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RCSB PDB - 4JA8: Complex of Mitochondrial Isocitrate Dehydrogenase R140Q Mutant with AGI-6780 Inhibitor

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Targeted inhibition of mutant IDH2 in leukemia cells induces cellular differentiation.

Wang, F.Travins, J.DeLaBarre, B.Penard-Lacronique, V.Schalm, S.Hansen, E.Straley, K.Kernytsky, A.Liu, W.Gliser, C.Yang, H.Gross, S.Artin, E.Saada, V.Mylonas, E.Quivoron, C.Popovici-Muller, J.Saunders, J.O.Salituro, F.G.Yan, S.Murray, S.Wei, W.Gao, Y.Dang, L.Dorsch, M.Agresta, S.Schenkein, D.P.Biller, S.A.Su, S.M.de Botton, S.Yen, K.E.

(2013) Science 340: 622-626

  • PubMed23558173 Search on PubMed
  • DOI: https://doi.org/10.1126/science.1234769

  • PubMed Abstract: 

    A number of human cancers harbor somatic point mutations in the genes encoding isocitrate dehydrogenases 1 and 2 (IDH1 and IDH2). These mutations alter residues in the enzyme active sites and confer a gain-of-function in cancer cells, resulting in the accumulation and secretion of the oncometabolite (R)-2-hydroxyglutarate (2HG). We developed a small molecule, AGI-6780, that potently and selectively inhibits the tumor-associated mutant IDH2/R140Q. A crystal structure of AGI-6780 complexed with IDH2/R140Q revealed that the inhibitor binds in an allosteric manner at the dimer interface. The results of steady-state enzymology analysis were consistent with allostery and slow-tight binding by AGI-6780. Treatment with AGI-6780 induced differentiation of TF-1 erythroleukemia and primary human acute myelogenous leukemia cells in vitro. These data provide proof-of-concept that inhibitors targeting mutant IDH2/R140Q could have potential applications as a differentiation therapy for cancer.


  • Organizational Affiliation

    Agios Pharmaceuticals, Cambridge, MA 02139-4169, USA.