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Cancer-associated mutation and beyond: The emerging biology of isocitrate dehydrogenases in human disease.


ABSTRACT: Isocitrate dehydrogenases (IDHs) are critical metabolic enzymes that catalyze the oxidative decarboxylation of isocitrate to ?-ketoglutarate (?KG), NAD(P)H, and CO2. IDHs epigenetically control gene expression through effects on ?KG-dependent dioxygenases, maintain redox balance and promote anaplerosis by providing cells with NADPH and precursor substrates for macromolecular synthesis, and regulate respiration and energy production through generation of NADH. Cancer-associated mutations in IDH1 and IDH2 represent one of the most comprehensively studied mechanisms of IDH pathogenic effect. Mutant enzymes produce (R)-2-hydroxyglutarate, which in turn inhibits ?KG-dependent dioxygenase function, resulting in a global hypermethylation phenotype, increased tumor cell multipotency, and malignancy. Recent studies identified wild-type IDHs as critical regulators of normal organ physiology and, when transcriptionally induced or down-regulated, as contributing to cancer and neurodegeneration, respectively. We describe how mutant and wild-type enzymes contribute on molecular levels to disease pathogenesis, and discuss efforts to pharmacologically target IDH-controlled metabolic rewiring.

SUBMITTER: Tommasini-Ghelfi S 

PROVIDER: S-EPMC6530995 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Cancer-associated mutation and beyond: The emerging biology of isocitrate dehydrogenases in human disease.

Tommasini-Ghelfi Serena S   Murnan Kevin K   Kouri Fotini M FM   Mahajan Akanksha S AS   May Jasmine L JL   Stegh Alexander H AH  

Science advances 20190522 5


Isocitrate dehydrogenases (IDHs) are critical metabolic enzymes that catalyze the oxidative decarboxylation of isocitrate to α-ketoglutarate (αKG), NAD(P)H, and CO<sub>2</sub>. IDHs epigenetically control gene expression through effects on αKG-dependent dioxygenases, maintain redox balance and promote anaplerosis by providing cells with NADPH and precursor substrates for macromolecular synthesis, and regulate respiration and energy production through generation of NADH. Cancer-associated mutatio  ...[more]

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