Recurrent Germline DLST Mutations in Individuals with Multiple Pheochromocytomas and Paragangliomas

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Laura Remacha - , Instituto de Salud Carlos III (Autor:in)
  • David Pirman - , Agios Pharmaceuticals (Autor:in)
  • Christopher E. Mahoney - , Agios Pharmaceuticals (Autor:in)
  • Javier Coloma - , Instituto de Salud Carlos III (Autor:in)
  • Bruna Calsina - , Instituto de Salud Carlos III (Autor:in)
  • Maria Currás-Freixes - , Instituto de Salud Carlos III (Autor:in)
  • Rocío Letón - , Instituto de Salud Carlos III (Autor:in)
  • Rafael Torres-Pérez - , Instituto de Salud Carlos III (Autor:in)
  • Susan Richter - , Institut für Klinische Chemie und Laboratoriumsmedizin (Autor:in)
  • Guillermo Pita - , Instituto de Salud Carlos III (Autor:in)
  • Belén Herráez - , Instituto de Salud Carlos III (Autor:in)
  • Giovanni Cianchetta - , Agios Pharmaceuticals (Autor:in)
  • Emiliano Honrado - , Hospital of León (Autor:in)
  • Lorena Maestre - , Instituto de Salud Carlos III (Autor:in)
  • Miguel Urioste - , Instituto de Salud Carlos III (Autor:in)
  • Javier Aller - , Universidad Autónoma de Madrid (Autor:in)
  • Óscar García-Uriarte - , Hospital Universitario Araba (Autor:in)
  • María Ángeles Gálvez - , Hospital Universitario Reina Sofía, Maimónides Institute of Biomedical Research of Cordoba (Autor:in)
  • Raúl M. Luque - , Maimónides Institute of Biomedical Research of Cordoba (Autor:in)
  • Marcos Lahera - , Hospital Universitario de la Princesa (Autor:in)
  • Cristina Moreno-Rengel - , Hospital de Basurto (Autor:in)
  • Graeme Eisenhofer - , Medizinische Klinik und Poliklinik III (Autor:in)
  • Cristina Montero-Conde - , Instituto de Salud Carlos III (Autor:in)
  • Cristina Rodríguez-Antona - , Instituto de Salud Carlos III, CIBER - Centro de Investigación Biomédica en Red (Autor:in)
  • Óscar Llorca - , Instituto de Salud Carlos III (Autor:in)
  • Gromoslaw A. Smolen - , Agios Pharmaceuticals (Autor:in)
  • Mercedes Robledo - , Instituto de Salud Carlos III, CIBER - Centro de Investigación Biomédica en Red (Autor:in)
  • Alberto Cascón - , Instituto de Salud Carlos III, CIBER - Centro de Investigación Biomédica en Red (Autor:in)

Abstract

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 13C5-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.

Details

OriginalspracheEnglisch
Seiten (von - bis)651-664
Seitenumfang14
FachzeitschriftAmerican journal of human genetics
Jahrgang104
Ausgabenummer4
PublikationsstatusVeröffentlicht - 4 Apr. 2019
Peer-Review-StatusJa

Externe IDs

PubMed 30929736
ORCID /0000-0002-3549-2477/work/142244898

Schlagworte

Ziele für nachhaltige Entwicklung

ASJC Scopus Sachgebiete

Schlagwörter

  • cancer susceptibility gene, DLST, paraganglioma, pheochromocytoma, TCA cycle