Targeted inhibition of mutant IDH2 in leukemia cells induces cellular differentiation

F Wang, J Travins, B DeLaBarre, V Penard-Lacronique… - Science, 2013 - science.org
F Wang, J Travins, B DeLaBarre, V Penard-Lacronique, S Schalm, E Hansen, K Straley
Science, 2013science.org
A number of human cancers harbor somatic point mutations in the genes encoding isocitrate
dehydrogenases 1 and 2 (IDH1 and IDH2). These mutations alter residues in the enzyme
active sites and confer a gain-of-function in cancer cells, resulting in the accumulation and
secretion of the oncometabolite (R)-2-hydroxyglutarate (2HG). We developed a small
molecule, AGI-6780, that potently and selectively inhibits the tumor-associated mutant
IDH2/R140Q. A crystal structure of AGI-6780 complexed with IDH2/R140Q revealed that the …
A number of human cancers harbor somatic point mutations in the genes encoding isocitrate dehydrogenases 1 and 2 (IDH1 and IDH2). These mutations alter residues in the enzyme active sites and confer a gain-of-function in cancer cells, resulting in the accumulation and secretion of the oncometabolite (R)-2-hydroxyglutarate (2HG). We developed a small molecule, AGI-6780, that potently and selectively inhibits the tumor-associated mutant IDH2/R140Q. A crystal structure of AGI-6780 complexed with IDH2/R140Q revealed that the inhibitor binds in an allosteric manner at the dimer interface. The results of steady-state enzymology analysis were consistent with allostery and slow-tight binding by AGI-6780. Treatment with AGI-6780 induced differentiation of TF-1 erythroleukemia and primary human acute myelogenous leukemia cells in vitro. These data provide proof-of-concept that inhibitors targeting mutant IDH2/R140Q could have potential applications as a differentiation therapy for cancer.
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