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Original Article |
Département de Génétique Moléculaire (A.-P.G.-R., C.R., X.J.), Hôpital Européen Georges Pompidou, Assistance Publique/Hôpitaux de Paris, Paris; Institut National de la Santé et de la Recherche Médicale (INSERM) U36 (J.F., X.J.), Collège de France, Paris; INSERM U393 (P.R., A.R.), Hôpital des Enfants Malades, Paris; Service dEndocrinologie (V.K.), Hôpital de la Cavale Blanche, Brest, France; and Service dHypertension Artérielle (P.-F.P.), Hôpital Européen Georges Pompidou, Paris, France
Address all correspondence and requests for reprints to: Dr. Anne-Paule Gimenez-Roqueplo, Département de Génétique Moléculaire, Hôpital Européen Georges Pompidou, 2040, rue Leblanc, 75015 Paris, France. E-mail: Anne-Paule.Gimenez{at}hop.egp.ap-hop-paris.fr.
Abstract
Three genes encoding for mitochondrial complex II proteins are linked to hereditary paraganglioma. We have recently shown that an inactivation of the SDHD gene is associated with a complete loss of mitochondrial complex II activity and a stimulation of the angiogenic pathway (Gimenez-Roqueplo, A. P., J. Favier, P. Rustin, J. J. Mourad, P. F. Plouin, P. Corvol, A. Rötig, and X. Jeunemaitre, 2001, Am J Hum Genet 69:11861197). Here, we relate the case of a malignant sporadic pheochromocytoma induced by a germline missense mutation of the SDHB gene. Within the tumor, a loss of heterozygosity at chromosome 1pter led to a null SDHB allele and to a complete loss of complex II enzymatic activity. In situ hybridization and immunohistochemistry experiments showed a high expression of hypoxic-angiogenic responsive genes, similar to that previously observed in inherited-SDHD tumors. This observation highlights the role of the complex II mitochondrial genes in the oxygen-sensing pathway and in the regulation of angiogenesis of neural crest-derived tumors.
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