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R-2HG Exhibits Anti-tumor Activity by Targeting FTO/m6A/MYC/CEBPA Signaling
Rui Su1, Lei Dong1, Chenying Li2
1Department of Cancer Biology, University of Cincinnati, Cincinnati, OH 45219, USA.
Abstract:
R-2-hydroxyglutarate (R-2HG), produced at high levels by mutant isocitrate dehydrogenase 1/2 (IDH1/2) enzymes, was reported as an oncometabolite. We show here that R-2HG also exerts a broad anti-leukemic activity in vitro and in vivo by inhibiting leukemia cell proliferation/viability and by promoting cell-cycle arrest and apoptosis. Mechanistically, R-2HG inhibits fat mass and obesity-associated protein (FTO) activity, thereby increasing global N6-methyladenosine (m6A) RNA modification in R-2HG-sensitive leukemia cells, which in turn decreases the stability of MYC/CEBPA transcripts, leading to the suppression of relevant pathways. Ectopically expressed mutant IDH1 and S-2HG recapitulate the effects of R-2HG. High levels of FTO sensitize leukemic cells to R-2HG, whereas hyperactivation of MYC signaling confers resistance that can be reversed by the inhibition of MYC signaling. R-2HG also displays anti-tumor activity in glioma. Collectively, while R-2HG accumulated in IDH1/2 mutant cancers contributes to cancer initiation, our work demonstrates anti-tumor effects of 2HG in inhibiting proliferation/survival of FTO-high cancer cells via targeting FTO/m6A/MYC/CEBPA signaling.
Insights
R-2-hydroxyglutarate (R-2HG), a metabolite from mutant IDH1/2 enzymes, shows anti-leukemic effects by inhibiting FTO and decreasing MYC/CEBPA stability. This metabolite also demonstrates anti-tumor activity in glioma.
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- Mutant isocitrate dehydrogenase 1/2 (IDH1/2) enzymes elevate R-2-hydroxyglutarate (R-2HG), previously identified as an oncometabolite.
- The role of R-2HG in cancer, particularly its potential therapeutic applications, requires further investigation.
Purpose of the Study:
- To investigate the anti-leukemic and anti-tumor activities of R-2HG.
- To elucidate the underlying molecular mechanisms of R-2HG's effects on cancer cells.
Main Methods:
- In vitro and in vivo experiments using leukemia and glioma models.
- Assessment of cell proliferation, viability, cell-cycle arrest, and apoptosis.
- Analysis of FTO activity, m6A RNA modification levels, and MYC/CEBPA transcript stability.
Main Results:
- R-2HG demonstrated broad anti-leukemic activity by inhibiting proliferation, inducing cell-cycle arrest, and promoting apoptosis.
- R-2HG inhibits fat mass and obesity-associated protein (FTO) activity, leading to increased m6A RNA modification.
- This mechanism reduces MYC/CEBPA transcript stability, suppressing oncogenic pathways; similar effects were observed with mutant IDH1 and S-2HG.
- High FTO levels sensitized cells to R-2HG, while MYC hyperactivation conferred resistance, which was reversible by MYC inhibition.
- R-2HG also exhibited anti-tumor activity in glioma.
Conclusions:
- R-2HG exhibits significant anti-tumor properties against leukemia and glioma by targeting the FTO/m6A/MYC/CEBPA signaling pathway.
- While R-2HG contributes to cancer initiation in IDH1/2 mutant cancers, it also possesses therapeutic potential by inhibiting FTO-high cancer cell proliferation and survival.
- The findings highlight R-2HG as a potential therapeutic agent and underscore the complex role of metabolites in cancer progression and treatment.
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