The Role of the Metabolome and Non-Coding RNA on Pheochromocytomas and Paragangliomas: An Update
Bruno Bouça1,2, Paula Bogalho1,2, Manfredi Rizzo3
1Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar Universitário Lisboa Central, 1069-166 Lisbon, Portugal.
Abstract:
Pheochromocytoma and paragangliomas (PPGL) are rare neuroendocrine tumors. In some patients they exhibit malignant behavior characterized by the presence of metastases, limiting treatment options and survival rates. Therapeutic options are limited to surgery, localized radiotherapy, and a few systemic therapies. However, in several recent studies, non-coding RNA molecules are gaining increasing attention as markers of malignancy for PPGL. The understanding of PPGL development molecular mechanisms has improved in the last years, with some of the epigenetic regulatory mechanisms such as DNA and histones methylation, being better understood than RNA-based mechanisms. Metabolome deregulation in PPGL, with increased synthesis of molecules that facilitated tumor growth, results from the activation of hypoxia signaling pathways, affecting tumorigenesis. In addition, the assessment of these metabolites can be useful for the management of these tumors. This review summarizes recent discoveries linking metabolome and non-coding RNA to PPGL and their relevance for diagnosis and therapeutics.
Insights
This review highlights non-coding RNAs and metabolome deregulation in pheochromocytoma and paragangliomas (PPGL). These factors are crucial for understanding PPGL malignancy, diagnosis, and developing new therapeutic strategies.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Pheochromocytoma and paragangliomas (PPGL) are rare neuroendocrine tumors with limited treatment options when malignant.
- Malignant PPGL are characterized by metastases, reduced survival rates, and few therapeutic interventions.
Purpose of the Study:
- To review recent discoveries linking non-coding RNA and metabolome alterations to PPGL.
- To explore the relevance of these molecular mechanisms for PPGL diagnosis and therapeutics.
Main Methods:
- Literature review of recent studies on PPGL molecular mechanisms.
- Focus on non-coding RNA, epigenetic modifications, and metabolome deregulation.
- Analysis of hypoxia signaling pathways in PPGL tumorigenesis.
Main Results:
- Non-coding RNAs are emerging as significant markers for PPGL malignancy.
- Metabolome deregulation, driven by hypoxia pathways, promotes PPGL growth.
- Metabolite assessment shows potential for PPGL management.
Conclusions:
- Understanding non-coding RNA and metabolome is key to advancing PPGL diagnosis and treatment.
- Further research into these molecular pathways can lead to novel therapeutic strategies for malignant PPGL.
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