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Targeting IDH1-Mutated Malignancies with NRF2 Blockade
Background:
Neomorphic IDH1 mutations disrupt the redox balance by promoting reactive oxygen species (ROS) production. However, the mechanism by which IDH1-mutant cells maintain ROS homeostasis remains elusive. It is also not known whether reprogrammed ROS homeostasis establishes targetable vulnerability in IDH1-mutated cancers.
Methods:
We investigated ROS homeostasis in wild-type (GSC827, GSC923, GSC627, and GSC711) and IDH1-mutated cells (IDH1R132C- and IDH1R132H-transduced U87, U251; MGG152, and TS603 cells). We analyzed the stability and transcriptional activity of NRF2 in IDH1-mutated cells. The oxidative DNA damage was analyzed using NRF2-targeting small interfering RNA. Moreover, we evaluated the effect of the NRF2 inhibitor brusatol in an IDH1-mutated subcutaneous xenograft nude mouse model (control group, n = 5; brusatol-treated group, n = 6). All statistical tests were two-sided.
Results:
We showed that IDH1-mutated cells develop a dependency on the NRF2 antioxidative pathway. Genetic or pharmacologic blockade of NRF2 not only disrupted ROS homeostasis (mean [SD] ROS levels increased by 317 [42.1]%, P = .001, in IDH1R132C and by 286. 5 [48.7]%, P = .003, in IDH1R132H cells) but also enhanced oxidative DNA damage and decreased proliferation of IDH1-mutated cells. Brusatol selectively suppressed IDH1-mutated cancer progression in vivo (mean [SD] final tumor volume was 761.6 [391.6] mm3 in the control and 246.2 [215] mm3 in the brusatol-treated group, P = .02).
Conclusions:
IDH1 mutation reprograms ROS homeostasis in cancer cells, which leads to dependency on the NRF2 antioxidant pathway for ROS scavenging. NRF2 blockade might be a novel therapeutic approach to treat malignancies with IDH1 mutation.
Insights
IDH1 mutations disrupt cell redox balance, creating a dependency on the NRF2 antioxidant pathway. Blocking NRF2 effectively targets IDH1-mutated cancers by disrupting reactive oxygen species (ROS) homeostasis.
Area of Science:
- Oncology
- Cell Biology
- Biochemistry
Background:
- Neomorphic IDH1 mutations disrupt cellular redox balance by increasing reactive oxygen species (ROS) production.
- The mechanisms by which IDH1-mutant cells maintain ROS homeostasis and potential therapeutic vulnerabilities remain unclear.
Purpose of the Study:
- To investigate ROS homeostasis in IDH1-mutated cells.
- To determine if IDH1-mutant cells exhibit dependency on the NRF2 antioxidant pathway.
- To evaluate NRF2 inhibition as a therapeutic strategy for IDH1-mutated cancers.
Main Methods:
- Investigated ROS homeostasis in wild-type and IDH1-mutated cells.
- Analyzed NRF2 stability and transcriptional activity.
- Assessed oxidative DNA damage using NRF2-targeting siRNA.
- Evaluated the NRF2 inhibitor brusatol in an IDH1-mutated xenograft mouse model.
Main Results:
- IDH1-mutated cells demonstrated a dependency on the NRF2 antioxidative pathway.
- NRF2 blockade disrupted ROS homeostasis, increased oxidative DNA damage, and reduced proliferation in IDH1-mutated cells.
- Brusatol selectively suppressed tumor progression in vivo in IDH1-mutated xenografts.
Conclusions:
- IDH1 mutations reprogram ROS homeostasis, leading to NRF2 pathway dependency for ROS scavenging.
- NRF2 blockade represents a potential novel therapeutic approach for IDH1-mutated malignancies.
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