Brief Report: PHD2 Mutation and Congenital Erythrocytosis with Paraganglioma

被引:258
作者
Ladroue, Charline [1 ,3 ,4 ]
Carcenac, Romain [1 ,3 ,4 ]
Leporrier, Michel [5 ]
Gad, Sophie [1 ,3 ,4 ]
Le Hello, Claire [6 ]
Galateau-Salle, Francoise [7 ]
Feunteun, Jean [3 ,4 ]
Pouyssegur, Jacques [8 ]
Richard, Stephane [1 ,2 ,3 ,4 ,9 ]
Gardie, Betty [1 ,3 ,4 ]
机构
[1] Univ Paris 11, Fac Med Paris Sud, Genet Oncol EPHE, F-94276 Le Kremlin Bicetre, France
[2] CHU Bicetre, Serv Urol, Ctr Pilote Tumeurs Rares, Inst Natl Canc & Assistance Publ Hop Paris, F-94276 Le Kremlin Bicetre, France
[3] Inst Gustave Roussy, Ecole Prat Hautes Etud, Villejuif, France
[4] Inst Gustave Roussy, CNRS, FRE 2939, Villejuif, France
[5] CHU Caen, Serv Hematol Clin, F-14000 Caen, France
[6] CHU Caen, Serv Chirurg Thorac & Cardiovasc, F-14000 Caen, France
[7] CHU Caen, Lab Anat & Cytol Pathol, F-14000 Caen, France
[8] Univ Nice, Inst Dev Biol & Canc Res, CNRS, UMR 6543, Nice, France
[9] Hop Necker Enfants Malad, Serv Nephrol, Paris, France
关键词
D O I
10.1056/NEJMoa0806277
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Prolyl hydroxylase domain (PHD) proteins play a major role in regulating the hypoxia-inducible factor (HIF) that induces expression of genes involved in angiogenesis, erythropoiesis, and cell metabolism, proliferation, and survival. Germ-line mutations in the prolyl hydroxylase domain 2 gene (PHD2) have been reported in patients with familial erythrocytosis but not in association with tumors. We describe a patient with erythrocytosis and recurrent paraganglioma who carries a newly discovered PHD2 mutation. This mutation affects PHD2 function and stabilizes HIF-(alpha) proteins. In addition, we demonstrate loss of heterozygosity of PHD2 in the tumor, suggesting that PHD2 could be a tumor-suppressor gene.
引用
收藏
页码:2685 / 2692
页数:8
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