Induction of synthetic lethality in IDH1-mutated gliomas through inhibition of Bcl-xL

Nat Commun. 2017 Oct 20;8(1):1067. doi: 10.1038/s41467-017-00984-9.

Abstract

Certain gliomas often harbor a mutation in the activity center of IDH1 (R132H), which leads to the production of the oncometabolite 2-R-2-hydroxyglutarate (2-HG). In six model systems, including patient-derived stem cell-like glioblastoma cultures, inhibition of Bcl-xL induces significantly more apoptosis in IDH1-mutated cells than in wild-type IDH1 cells. Anaplastic astrocytoma samples with mutated IDH1 display lower levels of Mcl-1 than IDH1 wild-type tumors and specific knockdown of Mcl-1 broadly sensitizes glioblastoma cells to Bcl-xL inhibition-mediated apoptosis. Addition of 2-HG to glioblastoma cultures recapitulates the effects of the IDH mutation on intrinsic apoptosis, shuts down oxidative phosphorylation and reduces ATP levels in glioblastoma cells. 2-HG-mediated energy depletion activates AMPK (Threonine 172), blunting protein synthesis and mTOR signaling, culminating in a decline of Mcl-1. In an orthotopic glioblastoma xenograft model expressing mutated IDH1, Bcl-xL inhibition leads to long-term survival. These results demonstrate that IDH1-mutated gliomas are particularly vulnerable to Bcl-xL inhibition.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aniline Compounds / therapeutic use
  • Animals
  • Antineoplastic Agents / therapeutic use
  • Apoptosis
  • Astrocytoma / genetics
  • Brain Neoplasms / genetics*
  • Cell Line, Tumor
  • Female
  • Glioblastoma / drug therapy
  • Glioblastoma / genetics
  • Glioblastoma / metabolism
  • Glioblastoma / pathology
  • Glioma / genetics*
  • Glutarates / metabolism
  • Humans
  • Isocitrate Dehydrogenase / genetics*
  • Male
  • Mechanistic Target of Rapamycin Complex 1 / metabolism
  • Mice, Transgenic
  • Mutation
  • Myeloid Cell Leukemia Sequence 1 Protein / metabolism
  • Protein Biosynthesis
  • Sulfonamides / therapeutic use
  • Synthetic Lethal Mutations*
  • bcl-X Protein / antagonists & inhibitors*

Substances

  • Aniline Compounds
  • Antineoplastic Agents
  • BCL2L1 protein, human
  • Glutarates
  • MCL1 protein, human
  • Myeloid Cell Leukemia Sequence 1 Protein
  • Sulfonamides
  • bcl-X Protein
  • alpha-hydroxyglutarate
  • Isocitrate Dehydrogenase
  • IDH1 protein, human
  • Mechanistic Target of Rapamycin Complex 1
  • navitoclax