Cited by 232Adrenal and Paraganglionic TumorsCancer, Hypoxia, and MetabolismEar and Head Tumors

The Warburg effect is genetically determined in inherited pheochromocytomas

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Favier, Judith, Brière, Jean-Jacques, Burnichon, Nelly, Rivière, Julie, Vescovo, Laure, Benit, Paule, Giscos-Douriez, Isabelle, De Reyniès, Aurélien +9 more·2009·PLoS ONE

Abstract

The Warburg effect describes how cancer cells down-regulate their aerobic respiration and preferentially use glycolysis to generate energy. To evaluate the link between hypoxia and Warburg effect, we studied mitochondrial electron transport, angiogenesis and glycolysis in pheochromocytomas induced by germ-line mutations in VHL, RET, NF1 and SDH genes. SDH and VHL gene mutations have been shown to lead to the activation of hypoxic response, even in normoxic conditions, a process now referred to as pseudohypoxia. We observed a decrease in electron transport protein expression and activity, associated with increased angiogenesis in SDH- and VHL-related, pseudohypoxic tumors, while stimulation of glycolysis was solely observed in VHL tumors. Moreover, microarray analyses revealed that expression of genes involved in these metabolic pathways is an efficient tool for classification of pheochromocytomas in accordance with the predisposition gene mutated. Our data suggest an unexpected association between pseudohypoxia and loss of p53, which leads to a distinct Warburg effect in VHL-related pheochromocytomas.

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Crossref · 10.1371/journal.pone.0007094

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  • The tumorigenesis of pheochromocytomas, paragangliomas, and neuroblastomas seems to involve aberrant HIF-2 signaling, resulting in pseudohypoxic phenotypes linked to disseminated disease.

    “Interestingly, the tumorigenesis of these closely related tumors seems to involve aberrant HIF-2 signaling, resulting in pseudohypoxic phenotypes linked to disseminated disease (Eisenhofer et al., 2004;Pietras et al., 2008;Favier et al., 2009).”

    From Therapeutic targeting of hypoxia and hypoxia-inducible factors in cancer (2016) · cites this paper as Favier et al., 2009

    The Results (Evaluation of HIFs Expression and Angiogenesis in PH/PGL; page unavailable) report elevated HIF-2α in VHL- and SDH-related pheochromocytomas and paragangliomas, and the Discussion links HIF-2α to their pseudohypoxic pathway. The Discussion mentions HIF-2α observations in neuroblastoma, but this paper does not establish the proposed tumorigenic mechanism in neuroblastoma or link these pseudohypoxic phenotypes to disseminated disease. (LLM, conf=0.86)

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  1. [36]Herfarth KK Wick MR Marshall HN Gartner E Lum S 1997 Absence of TP53 alterations in pheochromocytomas and medullary thyroid carcinomas. Genes Chromosomes Cancer 20 24 29 9290950

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Authors
Favier, J., Brière, J.-J., Burnichon, N., Rivière, J., Vescovo, L., Benit, P., Giscos-Douriez, I., De Reyniès, A., Bertherat, J., Badoual, C., Tissier, F., Amar, L., Libé, R., Plouin, P.-F., Jeunemaitre, X., Rustin, P., & Gimenez-Roqueplo, A.-P.
Affiliations
  • Inserm (FR)
  • La Ligue Contre le Cancer (FR)
  • Assistance Publique – Hôpitaux de Paris (FR)
  • Hôpital Cochin (FR)
Corresponding author
Favier, Judith
Venue
PLoS ONE
Published
2009-09-18
Volume
4
Issue
9
Pages
e7094
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2063687158
Cited by
232
References
42
Citations by year
2026: 7 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 10 · 2021: 7 · 2020: 12 · 2019: 13 · 2018: 14 · 2017: 11 · 2016: 15 · 2015: 28 · 2014: 27 · 2013: 16 · 2012: 27
FWCI
20.62
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Association pour la Recherche sur le Cancer
  • Agence Nationale de la Recherche
  • GIS-Institut des Maladies Rares
Topics
  • Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
  • Health Sciences › Medicine › Oncology › Ear and Head Tumors
Keywords
Warburg effect, pheochromocytoma, pseudohypoxia, VHL gene, SDH genes, RET proto-oncogene, NF1 gene, mitochondrial electron transport chain, angiogenesis, glycolysis, p53 deficiency, cancer metabolism, germline mutations, gene expression profiling
MeSH terms
Adolescent, Adult, Aged, Hypoxia, Child, Electron Transport, Female, Glycolysis, Humans, Male, Middle Aged, Mitochondria, Neovascularization, Pathologic, Oxidative Phosphorylation, Pheochromocytoma, Genes, p53, Germ-Line Mutation, Oligonucleotide Array Sequence Analysis

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