Resistance to the isocitrate dehydrogenase 1 mutant inhibitor ivosidenib can be overcome by alternative dimer-interface binding inhibitors

Ivosidenib, an inhibitor of isocitrate dehydrogenase 1 (IDH1) R132C and R132H variants, is approved for the treatment of acute myeloid leukaemia (AML). Resistance to ivosidenib due to a second site mutation of IDH1 R132C, leading to IDH1 R132C/S280F, has emerged. We describe biochemical, crystallogr...

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Päätekijät: Reinbold, R, Hvinden, IC, Rabe, P, Herold, RA, Finch, A, Wood, J, Morgan, M, Staudt, M, Clifton, IJ, Armstrong, FA, McCullagh, JSO, Redmond, J, Bardella, C, Abboud, MI, Schofield, CJ
Aineistotyyppi: Journal article
Kieli:English
Julkaistu: Springer Nature 2022
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author Reinbold, R
Hvinden, IC
Rabe, P
Herold, RA
Finch, A
Wood, J
Morgan, M
Staudt, M
Clifton, IJ
Armstrong, FA
McCullagh, JSO
Redmond, J
Bardella, C
Abboud, MI
Schofield, CJ
author_facet Reinbold, R
Hvinden, IC
Rabe, P
Herold, RA
Finch, A
Wood, J
Morgan, M
Staudt, M
Clifton, IJ
Armstrong, FA
McCullagh, JSO
Redmond, J
Bardella, C
Abboud, MI
Schofield, CJ
author_sort Reinbold, R
collection OXFORD
description Ivosidenib, an inhibitor of isocitrate dehydrogenase 1 (IDH1) R132C and R132H variants, is approved for the treatment of acute myeloid leukaemia (AML). Resistance to ivosidenib due to a second site mutation of IDH1 R132C, leading to IDH1 R132C/S280F, has emerged. We describe biochemical, crystallographic, and cellular studies on the IDH1 R132C/S280F and R132H/S280F variants that inform on the mechanism of second-site resistance, which involves both modulation of inhibitor binding at the IDH1 dimer-interface and alteration of kinetic properties, which enable more efficient 2-HG production relative to IDH1 R132C and IDH1 R132H. Importantly, the biochemical and cellular results demonstrate that it should be possible to overcome S280F mediated resistance in AML patients by using alternative inhibitors, including some presently in phase 2 clinical trials.
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spelling oxford-uuid:bcd988f1-b050-4454-8f2d-db06a1b266a92023-03-07T14:58:20ZResistance to the isocitrate dehydrogenase 1 mutant inhibitor ivosidenib can be overcome by alternative dimer-interface binding inhibitorsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:bcd988f1-b050-4454-8f2d-db06a1b266a9EnglishSymplectic ElementsSpringer Nature2022Reinbold, RHvinden, ICRabe, PHerold, RAFinch, AWood, JMorgan, MStaudt, MClifton, IJArmstrong, FAMcCullagh, JSORedmond, JBardella, CAbboud, MISchofield, CJIvosidenib, an inhibitor of isocitrate dehydrogenase 1 (IDH1) R132C and R132H variants, is approved for the treatment of acute myeloid leukaemia (AML). Resistance to ivosidenib due to a second site mutation of IDH1 R132C, leading to IDH1 R132C/S280F, has emerged. We describe biochemical, crystallographic, and cellular studies on the IDH1 R132C/S280F and R132H/S280F variants that inform on the mechanism of second-site resistance, which involves both modulation of inhibitor binding at the IDH1 dimer-interface and alteration of kinetic properties, which enable more efficient 2-HG production relative to IDH1 R132C and IDH1 R132H. Importantly, the biochemical and cellular results demonstrate that it should be possible to overcome S280F mediated resistance in AML patients by using alternative inhibitors, including some presently in phase 2 clinical trials.
spellingShingle Reinbold, R
Hvinden, IC
Rabe, P
Herold, RA
Finch, A
Wood, J
Morgan, M
Staudt, M
Clifton, IJ
Armstrong, FA
McCullagh, JSO
Redmond, J
Bardella, C
Abboud, MI
Schofield, CJ
Resistance to the isocitrate dehydrogenase 1 mutant inhibitor ivosidenib can be overcome by alternative dimer-interface binding inhibitors
title Resistance to the isocitrate dehydrogenase 1 mutant inhibitor ivosidenib can be overcome by alternative dimer-interface binding inhibitors
title_full Resistance to the isocitrate dehydrogenase 1 mutant inhibitor ivosidenib can be overcome by alternative dimer-interface binding inhibitors
title_fullStr Resistance to the isocitrate dehydrogenase 1 mutant inhibitor ivosidenib can be overcome by alternative dimer-interface binding inhibitors
title_full_unstemmed Resistance to the isocitrate dehydrogenase 1 mutant inhibitor ivosidenib can be overcome by alternative dimer-interface binding inhibitors
title_short Resistance to the isocitrate dehydrogenase 1 mutant inhibitor ivosidenib can be overcome by alternative dimer-interface binding inhibitors
title_sort resistance to the isocitrate dehydrogenase 1 mutant inhibitor ivosidenib can be overcome by alternative dimer interface binding inhibitors
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