In a tumor sample with a mutated fumarate dehydrogenase that is less active than the normal isoform, which of these is not an expected consequence? Group of answer choices Decreased expression of hypoxia-inducible factor alpha Decreased antioxidant response Decreased activation of AMPK Decreased activity of Nrf2

Human Anatomy & Physiology (11th Edition)
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ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
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In a tumor sample with a mutated fumarate dehydrogenase that is less active than the normal isoform, which of these is not an expected consequence?
Group of answer choices
Decreased expression of hypoxia-inducible factor alpha
Decreased antioxidant response
Decreased activation of AMPK
Decreased activity of Nrf2
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Step 1: Introduction

The correct answer is Decreased expression of hypoxia-inducible factor alpha.

The gene fumarate hydratase (FH) acts as a tumour suppressor. It participates in the tricarboxylic acid (TCA) cycle's fumarate to malate conversion process. The buildup of fumarate is caused by a mutant FH that is less active than the normal isoform. A substance called fumarate is thiol-reactive, and it can interact with cysteine residues in proteins to change them.

One of the proteins that can be modified by fumarate is hypoxia-inducible factor alpha (HIF-1α). HIF-1α is a transcription factor that is activated in hypoxic conditions. When HIF-1α is modified by fumarate, it is stabilized and its expression is increased. This leads to the expression of genes that are involved in cell survival and proliferation, such as VEGF and Bcl-2.

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