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2017 ; 8
(14
): 22313-22324
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English Wikipedia
Anthracyclines suppress pheochromocytoma cell characteristics, including
metastasis, through inhibition of the hypoxia signaling pathway
#MMPMID28423608
Pang Y
; Yang C
; Schovanek J
; Wang H
; Bullova P
; Caisova V
; Gupta G
; Wolf KI
; Semenza GL
; Zhuang Z
; Pacak K
Oncotarget
2017[Apr]; 8
(14
): 22313-22324
PMID28423608
show ga
Pheochromocytomas (PHEOs) and paragangliomas (PGLs) are rare, neuroendocrine
tumors derived from adrenal or extra-adrenal chromaffin cells, respectively.
Metastases are discovered in 3-36% of patients at the time of diagnosis.
Currently, only suboptimal treatment options exist. Therefore, new therapeutic
compounds targeting metastatic PHEOs/PGLs are urgently needed. Here, we
investigated if anthracyclines were able to suppress the progression of
metastatic PHEO. We explored their effects on experimental mouse PHEO tumor cells
using in vitro and in vivo models, and demonstrated that anthracyclines,
particularly idarubicin (IDA), suppressed hypoxia signaling by preventing the
binding of hypoxia-inducible factor 1 and 2 (HIF-1 and HIF-2) to the hypoxia
response element (HRE) sites on DNA. This resulted in reduced transcriptional
activation of HIF target genes, including erythropoietin (EPO), phosphoglycerate
kinase 1 (PGK1), endothelin 1 (EDN1), glucose transporter 1 (GLUT1), lactate
dehydrogenase A (LDHA), and vascular endothelial growth factor (VEGFA), which
consequently inhibited the growth of metastatic PHEO. Additionally, IDA
downregulated hypoxia signaling by interfering with the transcriptional
activation of HIF1A and HIF2A. Furthermore, our animal model demonstrated the
dose-dependent suppressive effect of IDA on metastatic PHEO growth in vivo. Our
results indicate that anthracyclines are prospective candidates for inclusion in
metastatic PHEO/PGL therapy, especially in patients with gene mutations involved
in the hypoxia signaling pathway.