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10.2147/JBM.S70716

http://scihub22266oqcxt.onion/10.2147/JBM.S70716
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C5015873!5015873!27621679
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suck abstract from ncbi


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pmid27621679      J+Blood+Med 2016 ; 7 (ä): 171-80
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  • IDH1 and IDH2 mutations as novel therapeutic targets: current perspectives #MMPMID27621679
  • Mondesir J; Willekens C; Touat M; de Botton S
  • J Blood Med 2016[]; 7 (ä): 171-80 PMID27621679show ga
  • Isocitrate dehydrogenase 1 and 2 (IDH1 and IDH2) are key metabolic enzymes that convert isocitrate to ?-ketoglutarate. IDH1/2 mutations define distinct subsets of cancers, including low-grade gliomas and secondary glioblastomas, chondrosarcomas, intrahepatic cholangiocarcinomas, and hematologic malignancies. Somatic point mutations in IDH1/2 confer a gain-of-function in cancer cells, resulting in the accumulation and secretion in vast excess of an oncometabolite, the D-2-hydroxyglutarate (D-2HG). Overproduction of D-2HG interferes with cellular metabolism and epigenetic regulation, contributing to oncogenesis. Indeed, high levels of D-2HG inhibit ?-ketoglutarate-dependent dioxygenases, including histone and DNA demethylases, leading to histone and DNA hypermethylation and finally a block in cell differentiation. Furthermore, D-2HG is a biomarker suitable for the detection of IDH1/2 mutations at diagnosis and predictive of the clinical response. Finally, mutant-IDH1/2 enzymes inhibitors have entered clinical trials for patients with IDH1/2 mutations and represent a novel drug class for targeted therapy.
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