title: NADP+ -dependent IDH1 R132 mutation and its relevance for glioma patient survival.
abstract: The isocitrate dehydrogenase 1 (IDH1) mutation occurs in high frequency in glioma and secondary glioblastoma (GBM). Mutated IDH1 produces the oncometabolite 2-hydroxyglutarate rather than α-ketoglutarate or isocitrate. The oncometabolite is considered to be the major cause of the association between the IDH1 mutation and gliomagenesis. On the other hand, the IDH1 mutation in GBM is associated with prolonged patient survival. This association is not well understood yet but IDH1 involvement in epigenetic silencing of O-6-methylguanine-DNA methyltransferase (MGMT), a DNA repair enzyme is considered to be an important mechanism. However, it was shown recently that the IDH1 mutation and MGMT silencing are independent prognostic factors. Here, we hypothesize that the IDH1 mutation reduces the capacity to produce NADPH and thus reduces the capacity to scavenge reactive oxygen species that are generated during irradiation and chemotherapy. IDH1 activity is responsible for two-thirds of the NADPH production capacity in normal brain, whereas the IDH1 mutation reduces this capacity by almost 40%. Therefore, we hypothesize that the reduced NADPH production capacity due to the IDH1 mutation renders GBM cells more vulnerable to irradiation and chemotherapy thus prolonging survival of the patients.
authors.affiliation: Department of Cell Biology and Histology, Academic Medical Center, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
authors.forename: Nishita M S
authors.initials: NM
authors.lastname: Baldewpersad Tewarie
authors.forename: Ilsa A V
authors.initials: IA
authors.lastname: Burgers
authors.forename: Yousif
authors.initials: Y
authors.lastname: Dawood
authors.forename: Hannah C
authors.initials: HC
authors.lastname: den Boon
authors.forename: Melina G H E
authors.initials: MG
authors.lastname: den Brok
authors.forename: Jet H
authors.initials: JH
authors.lastname: Klunder
authors.forename: Kristijn B
authors.initials: KB
authors.lastname: Koopmans
authors.forename: Emma
authors.initials: E
authors.lastname: Rademaker
authors.forename: Hans B
authors.initials: HB
authors.lastname: van den Broek
authors.forename: Sil M
authors.initials: SM
authors.lastname: van den Bersselaar
authors.forename: Julia J
authors.initials: JJ
authors.lastname: Witjes
authors.forename: Cornelis J F
authors.initials: CJ
authors.lastname: Van Noorden
authors.forename: Nadia A
authors.initials: NA
authors.lastname: Atai
mesh_terms: D059248:Chemoradiotherapy; D015254:DNA Modification Methylases / Q000235:genetics / Q000502:physiology*; D045643:DNA Repair Enzymes / Q000235:genetics / Q000502:physiology*; D020868:Gene Silencing / Q000502:physiology; D005910:Glioma / Q000235:genetics* / Q000378:metabolism / Q000401:mortality* / Q000628:therapy; D006801:Humans; D007521:Isocitrate Dehydrogenase / Q000235:genetics* / Q000378:metabolism; D008954:Models, Biological; D009154:Mutation / Q000235:genetics; D009249:NADP / Q000096:biosynthesis* / Q000378:metabolism; D017382:Reactive Oxygen Species / Q000378:metabolism; D025521:Tumor Suppressor Proteins / Q000235:genetics / Q000502:physiology*
chemical_list: D017382:Reactive Oxygen Species; D025521:Tumor Suppressor Proteins; D009249:NADP; D007521:Isocitrate Dehydrogenase; C543588:IDH1 protein, human; D015254:DNA Modification Methylases; C515491:MGMT protein, human; D045643:DNA Repair Enzymes