PMID- 31979226 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 12 IP - 2 DP - 2020 Jan 23 TI - Targeting NRF2-Governed Glutathione Synthesis for SDHB-Mutated Pheochromocytoma and Paraganglioma. LID - 10.3390/cancers12020280 [doi] LID - 280 AB - Succinate dehydrogenase subunit B (SDHB) deficiency frequently occurs in cluster I pheochromocytomas and paragangliomas (PCPGs). SDHB-mutated PCPGs are characterized by alterations in the electron transport chain, metabolic reprogramming of the tricarboxylic cycle, and elevated levels of reactive oxygen species (ROS). We discovered that SDHB-deficient PCPG cells exhibit increased oxidative stress burden, which leads to elevated demands for glutathione metabolism. Mechanistically, nuclear factor erythroid 2-related factor 2 (NRF2)-guided glutathione de novo synthesis plays a key role in supporting cellular survival and the proliferation of SDHB-knockdown (SDHB(KD)) cells. NRF2 blockade not only disrupted ROS homeostasis in SDHB-deficient cells but also caused severe cytotoxicity by the accumulation of DNA oxidative damage. Brusatol, a potent NRF2 inhibitor, showed a promising effect in suppressing SDHB(KD) metastatic lesions in vivo, with prolonged overall survival in mice bearing PCPG allografts. Our findings highlight a novel therapeutic strategy of targeting the NRF2-driven glutathione metabolic pathway against SDHB-mutated PCPG. FAU - Liu, Yang AU - Liu Y AD - Neuro-Oncology Branch Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA. FAU - Pang, Ying AU - Pang Y AD - Section on Medical Neuroendocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA. FAU - Caisova, Veronika AU - Caisova V AD - Section on Medical Neuroendocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA. FAU - Ding, Jianyi AU - Ding J AD - Neuro-Oncology Branch Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA. FAU - Yu, Di AU - Yu D AD - Neuro-Oncology Branch Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA. FAU - Zhou, Yiqiang AU - Zhou Y AD - Neuro-Oncology Branch Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA. FAU - Huynh, Thanh-Truc AU - Huynh TT AD - Section on Medical Neuroendocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA. FAU - Ghayee, Hans AU - Ghayee H AD - Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL 32610, USA. AD - Malcom Randall VA Medical Center, Gainesville, FL 32608, USA. FAU - Pacak, Karel AU - Pacak K AD - Section on Medical Neuroendocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA. FAU - Yang, Chunzhang AU - Yang C AD - Neuro-Oncology Branch Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA. LA - eng PT - Journal Article DEP - 20200123 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC7072390 OTO - NOTNLM OT - NRF2 OT - SDHB mutation OT - glutathione metabolism OT - paraganglioma OT - pheochromocytoma COIS- The authors declare no conflict of interest. EDAT- 2020/01/26 06:00 MHDA- 2020/01/26 06:01 PMCR- 2020/01/23 CRDT- 2020/01/26 06:00 PHST- 2020/01/14 00:00 [received] PHST- 2020/01/20 00:00 [revised] PHST- 2020/01/21 00:00 [accepted] PHST- 2020/01/26 06:00 [entrez] PHST- 2020/01/26 06:00 [pubmed] PHST- 2020/01/26 06:01 [medline] PHST- 2020/01/23 00:00 [pmc-release] AID - cancers12020280 [pii] AID - cancers-12-00280 [pii] AID - 10.3390/cancers12020280 [doi] PST - epublish SO - Cancers (Basel). 2020 Jan 23;12(2):280. doi: 10.3390/cancers12020280.