2017
DOI: 10.1007/s00432-017-2355-0
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Genetic and epigenetic patterns in patients with the head-and-neck paragangliomas associate with differential clinical characteristics

Abstract: Our results suggested that epigenetic inactivation on multiple TSGs may serve as a key mechanism for the progressive behaviors of SDH-mutated HNPGLs. Thus, an interplay between genetic status, epigenetic alterations, and clinical features might be established in the disease.

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Cited by 9 publications
(7 citation statements)
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“…The SDHx mutations in pheochromocytomas (PCCs) and PGLs lead to elevated succinate levels that mediate inhibition of 2-OG-dependent histone and DNA demethylases, thereby causing a CpG island methylator phenotype (CIMP), defined as the methylation of CpG islands of multiple tumor-suppressor genes (TSGs) [16] . The epigenetic inactivation on multiple TSGs may serve as a key mechanism for the progressive behaviors of SDH-mutated HNPGLs as reported in our previous study [2] .…”
Section: Introductionsupporting
confidence: 61%
See 1 more Smart Citation
“…The SDHx mutations in pheochromocytomas (PCCs) and PGLs lead to elevated succinate levels that mediate inhibition of 2-OG-dependent histone and DNA demethylases, thereby causing a CpG island methylator phenotype (CIMP), defined as the methylation of CpG islands of multiple tumor-suppressor genes (TSGs) [16] . The epigenetic inactivation on multiple TSGs may serve as a key mechanism for the progressive behaviors of SDH-mutated HNPGLs as reported in our previous study [2] .…”
Section: Introductionsupporting
confidence: 61%
“…Paragangliomas (PGLs) are highly vascularized neoplasms arising from the neural crest chief cells associated with the parasympathetic (mainly head and neck) or sympathoadrenal (mainly truncal) lineage [1] . The head and neck PGLs (HNPGLs) originate preferentially from the carotid body and the jugular, tympanic, and vagal paraganglia [2] . HNPGLs are generally weakly metastatic, but they infiltrate the adjacent neurovascular structures of the skull base, causing significant morbidities.…”
Section: Introductionmentioning
confidence: 99%
“…In a study by Chen et al [ 22 ], the methylation status of a panel of TSGs ( p16, HIC1, DcR1, DcR2, DR4, DR5, CASP8, HSP47, MGMT , and RASSF1A ) has been determined and compared in HNPGLs with and without SDH mutations. A correlation between the methylation index (MI) and the presence of germline mutations was observed.…”
Section: Resultsmentioning
confidence: 99%
“…When a mutation is detected in a susceptibility gene such as VHL , SDH, or the recently discovered MDH2 , a search for common co-occurring tumors is indicated [ 20 , 21 ]. Mutation in the SDHB subunit is also associated with the risk for malignancy and worse prognosis [ 3 , 10 , 22 , 23 ]. In 50% of patients with metastatic disease, a mutation in the SDHB gene was found.…”
Section: Introductionmentioning
confidence: 99%
“…Germline and somatic variants in SDHx genes are often found in head and neck paragangliomas [17, 18]. These genes encode the four subunits (SDHA, SDHB, SDHC, and SDHD) of succinate dehydrogenase (SDH), also known as the mitochondrial complex II.…”
Section: Introductionmentioning
confidence: 99%