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Abstract #0427

Metabolomic assessment of succinate dehydrogenase dysfunction in pheochromocytomas and paragangliomas by 1H-HRMAS NMR spectroscopy: clinical and pathophysiological implications

Alessio Imperiale 1,2 , Stphanie Battini 1 , Philippe Roche 3 , Franois-Marie Moussallieh 1 , Ercument A Cicek 4 , Frdric Sebag 5 , Laurent Brunaud 6 , Anne Barlier 7 , Karim Elbayed 1 , Anderson Loundou 8 , Philippe Bachellier 9 , Bernard Goichot 10 , Constantine A Stratakis 11,12 , Karel Pacak 13,14 , David Taieb 15 , and Izzie-Jacques Namer 1,2

1 ICube laboratory UMR 7357, University of Strasbourg/CNRS and FMTS, Strasbourg, France, 2 University Hospitals of Strasbourg, Department of Biophysics and Nuclear Medicine, Hautepierre Hospital, Strasbourg, France, 3 Integrative Structural & Chemical Biology (iSCB) & INT-3D Molecular Modeling Platform, Cancer Resear, CNRS UMR7258; INSERM U1068; Institut Paoli Calmettes; Aix-Marseille University UM105, Marseille, France, 4 Lane Center for Computational Biology, School of Computer Science, Carnegie Mellon University, 5000 Forbes Ave, Pittsburgh, PA 15222, United States, 5 Department of Endocrine Surgery, La Timone University Hospital, Aix-Marseille University, Marseille, France, 6 Department of Digestive, Hepato-Biliary and Endocrine Surgery, Brabois University Hospital, Nancy, France, 7 Laboratory of Biochemistry and Molecular Biology, Conception Hospital, Aix-Marseille, University, Marseille, France, 8 Department of Public Health, Aix-Marseille University, Marseille, France, 9 Department of Visceral Surgery and Transplantation, Hautepierre Hospital, University Hospitals of Strasbourg, Strasbourg, France, 10 Department of Internal Medicine, Diabetes and Metabolic Disorders, Hautepierre Hospital, University Hospitals of Strasbourg, Strasbourg, France, 11 Section on Genetics and Endocrinology (SEGEN), Program on Developmental Endocrinology and Genetics (PDEGEN), Bethesda, United States, 12 Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States, 13 Program in Reproductive and Adult Endocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, United States, 14 National Institutes of Health, Bethesda, United States, 15 La Timone University Hospital, European Center for Research in Medical Imaging, Marseille, France

Pheochromocytomas/paragangliomas (PHEOs/PGLs) are characterized by high genetic heterogeneity. Mutations in succinate dehydrogenase genes (SDHx) increase susceptibility to develop PHEOs/PGLs. The SDHx genes encode the SDH enzyme that catalyzes the oxidation of succinate to fumarate in the tricarboxylic acid cycle (TCA) and the respiratory chain. The aim of the present study was to investigate the HRMAS NMR-based metabolomic profiling of PHEOs/PGLs in order to: (a) define the global metabolomic profile of the SDH-related PHEOs/PGLs in comparison to sporadic tumors and (b) identify metabolites that could be used as clinical predictors of SDH deficiency

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