Review Article

Succinate Dehydrogenase Loss in Familial Paraganglioma: Biochemistry, Genetics, and Epigenetics

Figure 4

Potential α-KG-dependent dioxygenase targets susceptible to succinate inhibition. In SDH-deficient cells, succinate accumulates in mitochondria and diffuses into the cytosol and nucleus. Succinate inhibits α-KG-dependent dioxygenases resulting in accumulation of (A) HIF1α and HIF2α, (B) hypermethylation of histones, (C) hypermethylation of deoxycytidine, (D) accumulation of immature collagen, (E) accumulation of Nε-trimethyllysine, (F) damaged DNA, and (G) accumulation of N6-methyladenosine on mRNA.