title: Cancer-associated IDH1 mutations produce 2-hydroxyglutarate.
abstract: Mutations in the enzyme cytosolic isocitrate dehydrogenase 1 (IDH1) are a common feature of a major subset of primary human brain cancers. These mutations occur at a single amino acid residue of the IDH1 active site, resulting in loss of the enzyme's ability to catalyse conversion of isocitrate to alpha-ketoglutarate. However, only a single copy of the gene is mutated in tumours, raising the possibility that the mutations do not result in a simple loss of function. Here we show that cancer-associated IDH1 mutations result in a new ability of the enzyme to catalyse the NADPH-dependent reduction of alpha-ketoglutarate to R(-)-2-hydroxyglutarate (2HG). Structural studies demonstrate that when arginine 132 is mutated to histidine, residues in the active site are shifted to produce structural changes consistent with reduced oxidative decarboxylation of isocitrate and acquisition of the ability to convert alpha-ketoglutarate to 2HG. Excess accumulation of 2HG has been shown to lead to an elevated risk of malignant brain tumours in patients with inborn errors of 2HG metabolism. Similarly, in human malignant gliomas harbouring IDH1 mutations, we find markedly elevated levels of 2HG. These data demonstrate that the IDH1 mutations result in production of the onco-metabolite 2HG, and indicate that the excess 2HG which accumulates in vivo contributes to the formation and malignant progression of gliomas.
authors: Agios Pharmaceuticals, Cambridge, Massachusetts 02139, USA.
authors: Lenny
authors: L
authors: Dang
authors: David W
authors: DW
authors: White
authors: Stefan
authors: S
authors: Gross
authors: Bryson D
authors: BD
authors: Bennett
authors: Mark A
authors: MA
authors: Bittinger
authors: Edward M
authors: EM
authors: Driggers
authors: Valeria R
authors: VR
authors: Fantin
authors: Hyun Gyung
authors: HG
authors: Jang
authors: Shengfang
authors: S
authors: Jin
authors: Marie C
authors: MC
authors: Keenan
authors: Kevin M
authors: KM
authors: Marks
authors: Robert M
authors: RM
authors: Prins
authors: Patrick S
authors: PS
authors: Ward
authors: Katharine E
authors: KE
authors: Yen
authors: Linda M
authors: LM
authors: Liau
authors: Joshua D
authors: JD
authors: Rabinowitz
authors: Lewis C
authors: LC
authors: Cantley
authors: Craig B
authors: CB
authors: Thompson
authors: Matthew G
authors: MG
authors: Vander Heiden
authors: Shinsan M
authors: SM
authors: Su
mesh_terms: D001120:Arginine / Q000235:genetics; D001932:Brain Neoplasms / Q000235:genetics* / Q000378:metabolism* / Q000473:pathology; D020134:Catalytic Domain; D002460:Cell Line; D018360:Crystallography, X-Ray; D018450:Disease Progression; D057075:Enzyme Assays; D005910:Glioma / Q000235:genetics / Q000378:metabolism / Q000473:pathology; D005977:Glutarates / Q000378:metabolism*; D006639:Histidine / Q000235:genetics / Q000378:metabolism; D006801:Humans; D007521:Isocitrate Dehydrogenase / Q000235:genetics* / Q000378:metabolism*; D007656:Ketoglutaric Acids / Q000378:metabolism; D008958:Models, Molecular; D050505:Mutant Proteins / Q000235:genetics* / Q000378:metabolism*; D009154:Mutation / Q000235:genetics; D011487:Protein Conformation
chemical_list: D005977:Glutarates; D007656:Ketoglutaric Acids; D050505:Mutant Proteins; C019417:alpha-hydroxyglutarate; D006639:Histidine; D001120:Arginine; D007521:Isocitrate Dehydrogenase; C543588:IDH1 protein, human