Abstract
Molecular and clinical research based on isocitrate dehydrogenase (IDH) mutations is much sought after in glioma research since a decade of its discovery in 2008. IDH enzyme normally catalyzes isocitrate to α-keto-glutarate (α-KG), but once the gene is mutated it produces an ‘oncometabolite’, 2-hydroxyglutarate (2-HG). 2-HG is proposed to inhibit α-KG-dependent dioxygenases and also blocks cellular differentiation. Here, we discuss the role of the IDH1 mutation in gliomagenesis. The review also focuses on the effect of 2-HG on glioma epigenetics, the cellular signaling involved in IDH1 mutant glioma cells and the therapeutic response seen in mutant IDH1(mIDH1) harboring glioma patients in comparison to the patients with wild-type IDH1. The review encompasses the debatable impacts of the mutation on immune microenvironment a propos of various mIDH1 inhibitors in practice or in trials. Recent studies revealing the relation of IDH mutation with the immune microenvironment and inflammatory status in untreated versus treated glioblastoma patients are highlighted with respect to prospective therapeutic targets. Also at the molecular level, the association of mIDH1/2-HG with the intracellular components such as mitochondria and other neighboring cells is discussed.
Similar content being viewed by others
References
Amelot A, Cremoux PD, Quillien V et al (2015) IDH-mutation is a weak predictor of long-term survival in glioblastoma patients. PLoS ONE 10:e0130596. https://doi.org/10.1371/journal.pone.0130596
Annovazzi L, Mellai M, Bovio E et al (2018) Microglia immunophenotyping in gliomas. Oncol Lett 15:998–1006. https://doi.org/10.3892/ol.2017.7386
Berghoff AS, Kiesel B, Widhalm G et al (2017) Correlation of immune phenotype with IDH mutation in diffuse glioma. Neuro-oncology 19:1460–1468. https://doi.org/10.1093/neuonc/nox054
Bralten LBC, French PJ (2011) Genetic Alterations in Glioma. Cancers (Basel) 3:1129–1140. https://doi.org/10.3390/cancers3011129
Bunse L, Pusch S, Bunse T et al (2018) Suppression of antitumor T cell immunity by the oncometabolite (R)-2-hydroxyglutarate. Nat Med 24:1192. https://doi.org/10.1038/s41591-018-0095-6
Chen X, Zhang M, Gan H et al (2018) A novel enhancer regulates MGMT expression and promotes temozolomide resistance in glioblastoma. Nat Commun 9:2949. https://doi.org/10.1038/s41467-018-05373-4
Choi BD, Curry WT (2017) IDH mutational status and the immune system in gliomas: A tale of two tumors? Transl Cancer Res 6:S1253-S1256–S1256. https://doi.org/10.21037/16582
Circu ML, Aw TY (2012) Glutathione and modulation of cell apoptosis. Biochem Biophys Acta 1823:1767. https://doi.org/10.1016/j.bbamcr.2012.06.019
Cohen A, Holmen S, Colman H (2013) IDH1 and IDH2 Mutations in Gliomas. Curr Neurol Neurosci Rep 13:345. https://doi.org/10.1007/s11910-013-0345-4
Combs SE, Rieken S, Wick W et al (2011) Prognostic significance of IDH-1 and MGMT in patients with glioblastoma: One step forward, and one step back? Radiat Oncol 6:115. https://doi.org/10.1186/1748-717X-6-115
Costantini B, Kordasti SY, Kulasekararaj AG et al (2013) The effects of 5-azacytidine on the function and number of regulatory T cells and T-effectors in myelodysplastic syndrome. Haematologica 98:1196–1205. https://doi.org/10.3324/haematol.2012.074823
Crespo I, Vital AL, Gonzalez-Tablas M et al (2015) Molecular and genomic alterations in glioblastoma multiforme. Am J Pathol 185:1820–1833. https://doi.org/10.1016/j.ajpath.2015.02.023
Cui D, Ren J, Shi J et al (2016) R132H mutation in IDH1 gene reduces proliferation, cell survival and invasion of human glioma by downregulating Wnt/β-catenin signaling. Int J Biochem Cell Biol 73:72–81. https://doi.org/10.1016/j.biocel.2016.02.007
Dang L, White DW, Gross S et al (2009) Cancer-associated IDH1 mutations produce 2-hydroxyglutarate. Nature 462:739. https://doi.org/10.1038/nature08617
Dang L, Yen K, Attar EC (2016) IDH mutations in cancer and progress toward development of targeted therapeutics. Ann Oncol 27:599–608. https://doi.org/10.1093/annonc/mdw013
Gagné LM, Boulay K, Topisirovic I et al (2017) Oncogenic activities of IDH1/2 mutations: from epigenetics to cellular signaling. Trends Cell Biol 27:738–752. https://doi.org/10.1016/j.tcb.2017.06.002
Gao L, Chen B, Li J et al (2017) Wnt/β-catenin signaling pathway inhibits the proliferation and apoptosis of U87 glioma cells via different mechanisms. PLoS ONE. https://doi.org/10.1371/journal.pone.0181346
Garrett M, Sperry J, Braas D et al (2018) Metabolic characterization of isocitrate dehydrogenase (IDH) mutant and IDH wildtype gliomaspheres uncovers cell type-specific vulnerabilities. Cancer Metab. https://doi.org/10.1186/s40170-018-0177-4
Golub D, Iyengar N, Dogra S et al (2019) Mutant isocitrate dehydrogenase inhibitors as targeted cancer therapeutics. Front Oncol. https://doi.org/10.3389/fonc.2019.00417
Grassian AR, Parker SJ, Davidson SM et al (2014) IDH1 mutations alter citric acid cycle metabolism and increase dependence on oxidative mitochondrial metabolism. Cancer Res 74:3317–3331. https://doi.org/10.1158/0008-5472.CAN-14-0772-T
Han CH, Batchelor TT (2017) Isocitrate dehydrogenase mutation as a therapeutic target in gliomas. Chin Clin Oncol 6:33. https://doi.org/10.21037/cco.2017.06.11
Hartmann C, Hentschel B, Tatagiba M et al (2011) Molecular markers in low-grade gliomas: Predictive or prognostic? Clin Cancer Res 17:4588–4599. https://doi.org/10.1158/1078-0432.CCR-10-3194
Houillier C, Wang X, Kaloshi G et al (2010) IDH1 or IDH2 mutations predict longer survival and response to temozolomide in low-grade gliomas. Neurology 75:1560–1566. https://doi.org/10.1212/WNL.0b013e3181f96282
Jiang B, Zhao W, Shi M et al (2018) IDH1 Arg-132 mutant promotes tumor formation through down-regulating p53. J Biol Chem 293:9747–9758. https://doi.org/10.1074/jbc.RA117.001385
Kaur B, Khwaja FW, Severson EA et al (2005) Hypoxia and the hypoxia-inducible-factor pathway in glioma growth and angiogenesis. Neuro-oncol 7:134–153. https://doi.org/10.1215/S1152851704001115
Kessler J, Güttler A, Wichmann H et al (2015) IDH1R132H mutation causes a less aggressive phenotype and radiosensitizes human malignant glioma cells independent of the oxygenation status. Radiother Oncol 116:381–387. https://doi.org/10.1016/j.radonc.2015.08.007
Kickingereder P, Sahm F, Radbruch A et al (2015) IDH mutation status is associated with a distinct hypoxia/angiogenesis transcriptome signature which is non-invasively predictable with rCBV imaging in human glioma. Sci Rep. https://doi.org/10.1038/srep16238
Koivunen P, Lee S, Duncan CG et al (2012) Transformation by the R enantiomer of 2-hydroxyglutarate Linked to EglN activation. Nature 483:484–488. https://doi.org/10.1038/nature10898
Kranendijk M, Struys EA, Salomons GS et al (2012) Progress in understanding 2-hydroxyglutaric acidurias. J Inherit Metab Dis 35:571. https://doi.org/10.1007/s10545-012-9462-5
Krell D, Assoku M, Galloway M et al (2011) Screen for IDH1, IDH2, IDH3, D2HGDH and L2HGDH mutations in glioblastoma. PLoS ONE. https://doi.org/10.1371/journal.pone.0019868
Li F, He X, Ye D et al (2015) NADP(+)-IDH mutations promote hypersuccinylation that impairs mitochondria respiration and induces apoptosis resistance. Mol Cell 60:661–675. https://doi.org/10.1016/j.molcel.2015.10.017
Li S, Sun C, Gu Y et al (2019) Mutation of IDH1 aggravates the fatty acid-induced oxidative stress in HCT116 cells by affecting the mitochondrial respiratory chain. Mol Med Rep 19:2509–2518. https://doi.org/10.3892/mmr.2019.9903
Liu A, Hou C, Chen H et al (2016) Genetics and epigenetics of glioblastoma: applications and overall incidence of IDH1 mutation. Front Oncol. https://doi.org/10.3389/fonc.2016.00016
Liu P-S, Wang H, Li X et al (2017) α-ketoglutarate orchestrates macrophage activation through metabolic and epigenetic reprogramming. Nat Immunol 18:985–994. https://doi.org/10.1038/ni.3796
Losman J-A, Kaelin WG (2013) What a difference a hydroxyl makes: mutant IDH, (R)-2-hydroxyglutarate, and cancer. Genes Dev 27:836–852. https://doi.org/10.1101/gad.217406.113
Louis DN, Perry A, Reifenberger G et al (2016) The 2016 World Health Organization classification of tumors of the central nervous system: a summary. Acta Neuropathol 131:803–820. https://doi.org/10.1007/s00401-016-1545-1
Madala HR, Punganuru SR, Arutla V et al (2018) Beyond brooding on oncometabolic havoc in IDH-mutant gliomas and AML: current and future therapeutic strategies. Cancers (Basel). https://doi.org/10.3390/cancers10020049
Mellai M, Caldera V, Annovazzi L, Schiffer D (2013) The distribution and significance of IDH mutations in gliomas. Evolut Mol Biol Brain Tumors Ther Implic. https://doi.org/10.5772/52357
Molenaar RJ, Verbaan D, Lamba S et al (2014) The combination of IDH1 mutations and MGMT methylation status predicts survival in glioblastoma better than either IDH1 or MGMT alone. Neuro Oncol 16:1263–1273. https://doi.org/10.1093/neuonc/nou005
Molenaar RJ, Maciejewski JP, Wilmink JW, Noorden CJF (2018) Wild-type and mutated IDH1/2 enzymes and therapy responses. Oncogene 37:1949–1960. https://doi.org/10.1038/s41388-017-0077-z
Muller PAJ, Vousden KH (2013) p53 mutations in cancer. Nat Cell Biol 15:2–8. https://doi.org/10.1038/ncb2641
Myung JK, Cho HJ, Kim H et al (2014) Prognosis of glioblastoma with oligodendroglioma component is associated with the IDH1 mutation and MGMT methylation status. Transl Oncol 7:712–719. https://doi.org/10.1016/j.tranon.2014.10.002
Nagpal J, Jamoona A, Gulati ND et al (2006) Revisiting the role of p53 in primary and secondary glioblastomas. Anticancer Res 26:4633–4639
Nasser MM, Mehdipour P (2018) Exploration of involved key genes and signaling diversity in brain tumors. Cell Mol Neurobiol 38:393–419. https://doi.org/10.1007/s10571-017-0498-9
Navis AC, Niclou SP, Fack F et al (2013) Increased mitochondrial activity in a novel IDH1-R132H mutant human oligodendroglioma xenograft model: in situ detection of 2-HG and α-KG. Acta Neuropathol Commun 1:18. https://doi.org/10.1186/2051-5960-1-18
Nobusawa S, Watanabe T, Kleihues P, Ohgaki H (2009) IDH1 mutations as molecular signature and predictive factor of secondary glioblastomas. Clin Cancer Res 15:6002–6007. https://doi.org/10.1158/1078-0432.CCR-09-0715
Núñez FJ, Mendez FM, Kadiyala P et al (2019) IDH1-R132H acts as a tumor suppressor in glioma via epigenetic up-regulation of the DNA damage response. Sci Transl Med 11:eaaq1427. https://doi.org/10.1126/scitranslmed.aaq1427
Ohba S, Hirose Y (2016) Biological significance of mutant isocitrate dehydrogenase 1 and 2 in gliomagenesis. Neurol Med Chir (Tokyo) 56:170–179. https://doi.org/10.2176/nmc.ra.2015-0322
Ohgaki H, Kleihues P (2013) The definition of primary and secondary glioblastoma. Clin Cancer Res 19:764–772. https://doi.org/10.1158/1078-0432.CCR-12-3002
Osuka S, Van Meir EG (2017) Overcoming therapeutic resistance in glioblastoma: the way forward. J Clin Invest 127:415–426. https://doi.org/10.1172/JCI89587
Oyan B, Ozturk MA, Ozkan F et al (2015) The change in the status of MGMT methylation and IDH mutation in initial and recurrent glial tumors and its relation with prognosis. JCO 33:e13058–e13058. https://doi.org/10.1200/jco.2015.33.15_suppl.e13058
Park JK, Hodges T, Arko L et al (2010) Scale to predict survival after surgery for recurrent glioblastoma multiforme. J Clin Oncol 28:3838–3843. https://doi.org/10.1200/JCO.2010.30.0582
Parsons DW, Jones S, Zhang X et al (2008) An integrated genomic analysis of human glioblastoma multiforme. Science 321:1807–1812. https://doi.org/10.1126/science.1164382
Pellegatta S, Valletta L, Corbetta C et al (2015) Effective immuno-targeting of the IDH1 mutation R132H in a murine model of intracranial glioma. Acta Neuropathol Commun 3:4. https://doi.org/10.1186/s40478-014-0180-0
Philip B, Yu DX, Silvis MR et al (2018) Mutant IDH1 promotes glioma formation in vivo. Cell Rep 23:1553–1564. https://doi.org/10.1016/j.celrep.2018.03.133
Polívka J, Pešta M, Pitule P et al (2018) IDH1 mutation is associated with lower expression of VEGF but not microvessel formation in glioblastoma multiforme. Oncotarget 9:16462–16476. https://doi.org/10.18632/oncotarget.24536
Poon CC, Gordon PMK, Liu K et al (2019) Differential microglia and macrophage profiles in human IDH-mutant and -wild type glioblastoma. Oncotarget 10:3129–3143. https://doi.org/10.18632/oncotarget.26863
Rasmussen KD, Helin K (2016) Role of TET enzymes in DNA methylation, development, and cancer. Genes Dev 30:733–750. https://doi.org/10.1101/gad.276568.115
Richardson LG, Choi BD, Curry WT (2019) (R)-2-hydroxyglutarate drives immune quiescence in the tumor microenvironment of IDH-mutant gliomas. Transl Cancer Res 8:S167–S170. https://doi.org/10.21037/tcr.2019.01.08
Richterová R, Kolarovszki B (2016) Genetic alterations of glioblastoma. Neurooncol Newer Dev. https://doi.org/10.5772/63127
Rohle D, Popovici-Muller J, Palaskas N et al (2013) An inhibitor of mutant IDH1 delays growth and promotes differentiation of glioma cells. Science 340:626–630. https://doi.org/10.1126/science.1236062
Rosiak K, Smolarz M, Stec WJ et al (2016) IDH1R132H in neural stem cells: differentiation impaired by increased apoptosis. PLoS ONE. https://doi.org/10.1371/journal.pone.0154726
Schiffer D, Annovazzi L, Casalone C et al (2018) Glioblastoma: microenvironment and niche concept. Cancers (Basel). https://doi.org/10.3390/cancers11010005
Semukunzi H, Roy D, Li H et al (2017) IDH mutations associated impact on related cancer epidemiology and subsequent effect toward HIF-1α. Biomed Pharmacother 89:805–811. https://doi.org/10.1016/j.biopha.2017.02.083
Shi J, Sun B, Shi W et al (2014a) Decreasing GSH and increasing ROS in chemosensitivity gliomas with IDH1 mutation. Tumor Biol 36:655–662. https://doi.org/10.1007/s13277-014-2644-z
Shi J, Zuo H, Ni L et al (2014b) An IDH1 mutation inhibits growth of glioma cells via GSH depletion and ROS generation. Neurol Sci Off J Ital Neurol Soc Ital Soc Clin Neurophysiol 35:839–845. https://doi.org/10.1007/s10072-013-1607-2
Shim E-H, Livi CB, Rakheja D et al (2014) l-2-hydroxyglutarate: an epigenetic modifier and putative oncometabolite in renal cancer. Cancer Discov 4:1290–1298. https://doi.org/10.1158/2159-8290.CD-13-0696
Singh A, Gurav M, Dhanavade S et al (2017) Diffuse glioma—Rare homozygous IDH point mutation, is it an oncogenetic mechanism? Neuropathology 37:582–585. https://doi.org/10.1111/neup.12401
Smolková K, Ježek P (2012) The role of mitochondrial NADPH-dependent isocitrate dehydrogenase in cancer cells. Int J Cell Biol. https://www.hindawi.com/journals/ijcb/2012/273947/. Accessed 4 Mar 2019
SongTao Q, Lei Y, Si G et al (2012) IDH mutations predict longer survival and response to temozolomide in secondary glioblastoma. Cancer Sci 103:269–273. https://doi.org/10.1111/j.1349-7006.2011.02134.x
Struys EA (2006) D-2-Hydroxyglutaric aciduria: unravelling the biochemical pathway and the genetic defect. J Inherit Metab Dis 29:21–29. https://doi.org/10.1007/s10545-006-0317-9
Stuani L, Recher C, Portais J-C, Sarry J-E (2017) Utilization of a-Ketoglutarate for Synthesis of 2-Hydroxyglutarate Oncometabolite Promotes Catabolic Flexibility, Redox Perturbation and Mitochondrial Activity That Supports Chemoresistance in IDH1 Mutant Acute Myeloid Leukemia. Blood 130:5080–5080
Stupp R, Hegi ME, Mason WP et al (2009) Effects of radiotherapy with concomitant and adjuvant temozolomide versus radiotherapy alone on survival in glioblastoma in a randomised phase III study: 5-year analysis of the EORTC-NCIC trial. Lancet Oncol 10:459–466. https://doi.org/10.1016/S1470-2045(09)70025-7
Szulzewsky F, Pelz A, Feng X et al (2015) Glioma-associated microglia/macrophages display an expression profile different from M1 and M2 polarization and highly express Gpnmb and Spp1. PLoS ONE 10:e0116644. https://doi.org/10.1371/journal.pone.0116644
Tateishi K, Yamamoto T (2019) IDH-Mutant Gliomas. Brain and spinal tumors—primary and secondary. https://doi.org/10.5772/intechopen.84543
Urban DJ, Martinez NJ, Davis MI et al (2017) Assessing inhibitors of mutant isocitrate dehydrogenase using a suite of pre-clinical discovery assays. Sci Rep 7:12758. https://doi.org/10.1038/s41598-017-12630-x
Waitkus MS, Diplas BH, Yan H (2016) Isocitrate dehydrogenase mutations in gliomas. Neuro Oncol 18:16–26. https://doi.org/10.1093/neuonc/nov136
Wang G, Sai K, Gong F et al (2014) Mutation of isocitrate dehydrogenase 1 induces glioma cell proliferation via nuclear factor-κB activation in a hypoxia-inducible factor 1-α dependent manner. Mol Med Rep 9:1799–1805. https://doi.org/10.3892/mmr.2014.2052
Wang L, Zhang C, Zhang Z et al (2018) Specific clinical and immune features of CD68 in glioma via 1,024 samples. Cancer Manag Res 10:6409–6419. https://doi.org/10.2147/CMAR.S183293
Watanabe T, Nobusawa S, Kleihues P, Ohgaki H (2009) IDH1 mutations are early events in the development of astrocytomas and oligodendrogliomas. Am J Pathol 174:1149–1153. https://doi.org/10.2353/ajpath.2009.080958
Williams SC, Karajannis MA, Chiriboga L et al (2011) R132H-mutation of isocitrate dehydrogenase-1 is not sufficient for HIF-1α upregulation in adult glioma. Acta Neuropathol 121:279–281. https://doi.org/10.1007/s00401-010-0790-y
Wong CC, Qian Y, Yu J (2017) Interplay between epigenetics and metabolism in oncogenesis: mechanisms and therapeutic approaches. Oncogene 36:3359–3374. https://doi.org/10.1038/onc.2016.485
Xu X, Zhao J, Xu Z et al (2004) Structures of human cytosolic NADP-dependent Isocitrate dehydrogenase reveal a novel self-regulatory mechanism of activity. J Biol Chem 279:33946–33957. https://doi.org/10.1074/jbc.M404298200
Yalaza C, Ak H, Cagli MS et al (2017) R132H mutation in IDH1 gene is associated with increased tumor HIF1-alpha and serum VEGF levels in primary glioblastoma multiforme. Ann Clin Lab Sci 47:362–364
Yan H, Parsons DW, Jin G et al (2009) IDH1 and IDH2 Mutations in Gliomas. N Engl J Med 360:765–773. https://doi.org/10.1056/NEJMoa0808710
Yang H, Ye D, Guan K-L, Xiong Y (2012) IDH1 and IDH2 mutations in tumorigenesis: mechanistic insights and clinical perspectives. Clin Cancer Res 18:5562–5571. https://doi.org/10.1158/1078-0432.CCR-12-1773
Yao Q, Yao Q, Cai G et al (2018) IDH1 mutation diminishes aggressive phenotype in glioma stem cells. Int J Oncol 52:270–278. https://doi.org/10.3892/ijo.2017.4186
Zhang K, Wang X, Zhou B, Zhang L (2013) The prognostic value of MGMT promoter methylation in Glioblastoma multiforme: a meta-analysis. Fam Cancer 12:449–458. https://doi.org/10.1007/s10689-013-9607-1
Zhang X, Rao A, Sette P et al (2016) IDH mutant gliomas escape natural killer cell immune surveillance by downregulation of NKG2D ligand expression. Neuro-oncology 18:1402–1412. https://doi.org/10.1093/neuonc/now061
Zhang L, Sorensen M, Kristensen BW et al (2018) The oncometabolite D-2-hydroxyglutarate is an intercellular mediator in IDH-mutant gliomas that inhibits both complement and T cells. Clin Cancer Res. https://doi.org/10.1158/1078-0432.ccr-17-3855
Zhao S, Lin Y, Xu W et al (2009) Glioma-derived mutations in IDH1 dominantly inhibit IDH1 catalytic activity and induce HIF-1alpha. Science 324:261–265. https://doi.org/10.1126/science.1170944
Acknowledgements
The authors would like to acknowledge Dr. Cibin TR for his valuable inputs and suggestions towards the final drafting of the manuscript. BB would like to thank Department of Science and Technology, India for providing the Inspire Fellowship (IF150784). ACR acknowledges Council of Scientific and Industrial Research (09/523(0082)/2014-EMR-1) Government of India for Research Fellowship.
Funding
No funding was used for the manuscript completion.
Author information
Authors and Affiliations
Contributions
BB and ACR were the major contributors (designing, searching and writing of the manuscript). MUK, DAN, RP and SG discussed ideas, helped in the outline of the review, and corrected the text. HVE, KK and SG made critical revision for important intellectual content and final approval of the review. The conception of the review was done by SG.
Corresponding author
Ethics declarations
Conflict of interest
All authors declare that they have no conflict of interest.
Human and Animal Rights
This is a review and does not involve human participants and/or animals.
Informed Consent
No informed consent is needed.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Bhavya, B., Anand, C.R., Madhusoodanan, U.K. et al. To be Wild or Mutant: Role of Isocitrate Dehydrogenase 1 (IDH1) and 2-Hydroxy Glutarate (2-HG) in Gliomagenesis and Treatment Outcome in Glioma. Cell Mol Neurobiol 40, 53–63 (2020). https://doi.org/10.1007/s10571-019-00730-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10571-019-00730-3