Biology:SDHA

From HandWiki
  1. SDHA converts succinate to fumarate as part of the citric acid cycle. This reaction also converts FAD to FADH2.
  2. Electrons from the FADH2 are transferred to the SDHB subunit iron clusters [2Fe-2S],[4Fe-4S],[3Fe-4S]. This function is part of the Respiratory chain
  3. Finally the electrons are transferred to the Ubiquinone (Q) pool via the SDHC/SDHD subunits.

Clinical significance

Because of the complexity of SDHA's locus, SDHA was rarely analyzed,[1] but in an increasing amount of research, it's been found that mutations in SDHA are pathogenic for a number of conditions, including hereditary pheochromocytoma-paraganglioma (PPGL) syndrome, mitochondrial complex II deficiency, gastrointestinal stromal tumors, Leigh syndrome, dilated cardiomyopathy, and possible relation with pituitary adenomas, adrenal carcinomas, and other neuroendocrine tumors.[2] Hereditary PPGL syndrome associated with mutations in SDHA is called "Paragangliomas 5" with likely lower penetrance than other SDHx mutations.[3]

Bi-allelic mutations in SDHA are known to be pathogenic for infant or early childhood Leigh syndrome, a progressive brain disorder.[4][5][6] It is not known, however, how mutations in the SDHA gene are related to the specific features of Leigh syndrome. There is some link between Leigh syndrome as a phenotype of mitochondrial complex II deficiency, but both can occur without the other as relating to SDHA mutations.[7]

SDHA is a tumour suppressor gene, and heterozygous carriers have an increased risk of paragangliomas as well as pheochromocytomas and renal cancer.[8] Risk management for heterozygous carriers of an SDHA mutation typically involve monitoring via annual urine tests for metanephrines and catecholamines as well as non-radiation imaging such as MRIs. PET scans and radiation imaging are used but should be limited to prevent radiation exposure.[9]

Interactive pathway map

Click on genes, proteins and metabolites below to link to respective articles. [§ 1]

[[File:
TCACycle_WP78go to articlego to articlego to articlego to articlego to HMDBgo to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to HMDBgo to articlego to articlego to HMDBgo to articlego to articlego to HMDBgo to articlego to articlego to HMDBgo to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to WikiPathwaysgo to articlego to articlego to articlego to article
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TCACycle_WP78go to articlego to articlego to articlego to articlego to HMDBgo to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to HMDBgo to articlego to articlego to HMDBgo to articlego to articlego to HMDBgo to articlego to articlego to HMDBgo to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to articlego to WikiPathwaysgo to articlego to articlego to articlego to article
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TCA Cycle edit
  1. The interactive pathway map can be edited at WikiPathways: "TCACycle_WP78". http://www.wikipathways.org/index.php/Pathway:WP78. 

References

  1. "Loss of expression of SDHA predicts SDHA mutations in gastrointestinal stromal tumors". Mod Pathol 26 (2): 289–94. February 2013. doi:10.1038/modpathol.2012.153. PMID 22955521. 
  2. "SDHA[gene ▶ GRCh37"]. ClinVar. National Library of Medicine. https://www.ncbi.nlm.nih.gov/clinvar/?term=SDHA%5Bgene%5D&redir=gene. 
  3. "Clinical Aspects of SDHA-Related Pheochromocytoma and Paraganglioma: A Nationwide Study". J Clin Endocrinol Metab 103 (2): 438–445. February 2018. doi:10.1210/jc.2017-01762. PMID 29177515. 
    "CORRIGENDUM FOR "Clinical Aspects of SDHA-Related Pheochromocytoma and Paraganglioma: A Nationwide Study"". J Clin Endocrinol Metab 103 (5): 2077. May 2018. doi:10.1210/jc.2018-00533. PMID 29538659. 
  4. "Leigh syndrome" (in en). U.S. National Library of Medicine. https://medlineplus.gov/genetics/condition/leigh-syndrome/. 
  5. "Phenotypic variability of mitochondrial disease caused by a nuclear mutation in complex II". Molecular Genetics and Metabolism 89 (3): 214–21. November 2006. doi:10.1016/j.ymgme.2006.05.003. PMID 16798039. 
  6. "Homozygous Gly555Glu mutation in the nuclear-encoded 70 kDa flavoprotein gene causes instability of the respiratory chain complex II". American Journal of Medical Genetics. Part A 120A (1): 13–8. July 2003. doi:10.1002/ajmg.a.10202. PMID 12794685. 
  7. "The genetic basis of isolated mitochondrial complex II deficiency". Mol Genet Metab 131 (1–2): 53–65. 2020. doi:10.1016/j.ymgme.2020.09.009. PMID 33162331. 
  8. Reference, Genetics Home. "SDHA". https://medlineplus.gov/genetics/gene/sdha/. 
  9. "SDHA, SDHB or SDHC-related familial paraganglioma-phaeochromocytoma – risk management". eviQ Cancer Treatments Online. Cancer Institute NSW. 22 February 2022. https://www.eviq.org.au/cancer-genetics/adult/risk-management/4066-sdhd-or-sdhaf2-related-familial-paraganglioma. 

Further reading