2005
DOI: 10.1016/s0022-5347(18)35532-0
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1398: Hereditary Leiomyomatosis and Renal Cell Cancer (HLRCC): An Aggressive form of Inherited Renal Cancer

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“…In this disease, mutation of the tricarboxylic acid (TCA) cycle enzyme fumarate hydratase ( FH ) causes the hyperaccumulation of fumarate, an “oncometabolite” that can directly alter gene‐expression programs . HLRCC tumors are highly invasive and prone to metastasis, and the current standard of care is aggressive surgical resection . In addition to FH ′s driver role in HLRCC, dysregulated levels of fumarate have been implicated in several pathophysiological contexts, including diabetes, non‐hereditary kidney cancer, neuroblastoma, colorectal cancer, and tumors of the adrenal gland .…”
Section: Methodsmentioning
confidence: 99%
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“…In this disease, mutation of the tricarboxylic acid (TCA) cycle enzyme fumarate hydratase ( FH ) causes the hyperaccumulation of fumarate, an “oncometabolite” that can directly alter gene‐expression programs . HLRCC tumors are highly invasive and prone to metastasis, and the current standard of care is aggressive surgical resection . In addition to FH ′s driver role in HLRCC, dysregulated levels of fumarate have been implicated in several pathophysiological contexts, including diabetes, non‐hereditary kidney cancer, neuroblastoma, colorectal cancer, and tumors of the adrenal gland .…”
Section: Methodsmentioning
confidence: 99%
“…Second, increased reaction with fumarate might limit the consumption of nitrileimines by abundant water molecules, thereby reducing background fluorescence and increasing sensitivity. Third, the stable nature of tetrazoles could facilitate their delivery to the mitochondria, where FH activity resides and undergoes disruption in HLRCC . This last advantage holds promise both from the perspective of increasing the selectivity of this method, by allowing fumarate to be differentiated from non‐mitochondrial dipolarophiles, as well as for its potential to enable profiling of FH mutational status in living cells.…”
Section: Methodsmentioning
confidence: 99%