Efficient induction of differentiation and growth inhibition in IDH1 mutant glioma cells by the DNMT inhibitor decitabine
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// Sevin Turcan 1,* , Armida W. M. Fabius 1,* , Alexandra Borodovsky 2 , Alicia Pedraza 1 , Cameron Brennan 1 , Jason Huse 1 , Agnes Viale 3 , Gregory J. Riggins 2 , and Timothy A. Chan 1,4,5 1 Human Oncology and Pathogenesis Program, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. 2 Department of Neurosurgery, School of Medicine, Johns Hopkins University, Baltimore, MD. 3 Genomics Core, Memorial Sloan-Kettering Cancer Center, New York, New York, USA. 4 Dept. of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA. 5 Brain Tumor Center, Memorial Sloan-Kettering Cancer Center, New York, New York, USA. * These authors contributed equally to this work Correspondence: Timothy A. Chan, email: // Keywords : glioma, isocitrate dehydrogenase, methylation, epigenetics, treatment Received : September 12, 2013 Accepted : September 16, 2013 Published : September 16, 2013 Abstract Mutation in the IDH1 or IDH2 genes occurs frequently in gliomas and other human malignancies. In intermediate grade gliomas, IDH1 mutation is found in over 70% of tumors. These mutations impart the mutant IDH enzyme with a neomorphic activity – the ability to synthesize 2-hydroxyglutarate (2-HG). This ability leads to a reprogramming of chromatin state, a block in differentiation, and the establishment of the glioma hypermethylator phenotype (G-CIMP). It has been hypothesized but not proven that the extensive DNA methylation that occurs in G-CIMP tumors helps maintain and “lock in” glioma cancer cells in a dedifferentiated state. Here, we tested this hypothesis by treating patient derived IDH1 mutant glioma initiating cells (GIC) with non-cytotoxic, epigenetically targeted doses of the DNMT inhibitor decitabine. Global methylome analysis of treated IDH1 mutant GICs showed that DAC treatment resulted in reversal of DNA methylation marks induced by IDH and the re-expression of genes associated with differentiation. Accordingly, treatment of IDH1 mutant glioma cells resulted in a dramatic loss of stem-like properties and efficient adoption of markers of differentiation, effects not seen in decitabine treated IDH wild-type GICs. Induction of differentiation was much more efficient than that seen following treatment with a specific inhibitor of mutant IDH enzyme (Agios). Decitabine also decreased replicative potential and tumor growth in vivo . Reexpression of polycomb regulated genes accompanied these DAC-induced phenotypes. In total, our data indicates that targeting the pathologic DNA methylation in IDH mutant cells can reverse mutant IDH induced hypermethylation and block in differentiation and promote tumor control. These findings have substantial impact for exploring new treatment strategies for patients with IDH mutant gliomas.
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Mutant IDH inhibitors may not be effective in all IDH-mutant cancers; in many IDH-mutant glioma models they fail to reverse epigenetic changes or inhibit tumor proliferation despite lowering 2-HG.
“Despite success in some preclinical models and patients with AML, mutant IDH inhibitors may not be effective in all IDH-mutant cancers. For example, these drugs are unable to reverse epigenetic changes or inhibit tumor proliferation in many models of IDH mutant glioma, despite a robust ability to lower 2-HG in cells and tumors (Tateishi et al., 2015; Turcan et al., 2013).”
From Targeting Metabolism for Cancer Therapy (2017) · cites this paper as Turcan et al., 2013
Tumors harboring an IDH mutation have increased sensitivity to hypomethylating agents, electron transport chain inhibitors, depletion of NAD+, and chemoradiotherapy.
“For example, tumors harboring an IDH mutation have increased sensitivity to hypomethylating agents (Turcan et al., 2013), electron transport chain inhibitors (Grassian et al., 2014), depletion of the coenzyme NAD+ (Tateishi et al., 2015) and chemoradiotherapy (Cairncross et al., 2014).”
From Targeting Metabolism for Cancer Therapy (2017) · cites this paper as Turcan et al., 2013
Sensitivity to mutant IDH inhibitors appears to differ between leukemia and solid tumor models.
“Even among cancers where mutant IDH is an oncogenic driver, sensitivity to mutant IDH inhibitors appears to differ between leukemia and solid tumor models (Tateishi et al., 2015; Turcan et al., 2013).”
From Targeting Metabolism for Cancer Therapy (2017) · cites this paper as Turcan et al., 2013
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- Authors
- Turcan, S., Fabius, A. W. M., Borodovsky, A., Pedraza, A., Brennan, C., Huse, J., Viale, A., Riggins, G. J., & Chan, T. A.
- Affiliations
- Human Oncology and Pathogenesis Program, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
- Memorial Sloan Kettering Cancer Center (US)
- Johns Hopkins University (US)
- Venue
- Oncotarget
- Publisher
- Impact Journals, LLC
- Published
- 2013-09-16
- Volume
- 4
- Issue
- 10
- Pages
- 1729-1736
- ISSN
- 1949-2553 (ISSN-L)
- PMC
- PMC3858559
- OpenAlex
- W2158900087
- Cited by
- 240
- References
- 21
- Citations by year
- 2026: 11 · 2025: 9 · 2024: 8 · 2023: 22 · 2022: 18 · 2021: 20 · 2020: 12 · 2019: 21 · 2018: 24 · 2017: 26 · 2016: 27 · 2015: 16 · 2014: 24 · 2013: 1
- FWCI
- 11.31
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Oncotarget (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Sontag Foundation
- Memorial Sloan-Kettering Cancer Center
- National Institutes of Health (NIH T32, T32 grant)
- National Cancer Institute (T32CA160001, R01CA154767, R01CA177828, P30CA008748)
- Topics
- Health Sciences › Medicine › Genetics › Glioma Diagnosis and Treatment
- Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Keywords
- IDH1 mutation, glioma, DNA methylation, DNMT inhibitors, glioma stem cells, differentiation, 2-hydroxyglutarate, G-CIMP, epigenetic reprogramming, stem cell-like properties, methylome, hypomethylating agents, gene expression reprogramming, tumor growth inhibition, IDH2
- MeSH terms
- Decitabine, Animals, Antimetabolites, Antineoplastic, Azacitidine, Brain Neoplasms, Cell Differentiation, DNA (Cytosine-5-)-Methyltransferases, Female, Glioma, Humans, Isocitrate Dehydrogenase, Mutation, Mice, SCID, DNA Methylation, Cell Growth Processes, Mice, Heterografts
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