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.

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.

Related Concept Videos

Electron Transport Chain: Complex I and II01:46

Electron Transport Chain: Complex I and II

The mitochondrial electron transport chain (ETC) is the main energy generation system in the eukaryotic cells. However, mitochondria also produce cytotoxic reactive oxygen species (ROS) due to the large electron flow during oxidative phosphorylation. While Complex I is one of the primary sources of superoxide radicals, ROS production by Complex II is uncommon and may only be observed in cancer cells with mutated complexes.
ROS generation is regulated and maintained at moderate levels necessary...
17.9K
Cancer-Critical Genes II: Tumor Suppressor Genes01:05

Cancer-Critical Genes II: Tumor Suppressor Genes

Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
9.2K
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
4.5K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
8.5K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
9.7K
Cancer-Critical Genes I: Proto-oncogenes01:33

Cancer-Critical Genes I: Proto-oncogenes

Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
10.9K