Future Directions in the Treatment of Low-Grade Gliomas
The Cancer Journal,
Journal Year:
2025,
Volume and Issue:
31(1)
Published: Jan. 1, 2025
Abstract
There
is
major
interest
in
deintensifying
therapy
for
isocitrate
dehydrogenase–mutant
low-grade
gliomas,
including
with
single-agent
cytostatic
dehydrogenase
inhibitors.
These
efforts
need
head-to-head
comparisons
proven
modalities,
such
as
chemoradiotherapy.
Ongoing
clinical
trials
now
group
tumors
by
intrinsic
molecular
subtype,
rather
than
classic
risk
factors.
Advances
imaging,
surgery,
and
radiotherapy
have
improved
outcomes
gliomas.
Emerging
biomarkers,
targeted
therapies,
immunotherapy,
radionuclides,
novel
medical
devices
are
a
promising
frontier
future
treatment.
Diverse
representation
glioma
research
will
help
to
ensure
that
advancements
care
realized
all
groups.
Language: Английский
Catalytically distinct metabolic enzyme isocitrate dehydrogenase 1 mutants tune phenotype severity in tumor models
Journal of Biological Chemistry,
Journal Year:
2025,
Volume and Issue:
unknown, P. 108477 - 108477
Published: April 1, 2025
Mutations
in
isocitrate
dehydrogenase
1
(IDH1)
impart
a
neomorphic
reaction
that
produces
D-2-hydroxyglutarate
(D2HG),
which
can
inhibit
DNA
demethylases
to
drive
tumorigenesis.
affect
residue
R132
and
display
distinct
catalytic
profiles
for
D2HG
production.
We
show
efficiency
of
production
is
greater
IDH1
R132Q
than
R132H
mutants,
expression
cellular
xenograft
models
leads
higher
concentrations
cells,
tumors,
sera
compared
R132H.
Though
hypermethylation
damage
pathways,
hypomethylation
more
notable
when
expression.
Transcriptome
analysis
shows
increased
many
pro-tumor
pathways
upon
versus
R132H,
including
transcripts
EGFR
PI3K
signaling
pathways.
Thus,
mutants
appear
modulate
levels
via
altered
catalysis
are
associated
with
epigenetic
transcriptomic
consequences,
appearing
be
aggressive
tumors.
Language: Английский