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2017 ; 9
(375
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
2-Hydroxyglutarate produced by neomorphic IDH mutations suppresses homologous
recombination and induces PARP inhibitor sensitivity
#MMPMID28148839
Sulkowski PL
; Corso CD
; Robinson ND
; Scanlon SE
; Purshouse KR
; Bai H
; Liu Y
; Sundaram RK
; Hegan DC
; Fons NR
; Breuer GA
; Song Y
; Mishra-Gorur K
; De Feyter HM
; de Graaf RA
; Surovtseva YV
; Kachman M
; Halene S
; Günel M
; Glazer PM
; Bindra RS
Sci Transl Med
2017[Feb]; 9
(375
): ä PMID28148839
show ga
2-Hydroxyglutarate (2HG) exists as two enantiomers, (R)-2HG and (S)-2HG, and both
are implicated in tumor progression via their inhibitory effects on
?-ketoglutarate (?KG)-dependent dioxygenases. The former is an oncometabolite
that is induced by the neomorphic activity conferred by isocitrate dehydrogenase
1 (IDH1) and IDH2 mutations, whereas the latter is produced under pathologic
processes such as hypoxia. We report that IDH1/2 mutations induce a homologous
recombination (HR) defect that renders tumor cells exquisitely sensitive to
poly(adenosine 5'-diphosphate-ribose) polymerase (PARP) inhibitors. This
"BRCAness" phenotype of IDH mutant cells can be completely reversed by treatment
with small-molecule inhibitors of the mutant IDH1 enzyme, and conversely, it can
be entirely recapitulated by treatment with either of the 2HG enantiomers in
cells with intact IDH1/2 proteins. We demonstrate mutant IDH1-dependent PARP
inhibitor sensitivity in a range of clinically relevant models, including primary
patient-derived glioma cells in culture and genetically matched tumor xenografts
in vivo. These findings provide the basis for a possible therapeutic strategy
exploiting the biological consequences of mutant IDH, rather than attempting to
block 2HG production, by targeting the 2HG-dependent HR deficiency with PARP
inhibition. Furthermore, our results uncover an unexpected link between
oncometabolites, altered DNA repair, and genetic instability.