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Astuti D, Latif F, Dallol A, Dahia PLM, Douglas F, George E, Sköldberg F, Husebye ES, Eng C, Maher ER. Gene mutations in the succinate dehydrogenase subunit SDHB cause susceptibility to familial pheochromocytoma and to familial paraganglioma. Am J Hum Genet 2001; 69:49-54. [PMID: 11404820 PMCID: PMC1226047 DOI: 10.1086/321282] [Citation(s) in RCA: 772] [Impact Index Per Article: 33.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2001] [Accepted: 05/11/2001] [Indexed: 01/27/2023] Open
Abstract
The pheochromocytomas are an important cause of secondary hypertension. Although pheochromocytoma susceptibility may be associated with germline mutations in the tumor-suppressor genes VHL and NF1 and in the proto-oncogene RET, the genetic basis for most cases of nonsyndromic familial pheochromocytoma is unknown. Recently, pheochromocytoma susceptibility has been associated with germline SDHD mutations. Germline SDHD mutations were originally described in hereditary paraganglioma, a dominantly inherited disorder characterized by vascular tumors in the head and the neck, most frequently at the carotid bifurcation. The gene products of two components of succinate dehydrogenase, SDHC and SDHD, anchor the gene products of two other components, SDHA and SDHB, which form the catalytic core, to the inner-mitochondrial membrane. Although mutations in SDHC and in SDHD may cause hereditary paraganglioma, germline SDHA mutations are associated with juvenile encephalopathy, and the phenotypic consequences of SDHB mutations have not been defined. To investigate the genetic causes of pheochromocytoma, we analyzed SDHB and SDHC, in familial and in sporadic cases. Inactivating SDHB mutations were detected in two of the five kindreds with familial pheochromocytoma, two of the three kindreds with pheochromocytoma and paraganglioma susceptibility, and 1 of the 24 cases of sporadic pheochromocytoma. These findings extend the link between mitochondrial dysfunction and tumorigenesis and suggest that germline SDHB mutations are an important cause of pheochromocytoma susceptibility.
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Affiliation(s)
- Dewi Astuti
- Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham, England; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston; Northern Regional Genetics Service, Royal Victoria Infirmary, Newcastle upon Tyne, England; Department of Medicine, Kings Lynn Hospital, Norfolk, England; Department of Medical Sciences, Uppsala University, Uppsala, Sweden; and Clinical Cancer Genetics and Human Cancer Genetics Programs, Comprehensive Cancer Center, and the Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus; and CRC Human Cancer Genetics Research Group, University of Cambridge, Cambridge
| | - Farida Latif
- Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham, England; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston; Northern Regional Genetics Service, Royal Victoria Infirmary, Newcastle upon Tyne, England; Department of Medicine, Kings Lynn Hospital, Norfolk, England; Department of Medical Sciences, Uppsala University, Uppsala, Sweden; and Clinical Cancer Genetics and Human Cancer Genetics Programs, Comprehensive Cancer Center, and the Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus; and CRC Human Cancer Genetics Research Group, University of Cambridge, Cambridge
| | - Ashraf Dallol
- Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham, England; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston; Northern Regional Genetics Service, Royal Victoria Infirmary, Newcastle upon Tyne, England; Department of Medicine, Kings Lynn Hospital, Norfolk, England; Department of Medical Sciences, Uppsala University, Uppsala, Sweden; and Clinical Cancer Genetics and Human Cancer Genetics Programs, Comprehensive Cancer Center, and the Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus; and CRC Human Cancer Genetics Research Group, University of Cambridge, Cambridge
| | - Patricia L. M. Dahia
- Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham, England; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston; Northern Regional Genetics Service, Royal Victoria Infirmary, Newcastle upon Tyne, England; Department of Medicine, Kings Lynn Hospital, Norfolk, England; Department of Medical Sciences, Uppsala University, Uppsala, Sweden; and Clinical Cancer Genetics and Human Cancer Genetics Programs, Comprehensive Cancer Center, and the Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus; and CRC Human Cancer Genetics Research Group, University of Cambridge, Cambridge
| | - Fiona Douglas
- Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham, England; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston; Northern Regional Genetics Service, Royal Victoria Infirmary, Newcastle upon Tyne, England; Department of Medicine, Kings Lynn Hospital, Norfolk, England; Department of Medical Sciences, Uppsala University, Uppsala, Sweden; and Clinical Cancer Genetics and Human Cancer Genetics Programs, Comprehensive Cancer Center, and the Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus; and CRC Human Cancer Genetics Research Group, University of Cambridge, Cambridge
| | - Emad George
- Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham, England; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston; Northern Regional Genetics Service, Royal Victoria Infirmary, Newcastle upon Tyne, England; Department of Medicine, Kings Lynn Hospital, Norfolk, England; Department of Medical Sciences, Uppsala University, Uppsala, Sweden; and Clinical Cancer Genetics and Human Cancer Genetics Programs, Comprehensive Cancer Center, and the Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus; and CRC Human Cancer Genetics Research Group, University of Cambridge, Cambridge
| | - Filip Sköldberg
- Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham, England; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston; Northern Regional Genetics Service, Royal Victoria Infirmary, Newcastle upon Tyne, England; Department of Medicine, Kings Lynn Hospital, Norfolk, England; Department of Medical Sciences, Uppsala University, Uppsala, Sweden; and Clinical Cancer Genetics and Human Cancer Genetics Programs, Comprehensive Cancer Center, and the Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus; and CRC Human Cancer Genetics Research Group, University of Cambridge, Cambridge
| | - Eystein S. Husebye
- Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham, England; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston; Northern Regional Genetics Service, Royal Victoria Infirmary, Newcastle upon Tyne, England; Department of Medicine, Kings Lynn Hospital, Norfolk, England; Department of Medical Sciences, Uppsala University, Uppsala, Sweden; and Clinical Cancer Genetics and Human Cancer Genetics Programs, Comprehensive Cancer Center, and the Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus; and CRC Human Cancer Genetics Research Group, University of Cambridge, Cambridge
| | - Charis Eng
- Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham, England; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston; Northern Regional Genetics Service, Royal Victoria Infirmary, Newcastle upon Tyne, England; Department of Medicine, Kings Lynn Hospital, Norfolk, England; Department of Medical Sciences, Uppsala University, Uppsala, Sweden; and Clinical Cancer Genetics and Human Cancer Genetics Programs, Comprehensive Cancer Center, and the Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus; and CRC Human Cancer Genetics Research Group, University of Cambridge, Cambridge
| | - Eamonn R. Maher
- Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham, England; Department of Cancer Biology, Dana-Farber Cancer Institute, Boston; Northern Regional Genetics Service, Royal Victoria Infirmary, Newcastle upon Tyne, England; Department of Medicine, Kings Lynn Hospital, Norfolk, England; Department of Medical Sciences, Uppsala University, Uppsala, Sweden; and Clinical Cancer Genetics and Human Cancer Genetics Programs, Comprehensive Cancer Center, and the Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus; and CRC Human Cancer Genetics Research Group, University of Cambridge, Cambridge
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Edström E, Mahlamäki E, Nord B, Kjellman M, Karhu R, Höög A, Goncharov N, Teh BT, Bäckdahl M, Larsson C. Comparative genomic hybridization reveals frequent losses of chromosomes 1p and 3q in pheochromocytomas and abdominal paragangliomas, suggesting a common genetic etiology. THE AMERICAN JOURNAL OF PATHOLOGY 2000; 156:651-9. [PMID: 10666394 PMCID: PMC1850024 DOI: 10.1016/s0002-9440(10)64769-4] [Citation(s) in RCA: 84] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Pheochromocytomas and abdominal paragangliomas are rare, catecholamine-producing tumors that arise from the chromaffin cells derived from the neural crest. We used comparative genomic hybridization (CGH) to screen for copy number changes in 23 pheochromocytomas and 11 abdominal paragangliomas. The pattern of copy number changes was similar between pheochromocytomas and paragangliomas, with the most consistent finding being loss of 1cen-p31, which was detected in 28/34 tumors (82%). Losses were also found on 3q22-25 (41%), 11p (26%), 3p13-14 (24%), 4q (21%), 2q (15%), and 11q22-23 (15%), and gains were detected on 19p (26%), 19q (24%), 17q24-qter (21%), 11cen-q13 (15%), and 16p (15%). Losses of 1p and 3q were detected in the majority of tumors, whereas gains of 19p and q, 17q, and 16p were seen only in tumors with six or more CGH alterations. This progression of genetic events did not correspond with the conversion to a malignant phenotype. CGH alterations involving chromosome 11 were more frequent in the malignant tumors, compared with the benign tumors (9/12 versus 3/16). In summary, we propose that pheochromocytomas and abdominal paragangliomas, which share many clinical features, also have a common genetic origin and that the loss of 1cen-p31 represents an early and important event in tumor development.
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Affiliation(s)
| | - Eija Mahlamäki
- Institute of Medical Technology, University of Tampere, Tampere, Finland; and the Institute for Endocrinological Research,¶
| | | | | | - Ritva Karhu
- Institute of Medical Technology, University of Tampere, Tampere, Finland; and the Institute for Endocrinological Research,¶
| | - Anders Höög
- Karolinska Hospital, Stockholm, Sweden; the Laboratory for Cancer Genetics,†
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