Translational Oncology (Apr 2022)

Synergistic anti-tumor efficacy of mutant isocitrate dehydrogenase 1 inhibitor SYC-435 with standard therapy in patient-derived xenograft mouse models of glioma

  • Mari Kogiso,
  • Lin Qi,
  • Yuchen Du,
  • Frank K. Braun,
  • Huiyuan Zhang,
  • L. Frank Huang,
  • Lei Guo,
  • Yulun Huang,
  • Wan-Yee Teo,
  • Holly Lindsay,
  • Sibo Zhao,
  • Sarah G. Injac,
  • Zhen Liu,
  • Vidya Mehta,
  • Diep Tran,
  • Feng Li,
  • Patricia A. Baxter,
  • Jack M. Su,
  • Laszlo Perlaky,
  • D. Williams Parsons,
  • Murali Chintagumpala,
  • Adekunle Adesina,
  • Yongcheng Song,
  • Xiao-Nan Li

Journal volume & issue
Vol. 18
p. 101368

Abstract

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Clinical outcomes in patients with WHO grade II/III astrocytoma, oligodendroglioma or secondary glioblastoma remain poor. Isocitrate dehydrogenase 1 (IDH1) is mutated in > 70% of these tumors, making it an attractive therapeutic target. To determine the efficacy of our newly developed mutant IDH1 inhibitor, SYC-435 (1-hydroxypyridin-2-one), we treated orthotopic glioma xenograft model (IC-BT142AOA) carrying R132H mutation and our newly established orthotopic patient-derived xenograft (PDX) model of recurrent anaplastic oligoastrocytoma (IC-V0914AOA) bearing R132C mutation. In addition to suppressing IDH1 mutant cell proliferation in vitro, SYC-435 (15 mg/kg, daily x 28 days) synergistically prolonged animal survival times with standard therapies (Temozolomide + fractionated radiation) mediated by reduction of H3K4/H3K9 methylation and expression of mitochondrial DNA (mtDNA)-encoded molecules. Furthermore, RNA-seq of the remnant tumors identified genes (MYO1F, CTC1 and BCL9) and pathways (base excision repair, TCA cycle II, sirtuin signaling, protein kinase A, eukaryotic initiation factor 2 and α-adrenergic signaling) as mediators of therapy resistance. Our data demonstrated the efficacy SYC-435 in targeting IDH1 mutant gliomas when combined with standard therapy and identified a novel set of genes that should be prioritized for future studies to overcome SYC-435 resistance.

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