Potent immunosuppressive effects of the oncometabolite R-2-hydroxyglutarate

Lorenzo Galluzzi1,2,3, Guido Kroemer4,5,6,7,8,9,10

  • 1Department of Radiation Oncology, Weill Cornell Medical College, New York, US.

Oncoimmunology
|December 8, 2018
PubMed

Insights

Mutations in isocitrate dehydrogenase (IDH) enzymes drive cancer by producing the oncometabolite R-2-hydroxyglutarate (R-2-HG). This metabolite also suppresses anti-cancer T cell responses, suggesting dual therapeutic potential for IDH inhibitors.

Area of Science:

  • Biochemistry
  • Oncology
  • Immunology

Background:

  • Somatic gain-of-function mutations in isocitrate dehydrogenase (NADP(+)) 1 (IDH1) and isocitrate dehydrogenase (NADP(+)) 2 (IDH2) are key drivers in acute myeloid leukemia and glioma.
  • These mutations lead to the production of the oncometabolite R-2-hydroxyglutarate (R-2-HG), which has significant epigenetic effects within cancer cells.

Discussion:

  • Extracellular R-2-HG, released by malignant cells, can be absorbed by T lymphocytes.
  • This uptake impairs the ability of T lymphocytes to mount effective anti-cancer immune responses, highlighting R-2-HG's immunosuppressive role.
  • R-2-HG contributes to oncogenesis and tumor progression through both cell-autonomous epigenetic modification and systemic immunosuppression.

Key Insights:

  • Mutant IDH enzymes produce R-2-HG, a metabolite that promotes cancer and suppresses anti-tumor immunity.
  • R-2-HG acts as an oncometabolite affecting cancer cell epigenetics and also as an immunosuppressive factor.
  • Targeting mutant IDH1 and IDH2 offers a dual therapeutic strategy against cancer and its associated immune suppression.

Outlook:

  • Clinical evaluation of chemical inhibitors targeting mutant IDH1 and IDH2 is ongoing.
  • These inhibitors hold promise for dual therapeutic effects: directly impacting cancer cells and alleviating R-2-HG-induced immunosuppression.
  • Future research may focus on optimizing these inhibitors for comprehensive cancer treatment by addressing both oncogenic and immunosuppressive mechanisms.

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