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Updated: May 30, 2026

Engineering Oncogenic Heterozygous Gain-of-Function Mutations in Human Hematopoietic Stem and Progenitor Cells
Published on: March 10, 2023
SDH mutations in cancer
Chiara Bardella1, Patrick J Pollard, Ian Tomlinson
1Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, OX3 7BN, UK.
Abstract:
The SDHA, SDHB, SDHC, SDHD genes encode the four subunits of succinate dehydrogenase (SDH; mitochondrial complex II), a mitochondrial enzyme involved in two essential energy-producing metabolic processes of the cell, the Krebs cycle and the electron transport chain. Germline loss-of-function mutations in any of the SDH genes or assembly factor (SDHAF2) cause hereditary paraganglioma/phaeochromocytoma syndrome (HPGL/PCC) through a mechanism which is largely unknown. Owing to the central function of SDH in cellular energy metabolism it is important to understand its role in tumor suppression. Here is reported an overview of genetics, clinical and molecular progress recently performed in understanding the basis of HPGL/PCC tumorigenesis.
Insights
Succinate dehydrogenase (SDH) gene mutations cause hereditary paraganglioma/pheochromocytoma syndrome (HPGL/PCC). This review overviews recent genetic, clinical, and molecular advances in understanding HPGL/PCC tumorigenesis.
Area of Science:
- Biochemistry
- Genetics
- Oncology
Background:
- Succinate dehydrogenase (SDH), also known as mitochondrial complex II, is crucial for cellular energy metabolism, linking the Krebs cycle and electron transport chain.
- Germline loss-of-function mutations in SDHA, SDHB, SDHC, SDHD genes, or the SDHAF2 assembly factor, lead to hereditary paraganglioma/pheochromocytoma syndrome (HPGL/PCC).
- The precise mechanisms by which SDH dysfunction drives tumorigenesis remain largely undetermined, highlighting a critical knowledge gap.
Purpose of the Study:
- To provide a comprehensive overview of recent advancements in the genetics, clinical manifestations, and molecular underpinnings of HPGL/PCC.
- To elucidate the role of SDH in tumor suppression, given its central function in cellular metabolism.
- To consolidate current knowledge on HPGL/PCC tumorigenesis for researchers and clinicians.
Main Methods:
- Review of recent scientific literature focusing on SDH genetics, clinical outcomes, and molecular biology of HPGL/PCC.
- Analysis of genetic mutations in SDHA, SDHB, SDHC, SDHD, and SDHAF2 associated with HPGL/PCC.
- Integration of clinical data and molecular findings to understand disease pathogenesis.
Main Results:
- Identification of specific germline mutations in SDH genes and SDHAF2 as causative for HPGL/PCC.
- Elucidation of the link between SDH dysfunction and the development of paragangliomas and pheochromocytomas.
- Emerging insights into the molecular pathways affected by SDH mutations, potentially involving cellular metabolism and signaling.
Conclusions:
- SDH gene mutations are definitively linked to HPGL/PCC, underscoring their role as tumor suppressors.
- Continued research into the molecular mechanisms of SDH-deficient tumors is essential for developing targeted therapies.
- This overview synthesizes current progress, providing a foundation for future investigations into HPGL/PCC.
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