Radioprotection of IDH1-Mutated Cancer Cells by the IDH1-Mutant Inhibitor AGI-5198 - PubMed
- ️Thu Jan 01 2015
. 2015 Nov 15;75(22):4790-802.
doi: 10.1158/0008-5472.CAN-14-3603. Epub 2015 Sep 11.
Dennis Botman 2 , Myrthe A Smits 2 , Vashendriya V Hira 2 , Sanne A van Lith 3 , Jan Stap 2 , Peter Henneman 4 , Mohammed Khurshed 2 , Krissie Lenting 3 , Adri N Mul 4 , Dionysia Dimitrakopoulou 2 , Cornelis M van Drunen 5 , Ron A Hoebe 2 , Tomas Radivoyevitch 6 , Johanna W Wilmink 7 , Jaroslaw P Maciejewski 8 , W Peter Vandertop 9 , William P Leenders 3 , Fonnet E Bleeker 4 , Cornelis J van Noorden 2
Affiliations
- PMID: 26363012
- DOI: 10.1158/0008-5472.CAN-14-3603
Radioprotection of IDH1-Mutated Cancer Cells by the IDH1-Mutant Inhibitor AGI-5198
Remco J Molenaar et al. Cancer Res. 2015.
Abstract
Isocitrate dehydrogenase 1 (IDH1) is mutated in various types of human cancer to IDH1(R132H), a structural alteration that leads to catalysis of α-ketoglutarate to the oncometabolite D-2-hydroxyglutarate. In this study, we present evidence that small-molecule inhibitors of IDH1(R132H) that are being developed for cancer therapy may pose risks with coadministration of radiotherapy. Cancer cells heterozygous for the IDH1(R132H) mutation exhibited less IDH-mediated production of NADPH, such that after exposure to ionizing radiation (IR), there were higher levels of reactive oxygen species, DNA double-strand breaks, and cell death compared with IDH1 wild-type cells. These effects were reversed by the IDH1(R132H) inhibitor AGI-5198. Exposure of IDH1 wild-type cells to D-2-hydroxyglutarate was sufficient to reduce IDH-mediated NADPH production and increase IR sensitivity. Mechanistic investigations revealed that the radiosensitivity of heterozygous cells was independent of the well-described DNA hypermethylation phenotype in IDH1-mutated cancers. Thus, our results argue that altered oxidative stress responses are a plausible mechanism to understand the radiosensitivity of IDH1-mutated cancer cells. Further, they offer an explanation for the relatively longer survival of patients with IDH1-mutated tumors, and they imply that administration of IDH1(R132H) inhibitors in these patients may limit irradiation efficacy in this setting.
©2015 American Association for Cancer Research.
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