Management of phaeochromocytoma and paraganglioma in patients with germline SDHB pathogenic variants: an international expert Consensus statement.


Journal

Nature reviews. Endocrinology
ISSN: 1759-5037
Titre abrégé: Nat Rev Endocrinol
Pays: England
ID NLM: 101500078

Informations de publication

Date de publication:
14 Dec 2023
Historique:
accepted: 16 11 2023
medline: 15 12 2023
pubmed: 15 12 2023
entrez: 14 12 2023
Statut: aheadofprint

Résumé

Adult and paediatric patients with pathogenic variants in the gene encoding succinate dehydrogenase (SDH) subunit B (SDHB) often have locally aggressive, recurrent or metastatic phaeochromocytomas and paragangliomas (PPGLs). Furthermore, SDHB PPGLs have the highest rates of disease-specific morbidity and mortality compared with other hereditary PPGLs. PPGLs with SDHB pathogenic variants are often less differentiated and do not produce substantial amounts of catecholamines (in some patients, they produce only dopamine) compared with other hereditary subtypes, which enables these tumours to grow subclinically for a long time. In addition, SDHB pathogenic variants support tumour growth through high levels of the oncometabolite succinate and other mechanisms related to cancer initiation and progression. As a result, pseudohypoxia and upregulation of genes related to the hypoxia signalling pathway occur, promoting the growth, migration, invasiveness and metastasis of cancer cells. These factors, along with a high rate of metastasis, support early surgical intervention and total resection of PPGLs, regardless of the tumour size. The treatment of metastases is challenging and relies on either local or systemic therapies, or sometimes both. This Consensus statement should help guide clinicians in the diagnosis and management of patients with SDHB PPGLs.

Identifiants

pubmed: 38097671
doi: 10.1038/s41574-023-00926-0
pii: 10.1038/s41574-023-00926-0
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

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Auteurs

David Taïeb (D)

Department of Nuclear Medicine, Aix-Marseille University, La Timone University Hospital, Marseille, France.

Svenja Nölting (S)

Department of Endocrinology, Diabetology and Clinical Nutrition, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Department of Medicine IV, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.

Nancy D Perrier (ND)

Department of Surgical Oncology, MD Anderson Cancer Center, Houston, TX, USA.

Martin Fassnacht (M)

Department of Medicine, Division of Endocrinology and Diabetes, University Hospital, University of Würzburg, Würzburg, Germany.

Jorge A Carrasquillo (JA)

Molecular Imaging and Therapy Service, Radiology Department, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Ashley B Grossman (AB)

Green Templeton College, University of Oxford, Oxford, UK.
NET Unit, Royal Free Hospital, London, UK.

Roderick Clifton-Bligh (R)

Department of Endocrinology, Royal North Shore Hospital and Cancer Genetics Laboratory, Kolling Institute, University of Sydney, Sydney, New South Wales, Australia.

George B Wanna (GB)

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Zachary G Schwam (ZG)

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Laurence Amar (L)

Université Paris Cité, Inserm, PARCC, Equipe Labellisée par la Ligue contre le Cancer, Paris, France.
Hypertension Unit, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, Paris, France.

Isabelle Bourdeau (I)

Division of Endocrinology, Department of Medicine and Research Center, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada.

Ruth T Casey (RT)

Department of Medical Genetics, University of Cambridge, Cambridge Biomedical Campus, Cambridge, UK.

Joakim Crona (J)

Department of Medical Sciences, Uppsala University, Uppsala, Sweden.

Cheri L Deal (CL)

Research Center, CHU Sainte-Justine and Dept. of Paediatrics, University of Montreal, Montreal, Québec, Canada.

Jaydira Del Rivero (J)

Developmental Therapeutics Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.

Quan-Yang Duh (QY)

Department of Surgery, UCSF-Mount Zion, San Francisco, CA, USA.

Graeme Eisenhofer (G)

Institute of Clinical Chemistry and Laboratory Medicine, University Hospital Carl Gustav Carus at the TU Dresden, Dresden, Germany.

Tito Fojo (T)

Columbia University Irving Medical Center, New York City, NY, USA.
James J. Peters VA Medical Center, New York City, NY, USA.

Hans K Ghayee (HK)

Division of Endocrinology & Metabolism, Department of Medicine, University of Florida, Gainesville, FL, USA.
Malcom Randall VA Medical Center, Gainesville, FL, USA.

Anne-Paule Gimenez-Roqueplo (AP)

Université Paris Cité, Inserm, PARCC, Equipe Labellisée par la Ligue contre le Cancer, Paris, France.
Department of Oncogenetics and Cancer Genomic Medicine, AP-HP, Hôpital européen Georges Pompidou, Paris, France.

Antony J Gill (AJ)

University of Sydney, Sydney NSW Australia, Cancer Diagnosis and Pathology Group Kolling Institute of Medical Research, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
NSW Health Pathology Department of Anatomical Pathology, Royal North Shore Hospital, St Leonards, New South Wales, Australia.

Rodney Hicks (R)

Department of Medicine, St Vincent's Hospital Medical School, Melbourne, Victoria, Australia.

Alessio Imperiale (A)

Department of Nuclear Medicine and Molecular Imaging - Institut de Cancérologie de Strasbourg Europe (ICANS), IPHC, UMR 7178, CNRS, University of Strasbourg, Strasbourg, France.

Abhishek Jha (A)

Section on Medical Neuroendocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.

Michiel N Kerstens (MN)

Department of Endocrinology, University Medical Center Groningen, Groningen, Netherlands.

Ronald R de Krijger (RR)

Department of Pathology, University Medical Center Utrecht, Utrecht, Netherlands.
Princess Máxima Center for paediatric oncology, Utrecht, Netherlands.

André Lacroix (A)

Division of Endocrinology, Department of Medicine, Centre de recherche du Centre hospitalier de l'Université de Montréal, Université de Montréal, Montréal, Canada.

Ivica Lazurova (I)

Department of Internal Medicine 1, University Hospital, P.J. Šafárik University, Košice, Slovakia.

Frank I Lin (FI)

Molecular Imaging Program, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.

Charlotte Lussey-Lepoutre (C)

Université Paris Cité, Inserm, PARCC, Equipe Labellisée par la Ligue contre le Cancer, Paris, France.
Sorbonne University, Department of Nuclear Medicine, Pitié-Salpêtrière, Paris, France.

Eamonn R Maher (ER)

Department of Medical Genetics, University of Cambridge, Cambridge Biomedical Campus, Cambridge, UK.

Ozgur Mete (O)

Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.

Mitsuhide Naruse (M)

Clinical Research Institute of Endocrinology and Metabolism, National Hospital Organization Kyoto Medical Center and Endocrine Center, Kyoto, Japan.
Clinical Research Center, Ijinkai Takeda General Hospital, Kyoto, Japan.

Naris Nilubol (N)

Surgical Oncology Program, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.

Mercedes Robledo (M)

Hereditary Endocrine Cancer Group, Spanish National Cancer Research Center (CNIO), Madrid, Spain.
Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Institute of Health Carlos III (ISCIII), Madrid, Spain.

Frédéric Sebag (F)

Department of Endocrine Surgery, Aix-Marseille University, Conception Hospital, Marseille, France.

Nalini S Shah (NS)

Department of Endocrinology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Akiyo Tanabe (A)

Department of Diabetes, Endocrinology and Metabolism, National Center for Global Health and Medicine, Tokyo, Japan.

Geoffrey B Thompson (GB)

Division of Endocrine Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.

Henri J L M Timmers (HJLM)

Department of Internal Medicine, Radboud University Medical Center, Nijmegen, Netherlands.

Jiri Widimsky (J)

Third Department of Medicine, Department of Endocrinology and Metabolism of the First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

William J Young (WJ)

Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN, USA.

Leah Meuter (L)

Stanford University School of Medicine, Department of Physician Assistant Studies, Stanford, CA, USA.

Jacques W M Lenders (JWM)

Department of Internal Medicine, Radboud University Medical Center, Nijmegen, Netherlands.

Karel Pacak (K)

Section on Medical Neuroendocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA. karel@mail.nih.gov.

Classifications MeSH