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Updated: Dec 12, 2025

Metabolic Mapping: Quantitative Enzyme Cytochemistry and Histochemistry to Determine the Activity of Dehydrogenases in Cells and Tissues
Published on: May 26, 2018
Isocitrate dehydrogenase variants in cancer - Cellular consequences and therapeutic opportunities
Shuang Liu1, Tom Cadoux-Hudson1, Christopher J Schofield1
1Chemistry Research Laboratory, Department of Chemistry, University of Oxford, 12 Mansfield Road, Oxford, OX1 3TA, UK.
Abstract:
Abnormal metabolism is common in cancer cells and often correlates with mutations in genes encoding for enzymes involved in small-molecule metabolism. Isocitrate dehydrogenase 1 (IDH1) is the most frequently mutated metabolic gene in cancer. Cancer-associated substitutions in IDH1 and IDH2 impair wild-type production of 2-oxoglutarate and reduced nicotinamide adenine dinucleotide phosphate (NADPH) from isocitrate and oxidised nicotinamide adenine dinucleotide phosphate (NADP+ ), and substantially promote the IDH variant catalysed conversion of 2-oxoglutarate to d-2-hydroxyglutarate (d-2HG). Elevated d-2HG is a biomarker for some cancers, and inhibition of IDH1 and IDH2 variants is being pursued as a medicinal chemistry target. We provide an overview of the types of cancer-associated IDH variants, discuss some of the proposed consequences of altered metabolism as a result of elevated d-2HG, summarise therapeutic efforts targeting IDH variants and identify areas for future research.
Insights
Mutations in isocitrate dehydrogenase (IDH1 and IDH2) genes alter cell metabolism, leading to elevated d-2-hydroxyglutarate (d-2HG), a cancer biomarker. Therapeutic strategies targeting these IDH variants are under development.
Area of Science:
- Biochemistry
- Oncology
- Metabolic pathways
Background:
- Cancer cells exhibit altered metabolism, frequently linked to mutations in metabolic enzyme genes.
- Isocitrate dehydrogenase 1 (IDH1) is the most commonly mutated metabolic gene in cancer.
- Mutations in IDH1 and IDH2 disrupt normal metabolism, affecting 2-oxoglutarate and NADPH production.
Purpose of the Study:
- To provide an overview of cancer-associated IDH variants.
- To discuss the metabolic consequences of elevated d-2-hydroxyglutarate (d-2HG).
- To summarize therapeutic approaches targeting IDH variants and identify future research directions.
Main Methods:
- Literature review of cancer-associated IDH variants.
- Analysis of metabolic alterations due to IDH mutations.
- Summary of current therapeutic strategies and research gaps.
Main Results:
- Cancer-associated IDH variants impair wild-type function and promote d-2HG production.
- Elevated d-2HG levels serve as a biomarker in certain cancers.
- IDH1 and IDH2 variants are actively pursued as medicinal chemistry targets.
Conclusions:
- Understanding IDH mutations and their metabolic impact is crucial for cancer therapy.
- Targeting IDH variants offers a promising therapeutic avenue.
- Further research is needed to fully elucidate the role of IDH mutations in cancer and optimize treatments.
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