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Recognizing hypoxia in phaeochromocytomas and paragangliomas

Studies uncovering the cellular mechanisms of adaptation to varying oxygen levels were recognized with the 2019 Nobel Prize in Physiology or Medicine. Here, we focus on the remarkable parallels between the pathways regulating oxygen availability and those driving rare neuroendocrine tumours, phaeochromocytomas and paragangliomas, and discuss the translational implications of this connection.

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References

  1. Kaelin, W. G. Jr, Ratcliffe, P. J. & Semenza, G. L. Pathways for oxygen regulation and homeostasis: the 2016 Albert Lasker Basic Medical Research Award. JAMA 316, 1252–1253 (2016).

    Article  Google Scholar 

  2. Dahia, P. L. et al. A HIF1alpha regulatory loop links hypoxia and mitochondrial signals in pheochromocytomas. PLoS Genet. 1, 72–80 (2005).

    Article  CAS  Google Scholar 

  3. Hammarlund, E. U., von Stedingk, K. & Påhlman, S. Refined control of cell stemness allowed animal evolution in the oxic realm. Nat. Ecol. Evol. 2, 220–228 (2018).

    Article  Google Scholar 

  4. Hanahan, D. & Weinberg, R. A. Hallmarks of cancer: the next generation. Cell 144, 646–74 (2011).

    Article  CAS  Google Scholar 

  5. Fishbein, L. et al. Comprehensive molecular characterization of pheochromocytoma and paraganglioma. Cancer Cell 31, 181–193 (2017).

    Article  CAS  Google Scholar 

  6. Zhuang, Z. et al. Somatic HIF2A gain-of-function mutations in paraganglioma with polycythemia. N. Engl. J. Med. 367, 922–930 (2012).

    Article  CAS  Google Scholar 

  7. Toledo, R. A. New HIF2alpha inhibitors: potential implications as therapeutics for advanced pheochromocytomas and paragangliomas. Endocr. Relat. Cancer 24, C9–C19 (2017).

    Article  CAS  Google Scholar 

  8. Saldana, M. J., Salem, L. E. & Travezan, R. High altitude hypoxia and chemodectomas. Hum. Pathol. 4, 251–263 (1973).

    Article  CAS  Google Scholar 

  9. Vaidya, A. et al. EPAS1 Mutations and paragangliomas in cyanotic congenital heart disease. N. Engl. J. Med. 378, 1259–1261 (2018).

    Article  Google Scholar 

  10. Courtney, K. D. et al. Phase I dose-escalation trial of PT2385, a first-in-class hypoxia-inducible factor-2alpha antagonist in patients with previously treated advanced clear cell renal cell carcinoma. J. Clin. Oncol. 36, 867–874 (2018).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

P.L.M.D. is the Charles Tucker Hayes Chair in Oncology and is supported by the NIH (GM114102), Alex’s Lemonade Stand Foundation for Childhood Cancer Innovation Award (co-funded by Flashes of Hope and Northwest Mutual) and National Center for Advancing Translational Sciences (UL1 TR002645). R.A.T. holds a Miguel Servet-I research contract by Institute of Health Carlos III (ISCIII) of the Ministry of Economy (CP17/00199) and Competitiveness; is supported by an Olga Torres Foundation emerging researcher grant and by the Swiss Bridge Award for cancer immunotherapy research; and received a research grant from Novartis.

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Correspondence to Patricia L. M. Dahia or Rodrigo A. Toledo.

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Dahia, P.L.M., Toledo, R.A. Recognizing hypoxia in phaeochromocytomas and paragangliomas. Nat Rev Endocrinol 16, 191–192 (2020). https://doi.org/10.1038/s41574-020-0324-1

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