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R-2HG Exhibits Anti-tumor Activity by Targeting FTO/m6A/MYC/CEBPA Signaling
Open accessAbstract
R-2-hydroxyglutarate (R-2HG), produced at high levels by mutant isocitrate dehydrogenase 1/2 (IDH1/2) enzymes, was reported as an oncometabolite. We show here that R-2HG also exerts a broad anti-leukemic activity in vitro and in vivo by inhibiting leukemia cell proliferation/viability and by promoting cell-cycle arrest and apoptosis. Mechanistically, R-2HG inhibits fat mass and obesity-associated protein (FTO) activity, thereby increasing global N 6-methyladenosine (m 6 A) RNA modification in R-2HG-sensitive leukemia cells, which in turn decreases the stability of MYC/CEBPA transcripts, leading to the suppression of relevant pathways. Ectopically expressed mutant IDH1 and S-2HG recapitulate the effects of R-2HG. High levels of FTO sensitize leukemic cells to R-2HG, whereas hyperactivation of MYC signaling confers resistance that can be reversed by the inhibition of MYC signaling. R-2HG also displays anti-tumor activity in glioma. Collectively, while R-2HG accumulated in IDH1/2 mutant cancers contributes to cancer initiation, our work demonstrates anti-tumor effects of 2HG in inhibiting proliferation/survival of FTO-high cancer cells via targeting FTO/m 6 A/MYC/CEBPA signaling.
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“Of these, up to 90% of diffuse intrinsic pontine gliomas (DIPG) harbour a point mutation in canonical ( HIST1H3B (H3.1)) or variant ( H3F3A (H3.3)) histone H3, resulting in a lysine 27 to methionine (K27M) substitution 101-103 .”
From The roles of DNA, RNA and histone methylation in ageing and cancer (2019) · cites this paper as [103]
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Self-citationTsuchiya, K., Yoshimura, K., Inoue, Y., Iwashita, Y., Yamada, H., Kawase, A., Watanabe, T., Tanahashi, M., Ogawa, H., Funai, K., et al. (2021) · OncoImmunology · doi:10.1080/2162402x.2021.1962656 · Cited by 114
“On the other hand, YTHDF2 also has an antitumor effect in leukemic cells via the attenuation of the stability of MYC and CEBPA transcripts.(21) Given these inconsistent findings, we can say it is still controversial as to how these m6A reader proteins, YTHDF1 and YTHDF2, affect oncogenic or anti-oncogenic function in…”
BackgroundLiu, B., Zhou, J., Wang, C., Chi, Y., Wei, Q., Fu, Z., Lian, C., Huang, Q., Liao, C., Yang, Z., et al. (2020) · Cell Death and Disease · doi:10.1038/s41419-020-2540-y · Cited by 113
TET2-mediated mRNA demethylation regulates leukemia stem cell homing and self-renewal
Li, Y., Xue, M., Deng, X., Dong, L., Nguyen, L. X. T., Ren, L., Han, L., Li, C., Xue, J., Zhao, Z., et al. (2023) · Cell stem cell · doi:10.1016/j.stem.2023.07.001 · Cited by 115
Self-citationQiao, K., Liu, Y., Xu, Z., Zhang, H., Zhang, H., Zhang, C., Chang, Z., Lu, X., Li, Z., Luo, C., et al. (2020) · Angiogenesis · doi:10.1007/s10456-020-09744-8 · Cited by 111
“In addition, m6A was related to many cancer types, including lung cancer [32], leukemia [33, 34], colon cancer [35, 36], gastric cancer [37], glioma [38], bladder cancer [39], nasopharyngeal cancer [40].”
BackgroundXiao, Y., Thakkar, K. N., Zhao, H., Broughton, J. P., Li, Y., Seoane, J. A., Diep, A. N., Metzner, T. J., von Eyben, R., Dill, D. L., et al. (2020) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2000516117 · Cited by 118
Wang, Y., Wild, A. T., Turcan, Ş., Wu, W., Sigel, C., Klimstra, D. S., Ma, X., Gong, Y., Holland, E. C., Huse, J. T., et al. (2020) · Science Advances · doi:10.1126/sciadv.aaz3221 · Cited by 109
Self-citationmTORC1 promotes cell growth via m6A-dependent mRNA degradation
Cho, S., Lee, G., Pickering, B. F., Jang, C., Park, J. H., He, L., Mathur, L., Kim, S.-S., Jung, S., Tang, H.-W., et al. (2021) · Molecular Cell · doi:10.1016/j.molcel.2021.03.010 · Cited by 113
Saikosaponin D exhibits anti-leukemic activity by targeting FTO/m6A signaling
Sun, K., Du, Y., Hou, Y., Zhao, M., Li, J., Du, Y., Zhang, L., Chen, C., Yang, H., Yan, F., et al. (2021) · Theranostics · doi:10.7150/thno.55574 · Cited by 109
“In addition, R-2HG also inhibits FTO activity, thereby increasing global N6-methyladenosine (m6A) RNA modification in R-2HG-sensitive leukemia cells [21].”
BackgroundSelf-citationWang, K., Zhou, L., Liu, F., Liang, L., Ju, J., Tian, P.-C., Liu, C.-Y., Li, X., Chen, X., Wang, T., et al. (2022) · Advanced Science · doi:10.1002/advs.202106058 · Cited by 109
METTL3 acetylation impedes cancer metastasis via fine-tuning its nuclear and cytosolic functions
Li, Y., He, X., Xiao, L., Gong, Z., Li, Q., Zhang, L., Yang, R., Wu, C., Huang, J., Ding, J., et al. (2022) · Nature Communications · doi:10.1038/s41467-022-34209-5 · Cited by 120
Self-citationZhang, F., Liu, H., Duan, M., Wang, G., Zhang, Z., Wang, Y., Qian, Y., Yang, Z., & Jiang, X. (2022) · Journal of Hematology & Oncology · doi:10.1186/s13045-022-01304-5 · Cited by 111
Self-citationCao, X., Geng, Q., Fan, D., Wang, Q., Wang, X., Zhang, M., Zhao, L., Jiao, Y., Deng, T., Liu, H., et al. (2023) · Molecular Cancer · doi:10.1186/s12943-022-01704-8 · Cited by 115
Liu, X., Gonzalez, G. M., Dai, X., Miao, W., Yuan, J. J., Huang, M., Bade, D., Li, L., Sun, Y., & Wang, Y. (2020) · Molecular Therapy · doi:10.1016/j.ymthe.2020.09.007 · Cited by 105
Self-citationYuan, Y., Du, Y., Wang, L., & Liu, X. (2020) · Journal of Cancer · doi:10.7150/jca.42338 · Cited by 106
“Corresponded to the detected abnormal m6A modification of MYC mRNA in many cancers, including myeloid leukemia [15], bladder cancer [16], and GBM [29], aberrant MYC expression was also caused by METTL3–mediated m6A modification in PCa.”
BackgroundStructural Insights into N 6 -Methyladenosine (m 6 A) Modification in the Transcriptome
Huang, J. B., & Yin, P. (2018) · Genomics Proteomics & Bioinformatics · doi:10.1016/j.gpb.2018.03.001 · Cited by 107
“FTO, which is found in both nucleus and cytoplasm [90], has been reported to regulate mRNA splicing, gene expression, and cell differentiation [34,56,91,92].”
BackgroundZhao, Y., Chen, Y., JIN, M. L., & Wang, J. (2021) · Theranostics · doi:10.7150/thno.54967 · Cited by 106
Level of N6-Methyladenosine in Peripheral Blood RNA: A Novel Predictive Biomarker for Gastric Cancer
Ge, L., Zhang, N., Chen, Z., Song, J., Wu, Y., Li, Z., Chen, F., Wu, J., Li, D., Li, J., et al. (2020) · Clinical Chemistry · doi:10.1093/clinchem/hvz004 · Cited by 102
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Roles of RNA Modifications in Diverse Cellular Functions
Wilkinson, E., Cui, Y., & He, Y. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.828683 · Cited by 109
Liu, L., Liu, X., Dong, Z., Li, J., Yu, Y. H., Chen, X., Ren, F., Cui, G., & Sun, R. (2019) · Journal of Cancer · doi:10.7150/jca.35053 · Cited by 101
“Increased expression of FTO in leukaemia was believed to be associated with sensitivity to the chemotherapy drug R-2HG [40].”
BackgroundWang, L.-C., Chen, S.-H., Shen, X., Li, D., Liu, H., Ji, Y.-L., Li, M., Yu, K., Yang, H. M., Chen, J., et al. (2020) · Frontiers in Oncology · doi:10.3389/fonc.2020.536875 · Cited by 102
Self-citationYao, X., Li, W., Li, L., Li, M., Zhao, Y., Fang, D., Zeng, X., & Luo, Z. Y. (2022) · Cell Death and Disease · doi:10.1038/s41419-022-04711-1 · Cited by 101
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“Small-molecule inhibitor targeting FTO exhibits therapeutic efficacy in a PDX ccRCC mouse model Several FTO small-molecule inhibitors such as FB23-2 [6], Dac51 [27], R-2HG [28], and CS1/CS2 [29] have been reported to inhibit the demethylation activities of FTO.”
Targeting FTO induces colorectal cancer ferroptotic cell death by decreasing SLC7A11/GPX4 expression
Qiao, Y., Su, M., Zhao, H., Liu, H., Wang, C., Dai, X., Liu, L., Liu, G., Sun, H., Sun, M., et al. (2024) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-024-03032-9 · Cited by 101
“FTO had been widely studied in various cancers and reported to play crucial roles in the regulation of tumorigenesis [16, 28–32].”
BackgroundAMD1 upregulates hepatocellular carcinoma cells stemness by FTO mediated mRNA demethylation
Bian, X., Shi, D.-M., Xing, K., Zhou, H., Lu, L., Yu, D., & Wu, W. (2021) · Clinical and Translational Medicine · doi:10.1002/ctm2.352 · Cited by 100
METTL3 promotes colorectal carcinoma progression by regulating the m6A–CRB3–Hippo axis
Pan, J., Liu, F., Xiao, X., Xu, R., Dai, L. X., Zhu, M., Xu, H., Xu, Y., Zhao, A., Zhou, W., et al. (2022) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-021-02227-8 · Cited by 100
“FTO plays a central role in oral squamous cell carcinoma [22], hepatocellular carcinoma [23], bladder cancer [24], and acute myeloid leukemia [9, 25].”
BackgroundThe m6A RNA Demethylase ALKBH5 Promotes Radioresistance and Invasion Capability of Glioma Stem Cells
Kowalski‐Chauvel, A., Lacore, M. G., Arnauduc, F., Delmas, C., Toulas, C., Moyal, E. C., & Seva, C. (2020) · Cancers · doi:10.3390/cancers13010040 · Cited by 98
“also confirmed that decreasing FTO activity in GBM cell lines led to the inhibition of cell proliferation and viability likely through the regulation of Myc expression [13].”
BackgroundYang, Z., Cai, Z., Yang, C., Luo, Z., & Bao, X. (2020) · EBioMedicine · doi:10.1016/j.ebiom.2022.104019 · Cited by 96
Wu, Y., Shao, W., Yan, M., Wang, Y., Xu, P., Huang, G., Li, X., Gregory, B. D., Yang, J. M., Wang, H., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-48437-4 · Cited by 94
Self-citationDetailed resume of RNA m6A demethylases
Shen, D., Wang, B., Gao, Y., Zhao, L., Bi, Y., Zhang, J., Wang, N., Kang, H., Pang, J., Liu, Y., et al. (2022) · Acta Pharmaceutica Sinica B · doi:10.1016/j.apsb.2022.01.003 · Cited by 94
Signaling pathways in brain tumors and therapeutic interventions
Li, S., Wang, C., Chen, J., Lan, Y., Zhang, W., Kang, Z., Zheng, Y., Zhang, R., Yu, J., & Li, W. (2023) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-022-01260-z · Cited by 105
“Interestingly, the anti-tumor potencies of R-2HG in impeding proliferation/survival of fat mass and obesity-associated (FTO)-high cancer cells via modulating the FTO/m6A/MYC/CEBPA signaling.(69) Moreover, the DNA repair activity of mammalian alkylation protein B homolog 2 (ALKBH2) and alkylation protein B homolog 3 (A…”
BackgroundSelf-citationRNA Modifications in Cancer: Functions, Mechanisms, and Therapeutic Implications
Huang, H., Weng, H., Deng, X., & Chen, J. (2019) · Annual Review of Cancer Biology · doi:10.1146/annurev-cancerbio-030419-033357 · Cited by 92
Self-citationN6-methyladenosine (m6A) RNA modification in cancer stem cells
Ma, Z., & Ji, J. (2020) · Stem Cells · doi:10.1002/stem.3279 · Cited by 91
Yu, J.-T., Hu, X., Chen, H., Yang, Q., Li, H.-D., Dong, Y., Zhang, Y., Wang, J., Jin, J., Wu, Y., et al. (2020) · Pharmacological Research · doi:10.1016/j.phrs.2020.105286 · Cited by 91
Self-citationLiu, Z., Gao, L., Cheng, L., Lv, G., Sun, B., Wang, G., & Tang, Q. (2023) · Experimental & Molecular Medicine · doi:10.1038/s12276-023-00944-y · Cited by 93
Gao, Z., Zha, X., Li, M., Xia, X., & Wang, S. (2024) · Cell & Bioscience · doi:10.1186/s13578-024-01286-6 · Cited by 91
“…Prostate adenocarcinoma [116] H3K9me3 ALKBH5 KDM4A binding to the ALKBH5 promoter promotes the transcription of ALKBH5 Intervertebral disc degeneration [117] between EZH2 and β-catenin, which interacts with the LEF/TCF binding elements in the FTO promoter region, thereby inhibiting FTO expression.”
Background
Metadata
- Authors
- Su, R., Dong, L., Li, C., Nachtergaele, S., Wunderlich, M., Qing, Y., Deng, X., Wang, Y., Weng, X., Hu, C., Yu, M., Skibbe, J., Dai, Q., Zou, D., Wu, T., Yu, K., Weng, H., Huang, H., Ferchen, K., Qin, X., Zhang, B., Qi, J., Sasaki, A. T., Plas, D. R., Bradner, J. E., Wei, M., Marcucci, G., Jiang, X., Mulloy, J. C., Jin, J., He, C., & Chen, J.
- Affiliations
- University of Cincinnati (US)
- First Affiliated Hospital Zhejiang University (CN)
- Howard Hughes Medical Institute (US)
- Cincinnati Children's Hospital Medical Center (US)
- Chongqing Cancer Hospital (CN)
- City Of Hope National Medical Center (US)
- Harvard University (US)
- China Medical University (CN)
- Corresponding author
- Jin, Jie
- He, Chuan
- Chen, Jianjun
- ORCID
- Su, Rui
- Dong, Lei
- Li, Chenying
- Nachtergaele, Sigrid
- Wunderlich, Mark
- Qing, Ying
- Deng, Xiaolan
- Weng, Xiaocheng
- Hu, Chao
- Yu, Mengxia
- Skibbe, Jennifer
- Dai, Qing
- Zou, Dongling
- Wu, Tong
- Weng, Hengyou
- Huang, Huilin
- Ferchen, Kyle
- Qin, Xi
- Zhang, Bin
- Qi, Jun
- Sasaki, Atsuo T.
- Plas, David R.
- Bradner, James E.
- Wei, Minjie
- Marcucci, Guido
- Jiang, Xi
- Mulloy, James C.
- Jin, Jie
- He, Chuan
- Chen, Jianjun
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 172
- Issue
- 1-2
- Pages
- 90-105.e23
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC5766423
- OpenAlex
- W2772792536
- Cited by
- 1,137
- References
- 43
- Citations by year
- 2026: 75 · 2025: 100 · 2024: 161 · 2023: 163 · 2022: 165 · 2021: 197 · 2020: 150 · 2019: 76 · 2018: 48
- FWCI
- 31.04
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (CA214965, CA211614, CA178454, CA182528, RM1 HG008935, GM071440, R50 CA211404, R01NS089815, R21NS100077)
- Foundation of Innovation Team for Basic and Clinical Research of Zhejiang Province (2011R50015)
- Academic and Research Committee of Cincinnati Children’s Hospital Medical Center
- Leukemia & Lymphoma Society
- Howard Hughes Medical Institute
- Damon Runyon Cancer Research Foundation (DRG-2215-15)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA modifications and cancer
- Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Keywords
- (R)-2-hydroxyglutarate, 2-hydroxyglutarate, FTO, N6-methyladenosine modification, c-Myc, CEBPA, leukemia, glioma, IDH1/2 mutation, oncometabolites, RNA stability, cell cycle arrest, apoptosis
- MeSH terms
- Alpha-Ketoglutarate-Dependent Dioxygenase FTO, Adenosine, Animals, Antineoplastic Agents, Brain Neoplasms, Glioma, Glutarates, Humans, Leukemia, RNA Processing, Post-Transcriptional, Signal Transduction, Proto-Oncogene Proteins c-myc, Jurkat Cells, CCAAT-Enhancer-Binding Proteins, Cell Line, Tumor, Mice, HEK293 Cells
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