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IDH - siesonline

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<strong>IDH</strong>1 and <strong>IDH</strong>2 mutations lead to “biochemical gain of function”<br />

• <strong>IDH</strong>, Isocitrate dehydrogenase (<strong>IDH</strong>1 =cytoplasmic; <strong>IDH</strong>2 = mitocondrial): NADPdependent<br />

enzyme that catalyze the oxidative decarboxilation of isocitrate to α-<br />

ketoglutarate, with concomitant production of NADPH.<br />

Isocitrate<br />

NADP<br />

<strong>IDH</strong>1<br />

<strong>IDH</strong>2<br />

NADPH<br />

α-ketoglutarate<br />

NADPH<br />

<strong>IDH</strong>1 R132<br />

<strong>IDH</strong>2 R172<br />

2-hydroxyglutarate<br />

NADP<br />

Mutated
proteins
harbour
a
new<br />

enzyma5c
ac5vity:
produc5on
and<br />

accumula5on
of
2HG,a
rare
metabolite<br />

normally
present
at
very
low
levels
in<br />

healthy
cells<br />

Yan H et al. NEJM 2009; 360:765-9<br />

Gross S et al, JEM, 2010; 207:339

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