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The cancer driver genes IDH1/2, JARID1C/ KDM5C, and UTX/ KDM6A: crosstalk between histone demethylation and hypoxic reprogramming in cancer metabolism
Open accessAbstract
Recent studies on mutations in cancer genomes have distinguished driver mutations from passenger mutations, which occur as byproducts of cancer development. The cancer genome atlas (TCGA) project identified 299 genes and 24 pathways/biological processes that drive tumor progression (Cell 173: 371-385 e318, 2018). Of the 299 driver genes, 12 genes are involved in histones, histone methylation, and demethylation. Among these 12 genes, those encoding the histone demethylases JARID1C/KDM5C and UTX/KDM6A were identified as cancer driver genes. Furthermore, gain-of-function mutations in genes encoding metabolic enzymes, such as isocitrate dehydrogenases (IDH)1/2, drive tumor progression by producing an oncometabolite, D-2-hydroxyglutarate (D-2HG), which is a competitive inhibitor of α-ketoglutarate, O2-dependent dioxygenases such as Jumonji domain-containing histone demethylases, and DNA demethylases. Studies on oncometabolites suggest that histone demethylases mediate metabolic changes in chromatin structure. We have reviewed the most recent findings regarding cancer-specific metabolic reprogramming and the tumor-suppressive roles of JARID1C/KDM5C and UTX/KDM6A. We have also discussed mutations in other isoforms such as the JARID1A, 1B, 1D of KDM5 subfamilies and the JMJD3/KDM6B of KDM6 subfamilies, which play opposing roles in tumor progression as oncogenes or tumor suppressors depending on the cancer cell type. Genes involved in the removal of methyl groups from histones associated with DNA can promote or suppress tumor growth depending on the metabolic status of the cancer cell. Hyunsung Park and colleagues at the University of Seoul, South Korea, review current knowledge of two genes encoding histone demethylases which have been identified by The Cancer Genome Atlas (TCGA) project as cancer driver genes. Because these demethylase enzymes rely on cellular metabolites to function, their effect is influenced by metabolic conditions in the tumor microenvironment such as low oxygen. The mechanisms through which changes in histone methylation affect the expression of genes involved in tumor progression remain unknown. Further understanding of how cancer metabolism affects the modification of histones will help guide the development of more effective cancer treatments.
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“Cancer cells in tumors with IDH1 or IDH2 mutations show oncogenic activity by converting glutamine-derived α-KG to 2-hydroxyglutarate (2-HG), which competitively inhibits α-KG-dependent histone and DNA modification enzymes27.”
From Glutamine reliance in cell metabolism (2020) · cites this paper as [27]
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The Interplay between Dysregulated Metabolism and Epigenetics in Cancer
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Xiang, K., Kunin, M., Larafa, S., Busch, M. A., Dünker, N., Jendrossek, V., & Matschke, J. (2024) · Cell Death Discovery · doi:10.1038/s41420-024-01805-x · Cited by 20
“It has been well established that the aberrant production of 2-hydroxyglutarate (2-HG), succinate and fumarate can induce cancer initiation and progression, linking these oncometabolites to cellular metabolic reprogramming and perturbation of biological processes [8 – 10].”
BackgroundAudu, C. O., Wolf, S., Joshi, A., Moon, J. Y., Melvin, W. J., Sharma, S. B., Davis, F. M., Obi, A. T., Wasikowski, R., Tsoi, L. C., et al. (2024) · JCI Insight · doi:10.1172/jci.insight.172959 · Cited by 18
“Its role in inflammation has only recently been described within the context of neurological disorders, such as glioblastoma multiforme, where it was shown to be important to the hypoxia-inducible factor 1 α (HIF1 α ) inflammation axis (71, 72).”
BackgroundMetabolic heterogeneity in tumor microenvironment – A novel landmark for immunotherapy
Chen, C., Han, P., & Qing, Y. (2024) · Autoimmunity Reviews · doi:10.1016/j.autrev.2024.103579 · Cited by 17
Dynamic Tumor Analysis Using Deep Embedded Clustering (DEC) for Personalized Oncology Treatment
Mahendar, M., Manasa, P., Nimmala, S., Raghavendar, K., Sheikh, A. N. Q., & Kiran, M. A. (2025) · International Conference on Machine Learning and Autonomous Systems (ICMLAS) · doi:10.1109/icmlas64557.2025.10968766 · Cited by 17
“Notwithstanding their utility, these strategies are predominantly linear or unsupervised visualization tools and are deficient in their ability to include clustering into their frameworks [18].”
From Anti-EBV Immune Responses to the EBV Diseasome via Cross-reactivity
Kanduc, D., & Shoenfeld, Y. (2020) · Global Medical Genetics · doi:10.1055/s-0040-1715641 · Cited by 17
Extracellular Vesicles: An Emerging Regenerative Treatment for Oral Disease
He, F., Li, L., Fan, R., Wang, X., Chen, X., & Xu, Y. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.669011 · Cited by 17
Wang, Y., Ye, H., Yang, Y., Li, J., Cen, A., & Zhao, L. (2021) · Journal of Endocrinological Investigation · doi:10.1007/s40618-021-01606-4 · Cited by 16
Luo, S., Wang, W., Feng, J., & Li, R. (2021) · Journal of Immunology Research · doi:10.1155/2021/5975893 · Cited by 16
Epigenetic modifications in esophageal cancer: An evolving biomarker
Liu, W.-J., Zhao, Y., Chen, X., Miao, M.-L., & Zhang, R.-Q. (2023) · Frontiers in Genetics · doi:10.3389/fgene.2022.1087479 · Cited by 16
“In addition, aberrant histone modifications often accompany and interact with DNA methylation, further complicating the mechanisms of gene expression in tumour cells (Chang et al., 2019).”
BackgroundHayakawa, K., Nishitani, K., & Tanaka, S. (2019) · Scientific Reports · doi:10.1038/s41598-019-56341-x · Cited by 16
Li, N., Zhao, Z., Liu, P., Zheng, Y., Cai, S., Sun, Y., & Wang, B. (2020) · Molecular Therapy — Oncolytics · doi:10.1016/j.omto.2020.12.008 · Cited by 16
“In the context of several controversies in oncological research, JMJD3 plays contradictory roles in both tumor suppression and tumorigenesis.(32) JMJD3 was shown to serve as a potential tumor suppressor in different types of cancers.”
BackgroundGASC1 promotes glioma progression by enhancing NOTCH1 signaling
Xiao, Z., Yang, X., Liu, Z., Shao, Z., Song, C., Zhang, K., Wang, X., & Li, Z. (2021) · Molecular Medicine Reports · doi:10.3892/mmr.2021.11949 · Cited by 16
“This finding was in line with previous studies showing that >50% of gliomas exhibit a higher GASC1 expression (30,57,58).”
ResultDeciphering the multifaceted roles and clinical implications of 2-hydroxyglutarate in cancer
Hao, J., Huang, Z., Zhang, S., Song, K., Wang, J., Gao, C., Fang, Z., & Zhang, N. (2024) · Pharmacological Research · doi:10.1016/j.phrs.2024.107437 · Cited by 15
Peripheral T-cell lymphoma: From biology to practice to the future
O’Connor, O. A., Ma, H., Chan, J. Y., Kim, S. J., Yoon, S. E., & Kim, W. S. (2024) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2024.102793 · Cited by 15
Liu, X., Li, H., Yuan, M., Wan, J., Guo, J., Dong, X., Jin, X., Yang, C., & Wang, G. (2025) · Cancer Letters · doi:10.1016/j.canlet.2025.217972 · Cited by 14
Liu, K.-L., Yin, Y.-W., Lu, B., Niu, Y., Wang, D., Shi, B., Zhang, H., Guo, P., Yang, Z., & Li, W. (2022) · Cancer Cell International · doi:10.1186/s12935-022-02475-4 · Cited by 14
“Studies have shown that abnormal expression of KDM5C is closely related to the occurrence and development of various cancers [18, 19].”
BackgroundHistone methylation and acetylation in cancer: mechanism, progression, and targets
Bu, S., Ye, T., Gao, H., Song, H., & Zhu, Y. (2024) · ONCOLOGIE · doi:10.1515/oncologie-2024-0324 · Cited by 14
KDM6B-Mediated HADHA Demethylation/Lactylation Regulates Cementogenesis
Yang, Z., Wang, H., Xiao, J., Yang, Q., Sun, J., Liu, H., Ma, L., Huang, X., Wang, C., Wang, X., et al. (2024) · Journal of Dental Research · doi:10.1177/00220345241286460 · Cited by 14
“In addition to epigenetic regulation, there exists significant crosstalk between histone modifications and bioenergetic metabolism, which has emerged as a promising therapeutic target (Chang et al. 2019).”
Thonsri, U., Wongkham, S., Wongkham, C., Hino, S., Nakao, M., Roytrakul, S., Koga, T., & Seubwai, W. (2020) · Cancer Science · doi:10.1111/cas.14719 · Cited by 13
Mutation pattern and genotype-phenotype correlations of SETD2 in neurodevelopmental disorders
Chen, M., Quan, Y., Duan, G., Wu, H., Bai, T., Wang, Y., Zhou, S., Ou, J., Shen, Y., Hu, Z., et al. (2021) · European Journal of Medical Genetics · doi:10.1016/j.ejmg.2021.104200 · Cited by 14
Breast cancer: Muscarinic receptors as new targets for tumor therapy
Español, A. J., Salem, A. R., Sánchez, Y., & Sales, M. E. (2021) · World Journal of Clinical Oncology · doi:10.5306/wjco.v12.i6.404 · Cited by 14
Gu, H.-Z., Lin, R., Zheng, F., & ZHANG, Q. (2020) · Journal of Molecular Histology · doi:10.1007/s10735-020-09921-5 · Cited by 14
Fan, M., Shi, H., Yao, H., Wang, W., Zhang, Y., Jiang, C., & Lin, R. (2022) · Stem Cell Research & Therapy · doi:10.1186/s13287-022-02936-7 · Cited by 13
“D-2-hydroxyglutarate (D-2HG), a competitive inhibitor of α-KG, can be used as an inhibitor of histone demethylation [26].”
BackgroundLiu, G., Jia, G., Ren, Y., Yin, C., Xiao, X., Wu, H., Liu, J., & Chen, M. (2025) · Cell Biology and Toxicology · doi:10.1007/s10565-025-10021-x · Cited by 13
“Histone is the first protein identified as a lysine-methylated substrate (Chang et al. 2019; Wu et al. 2022).”
Lysine demethylase 6 (KDM6): A promising therapeutic target in autoimmune disorders and cancer
Nastaranpour, M., Damara, A., Grabbe, S., & Shahneh, F. Z. (2025) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2025.118254 · Cited by 13
Hoekstra, M., & Biggar, K. K. (2021) · Analytical Biochemistry · doi:10.1016/j.ab.2021.114429 · Cited by 15
IDH1 R132C and ERC2 L309I Mutations Contribute to the Development of Maffucci’s Syndrome
Cheng, P., Chen, K., Zhang, S., Mu, K., Liang, S., & Zhang, Y. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.763349 · Cited by 13
“The above somatic mutations render IDH1 or IDH2 unable to convert isocitrate to a-ketoglutarate but promote D-2hydroxyglutarate accumulation, the levels of which strongly correlate with tumorigenesis (13, 20, 21).”
BackgroundEvolving therapeutic proteins to precisely kill cancer cells
Zaman, R., Islam, R. A., & Chowdhury, E. H. (2022) · Journal of Controlled Release · doi:10.1016/j.jconrel.2022.09.066 · Cited by 13
Maietta, I., González‐Fernández, Á., & Simón‐Vázquez, R. (2025) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2025.115638 · Cited by 13
Edrei, Y., Levy, R., Kaye, D., Marom, A., Radlwimmer, B., & Hellman, A. (2023) · Genome biology · doi:10.1186/s13059-023-03094-6 · Cited by 12
Cui, X., Hou, L., Yan, B., Liu, J., Zhang, C., Sui, P., Tong, S., Luchsinger, L. L., Mendelson, A., Zhou, D., et al. (2025) · Journal of Clinical Investigation · doi:10.1172/jci182125 · Cited by 13
Fazazi, M. R., Ruda, G. F., Brennan, P. E., & Rangachari, M. (2023) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2023.110748 · Cited by 13
“Dysregulation of KDM5C, KDM5D and KDM6A are associated with sex-dependent malignancies such as prostate, breast and pancreatic cancer (Chang et al., 2019; Duan et al., 2022; Varghese et al., 2021).”
Background
Metadata
- Authors
- Chang, S., Yim, S., & Park, H.
- Affiliations
- University of Seoul (KR)
- Corresponding author
- Park, Hyunsung
- Venue
- Experimental & Molecular Medicine
- Published
- 2019-06
- Volume
- 51
- Issue
- 6
- Pages
- 1-17
- ISSN
- 1226-3613 (ISSN-L)
- 2092-6413
- PMC
- PMC6586683
- OpenAlex
- W2950853065
- Cited by
- 228
- References
- 147
- Citations by year
- 2026: 8 · 2025: 31 · 2024: 41 · 2023: 37 · 2022: 32 · 2021: 50 · 2020: 24 · 2019: 4
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Experimental & Molecular Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Research Foundation of Korea (2016R1A2B4012840, 2018R1A4A1025985)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chromatin Remodeling and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Keywords
- histone demethylation, histone methylation, cancer driver genes, cancer metabolism, D-2-hydroxyglutarate, oncometabolites, tumor suppressor, JARID1A, JARID1B, chromatin
- MeSH terms
- Tumor Hypoxia, Nucleophosmin, Animals, Histones, Humans, Isocitrate Dehydrogenase, Neoplasms, Gene Expression Regulation, Neoplastic, Histone Demethylases
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