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CD44-mediated metabolic rewiring is a targetable dependency of IDH-mutant leukemia.

作者信息

Lyu Junhua, Liu Yuxuan, Liu Ningning, Vu Hieu S, Cai Feng, Cao Hui, Kaphle Pranita, Wu Zheng, Botten Giovanni A, Zhang Yuannyu, Wang Jin, Achyutuni Sarada, Gao Xiaofei, Iacobucci Ilaria, Mullighan Charles G, Chung Stephen S, Ni Min, DeBerardinis Ralph J, Xu Jian

机构信息

Center of Excellence for Leukemia Studies, Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN.

Children's Medical Center Research Institute, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX.

出版信息

Blood. 2025 Apr 3;145(14):1553-1567. doi: 10.1182/blood.2024027207.


DOI:10.1182/blood.2024027207
PMID:39841003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12002223/
Abstract

Recurrent isocitrate dehydrogenase (IDH) mutations catalyze nicotinamide adenine dinucleotide phosphate (NADPH)-dependent production of oncometabolite (R)-2-hydroxyglutarate (R-2HG) for tumorigenesis. IDH inhibition provides clinical response in a subset of acute myeloid leukemia (AML) cases; however, most patients develop resistance, highlighting the need for more effective IDH-targeting therapies. By comparing transcriptomic alterations in isogenic leukemia cells harboring CRISPR base-edited IDH mutations, we identify the activation of adhesion molecules including CD44, a transmembrane glycoprotein, as a shared feature of IDH-mutant leukemia, consistent with elevated CD44 expression in IDH-mutant AML patients. CD44 is indispensable for IDH-mutant leukemia cells through activating pentose phosphate pathway and inhibiting glycolysis by phosphorylating glucose-6-phosphate dehydrogenase and pyruvate kinase muscle isozyme M2, respectively. This metabolic rewiring ensures efficient NADPH generation for mutant IDH-catalyzed R-2HG production. Combining IDH inhibition with CD44 blockade enhances the elimination of IDH-mutant leukemia cells. Hence, we describe an oncogenic feedforward pathway involving CD44-mediated metabolic rewiring for oncometabolite production, representing a potentially targetable dependency of IDH-mutant malignancies.

摘要

相似文献

[1]
CD44-mediated metabolic rewiring is a targetable dependency of IDH-mutant leukemia.

Blood. 2025-4-3

[2]
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[3]
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[4]
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[5]
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Clin Epigenetics. 2023-7-11

[6]
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[7]
(R)-2-Hydroxyglutarate Inhibits KDM5 Histone Lysine Demethylases to Drive Transformation in IDH-Mutant Cancers.

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[8]
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AJNR Am J Neuroradiol. 2025-1-8

[9]
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[10]
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本文引用的文献

[1]
Acute myeloid leukemias with UBTF tandem duplications are sensitive to menin inhibitors.

Blood. 2024-2-15

[2]
Cytosolic and mitochondrial NADPH fluxes are independently regulated.

Nat Chem Biol. 2023-7

[3]
(R)-2-Hydroxyglutarate Inhibits KDM5 Histone Lysine Demethylases to Drive Transformation in IDH-Mutant Cancers.

Cancer Discov. 2023-6-2

[4]
Olutasidenib (FT-2102) induces durable complete remissions in patients with relapsed or refractory IDH1-mutated AML.

Blood Adv. 2023-7-11

[5]
Disabling Uncompetitive Inhibition of Oncogenic IDH Mutations Drives Acquired Resistance.

Cancer Discov. 2023-1-9

[6]
Recent findings in the regulation of G6PD and its role in diseases.

Front Pharmacol. 2022-8-24

[7]
De novo pyrimidine synthesis is a targetable vulnerability in IDH mutant glioma.

Cancer Cell. 2022-9-12

[8]
Pharmacogenomic Profiling of Pediatric Acute Myeloid Leukemia to Identify Therapeutic Vulnerabilities and Inform Functional Precision Medicine.

Blood Cancer Discov. 2022-11-2

[9]
In vivo anti-tumor effect of PARP inhibition in IDH1/2 mutant MDS/AML resistant to targeted inhibitors of mutant IDH1/2.

Leukemia. 2022-5

[10]
The membrane receptor CD44: novel insights into metabolism.

Trends Endocrinol Metab. 2022-5

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