytoma, Biology, medicine.disease_cause, Article, Germline, Paraganglioma, Loss of heterozygosity, 03 medical and health sciences, 0302 clinical medicine, Germline mutation, Catalytic Domain, Basic Helix-Loop-Helix Transcription Factors, Genetics, medicine, Humans, Genetic Predisposition to Disease, cancer susceptibility gene, TCA cycle, Gene, Germ-Line Mutation, Genetics (clinical), Gene Expression Profiling, Correction, High-Throughput Nucleotide Sequencing, Methylation, DNA Methylation, Middle Aged, medicine.disease, Phenotype, 030104 developmental biology, Gene Expression Regulation, 030220 oncology & carcinogenesis, Female, Acyltransferases
الوصف: Pheochromocytomas and paragangliomas (PPGLs) provide some of the clearest genetic evidence for the critical role of metabolism in the tumorigenesis process. Approximately 40% of PPGLs are caused by driver germline mutations in 16 known susceptibility genes, and approximately half of these genes encode members of the tricarboxylic acid (TCA) cycle. Taking as a starting point the involvement of the TCA cycle in PPGL development, we aimed to identify unreported mutations that occurred in genes involved in this key metabolic pathway and that could explain the phenotypes of additional individuals who lack mutations in known susceptibility genes. To accomplish this, we applied a targeted sequencing of 37 TCA-cycle-related genes to DNA from 104 PPGL-affected individuals with no mutations in the major known predisposing genes. We also performed omics-based analyses, TCA-related metabolite determination, and (13)C(5)-glutamate labeling assays. We identified five germline variants affecting DLST in eight unrelated individuals (∼7%); all except one were diagnosed with multiple PPGLs. A recurrent variant, c.1121G>A (p.Gly374Glu), found in four of the eight individuals triggered accumulation of 2-hydroxyglutarate, both in tumors and in a heterologous cell-based assay designed to functionally evaluate DLST variants. p.Gly374Glu-DLST tumors exhibited loss of heterozygosity, and their methylation and expression profiles are similar to those of EPAS1-mutated PPGLs; this similarity suggests a link between DLST disruption and pseudohypoxia. Moreover, we found positive DLST immunostaining exclusively in tumors carrying TCA-cycle or EPAS1 mutations. In summary, this study reveals DLST as a PPGL-susceptibility gene and further strengthens the relevance of the TCA cycle in PPGL development.
تدمد: 0002-9297
DOI: 10.1016/j.ajhg.2019.02.017
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6bd586a03004b8250322c4b0219c4845
https://doi.org/10.1016/j.ajhg.2019.02.017
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....6bd586a03004b8250322c4b0219c4845
قاعدة البيانات: OpenAIRE
الوصف
تدمد:00029297
DOI:10.1016/j.ajhg.2019.02.017