Molecular Imaging Of Metabolic Reprogramming In Mutant IDH Cells

Mutations in the metabolic enzyme isocitrate dehydrogenase (IDH) have recently been identified as drivers in the development of several tumor types. Most notably, cytosolic IDH1 is mutated in 70-90% of low-grade gliomas and upgraded glioblastomas, and mitochondrial IDH2 is mutated in ~20% of acute m...

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Main Authors: Pavithra eViswanath, Myriam M Chaumeil, Sabrina M Ronen
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-03-01
Series:Frontiers in Oncology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fonc.2016.00060/full
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author Pavithra eViswanath
Myriam M Chaumeil
Sabrina M Ronen
author_facet Pavithra eViswanath
Myriam M Chaumeil
Sabrina M Ronen
author_sort Pavithra eViswanath
collection DOAJ
description Mutations in the metabolic enzyme isocitrate dehydrogenase (IDH) have recently been identified as drivers in the development of several tumor types. Most notably, cytosolic IDH1 is mutated in 70-90% of low-grade gliomas and upgraded glioblastomas, and mitochondrial IDH2 is mutated in ~20% of acute myeloid leukemia cases. Wild-type IDH catalyzes the interconversion of isocitrate to α-ketoglutarate (α-KG). Mutations in the enzyme lead to loss of wild-type enzymatic activity and a neomorphic activity that converts α-KG to 2-hydroxyglutarate (2-HG). In turn, 2-HG, which has been termed an oncometabolite, inhibits key α-KG- dependent enzymes, resulting in alterations of the cellular epigenetic profile and, subsequently, inhibition of differentiation and initiation of tumorigenesis. In addition, it is now clear that the IDH mutation also induces a broad metabolic reprogramming that extends beyond 2-HG production, and this reprogramming often differs from what has been previously reported in other cancer types. In this review we will discuss in detail what is known to date about the metabolic reprogramming of mutant IDH cells and how this reprogramming has been investigated using molecular metabolic imaging. We will describe how metabolic imaging has helped shed light on the basic biology of mutant IDH cells and how this information can be leveraged to identify new therapeutic targets and to develop new clinically translatable imaging methods to detect and monitor mutant IDH tumors in vivo.
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spelling doaj.art-31f08c37e5ef48d7afbee8251be5e9162022-12-22T01:13:41ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2016-03-01610.3389/fonc.2016.00060180897Molecular Imaging Of Metabolic Reprogramming In Mutant IDH CellsPavithra eViswanath0Myriam M Chaumeil1Sabrina M Ronen2University of California San FranciscoUniversity of California San FranciscoUniversity of California San FranciscoMutations in the metabolic enzyme isocitrate dehydrogenase (IDH) have recently been identified as drivers in the development of several tumor types. Most notably, cytosolic IDH1 is mutated in 70-90% of low-grade gliomas and upgraded glioblastomas, and mitochondrial IDH2 is mutated in ~20% of acute myeloid leukemia cases. Wild-type IDH catalyzes the interconversion of isocitrate to α-ketoglutarate (α-KG). Mutations in the enzyme lead to loss of wild-type enzymatic activity and a neomorphic activity that converts α-KG to 2-hydroxyglutarate (2-HG). In turn, 2-HG, which has been termed an oncometabolite, inhibits key α-KG- dependent enzymes, resulting in alterations of the cellular epigenetic profile and, subsequently, inhibition of differentiation and initiation of tumorigenesis. In addition, it is now clear that the IDH mutation also induces a broad metabolic reprogramming that extends beyond 2-HG production, and this reprogramming often differs from what has been previously reported in other cancer types. In this review we will discuss in detail what is known to date about the metabolic reprogramming of mutant IDH cells and how this reprogramming has been investigated using molecular metabolic imaging. We will describe how metabolic imaging has helped shed light on the basic biology of mutant IDH cells and how this information can be leveraged to identify new therapeutic targets and to develop new clinically translatable imaging methods to detect and monitor mutant IDH tumors in vivo.http://journal.frontiersin.org/Journal/10.3389/fonc.2016.00060/fullMagnetic Resonance SpectroscopyMolecular ImagingCancerlow-grade gliomasmetabolic reprogramming2-hydroxyglutarate
spellingShingle Pavithra eViswanath
Myriam M Chaumeil
Sabrina M Ronen
Molecular Imaging Of Metabolic Reprogramming In Mutant IDH Cells
Frontiers in Oncology
Magnetic Resonance Spectroscopy
Molecular Imaging
Cancer
low-grade gliomas
metabolic reprogramming
2-hydroxyglutarate
title Molecular Imaging Of Metabolic Reprogramming In Mutant IDH Cells
title_full Molecular Imaging Of Metabolic Reprogramming In Mutant IDH Cells
title_fullStr Molecular Imaging Of Metabolic Reprogramming In Mutant IDH Cells
title_full_unstemmed Molecular Imaging Of Metabolic Reprogramming In Mutant IDH Cells
title_short Molecular Imaging Of Metabolic Reprogramming In Mutant IDH Cells
title_sort molecular imaging of metabolic reprogramming in mutant idh cells
topic Magnetic Resonance Spectroscopy
Molecular Imaging
Cancer
low-grade gliomas
metabolic reprogramming
2-hydroxyglutarate
url http://journal.frontiersin.org/Journal/10.3389/fonc.2016.00060/full
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