2015
DOI: 10.1007/s12672-015-0231-4
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Pheochromocytoma: Gasping for Air

Abstract: There has been increasing evidence that pseudohypoxia--a phenomenon that we refer to as "gasping for air"--along with mitochondrial enzyme dysregulation play a crucial role in tumorigenesis, particularly in several hereditary pheochromocytomas (PHEOs) and paragangliomas (PGLs). Alterations in key tricarboxylic acids (TCA) cycle enzymes (SDH, FH, MDH2) have been shown to induce pseudohypoxia via activation of the hypoxia-inducible transcription factor (HIF) signaling pathway that is involved in tumorigenesis, i… Show more

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Cited by 30 publications
(28 citation statements)
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References 210 publications
(155 reference statements)
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“…For instance, mutations in genes encoding the succinate dehydrogenase (SDH) complex subunits ( SDHx: SDHA, SDHB, SDHC, SDHD ), fumarate hydratase ( FH ), isocitrate dehydrogenase ( IDH ), and malate dehydrogenase ( MDH ) are known to cause accumulation of Krebs cycle metabolites/substrates, such as succinate, pyruvate, fumarate, citrate, or glutamine, which can promote tumorigenesis via generation of pseudohypoxic state (i.e. hypoxia-inducible factors (HIFs) signaling activation), epigenetic alterations, and dysregulation of other metabolic processes; reviewed in (24). …”
Section: Mitochondria Krebs Cycle and Cancer Cell Metabolismmentioning
confidence: 99%
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“…For instance, mutations in genes encoding the succinate dehydrogenase (SDH) complex subunits ( SDHx: SDHA, SDHB, SDHC, SDHD ), fumarate hydratase ( FH ), isocitrate dehydrogenase ( IDH ), and malate dehydrogenase ( MDH ) are known to cause accumulation of Krebs cycle metabolites/substrates, such as succinate, pyruvate, fumarate, citrate, or glutamine, which can promote tumorigenesis via generation of pseudohypoxic state (i.e. hypoxia-inducible factors (HIFs) signaling activation), epigenetic alterations, and dysregulation of other metabolic processes; reviewed in (24). …”
Section: Mitochondria Krebs Cycle and Cancer Cell Metabolismmentioning
confidence: 99%
“…These effects are, in part, mediated through oxygen independent HIF-α stabilization and activation of HIF signaling. Decreased oxygen availability (hypoxia) or conditions leading to stabilization of HIF-α, even in the presence of sufficient amount of oxygen (pseudohypoxia), trigger the switch of metabolism from OXPHOS to glycolysis (18, 24, 43, 44). …”
Section: Mitochondria Krebs Cycle and Cancer Cell Metabolismmentioning
confidence: 99%
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“…It has been shown that hypoxia-induced calcium levels and responses are mediated preferentially by IP 3 receptors [17,18]. Activation of the hypoxia-inducible transcription factor (HIF) signaling pathway is also involved in the tumorigenesis, invasiveness, and metastatic spread [19,20]. Activated hypoxic pathways are associated with resistance to various cancer therapies and significantly worsen the patient's prognosis.…”
Section: Introductionmentioning
confidence: 99%
“…Mutations or loss of heterozygosity of the genes SDHA, SDHB, SDHC, and SDHD have been described in paragangliomas, pheochromocytomas [19,20,21,22], renal cell carcinoma [19,23,24], gastrointestinal carcinoma [19], familial pheochromocytoma and paraganglioma [14,24,25,26,27], Cowden's syndrome [22,23], medullar [1,19] and papillary thyroid carcinoma [14,19,24], and more recently pituitary adenomas [28,29,30]. …”
Section: Introductionmentioning
confidence: 99%