SDHB-Deficient Cancers: The Role of Mutations That Impair Iron Sulfur Cluster Delivery

Abstract

Insights

Mutations in the SDHB gene disrupt iron-sulfur cluster assembly, leading to succinate accumulation and metabolic changes in familial cancer syndromes. This study clarifies how specific SDHB mutations cause loss of function and drive cancer development.

Area of Science:

  • Biochemistry
  • Oncology
  • Metabolomics

Background:

  • Mutations in the succinate dehydrogenase subunit B (SDHB) are linked to familial cancer syndromes.
  • The cochaperone HSC20 binds to the L(I)YR tripeptide motif in SDHB, crucial for iron-sulfur (Fe-S) cluster acquisition.

Purpose of the Study:

  • To investigate the metabolic consequences of SDHB mutations in cancer.
  • To analyze the mechanisms of Fe-S cluster assembly and SDH function in the context of cancer-associated SDHB mutations.

Main Methods:

  • Stable isotope-resolved metabolomics was performed on a novel SDHB-deficient renal cell carcinoma cell line.
  • Bioinformatics and biochemical screening were used to analyze Fe-S cluster acquisition and SDH assembly.

Main Results:

  • The SDHB R46Q mutation impaired HSC20 binding, leading to SDHB degradation and loss of cellular respiration.
  • SDH deficiency resulted in elevated succinate levels and metabolic reprogramming, with glutamine becoming the primary source for the TCA cycle via reductive carboxylation.
  • Hypoxia-inducible factor 1-alpha (HIF1α) increased, and a strong DNA CpG island methylator phenotype (CIMP) was observed.
  • 37% of disease-causing SDHB missense mutations were located in Fe-S transfer motifs or Fe-S cluster-ligating cysteines.

Conclusions:

  • Specific SDHB mutations can disproportionately impair SDH activity by disrupting Fe-S cluster assembly.
  • Succinate accumulation and subsequent metabolic remodeling are key events in SDHB-deficient cancers.
  • These findings offer a framework for understanding the pathogenesis of SDHB-related cancer syndromes.

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