Mutant IDH1 Cooperates with ATRX Loss to Drive the Alternative Lengthening of Telomere Phenotype in Glioma

  • Joydeep Mukherjee
    1Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.
  • Tor-Christian Johannessen
    2The Kristian Gerhard Jebsen Brain Tumor Research Centre, Department of Biomedicine, University of Bergen, Bergen, Norway.
  • Shigeo Ohba
    3Department of Neurosurgery, Fujita Health University, Toyoake, Aichi, Japan.
  • Tracy T. Chow
    4Department of Biochemistry and Biophysics, University of California, San Francisco, San Francisco, California.
  • Lindsey Jones
    1Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.
  • Ajay Pandita
    5Core Diagnostics, Hayward, California.
  • Russell O. Pieper
    1Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.

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<jats:title>Abstract</jats:title> <jats:p>A subset of tumors use a recombination-based alternative lengthening of telomere (ALT) pathway to resolve telomeric dysfunction in the absence of TERT. Loss-of-function mutations in the chromatin remodeling factor ATRX are associated with ALT but are insufficient to drive the process. Because many ALT tumors express the mutant isocitrate dehydrogenase IDH1 R132H, including all lower grade astrocytomas and secondary glioblastoma, we examined a hypothesized role for IDH1 R132H in driving the ALT phenotype during gliomagenesis. In p53/pRb–deficient human astrocytes, combined deletion of ATRX and expression of mutant IDH1 were sufficient to create tumorigenic cells with ALT characteristics. The telomere capping complex component RAP1 and the nonhomologous DNA end joining repair factor XRCC1 were each downregulated consistently in these tumorigenic cells, where their coordinate reexpression was sufficient to suppress the ALT phenotype. RAP1 or XRCC1 downregulation cooperated with ATRX loss in driving the ALT phenotype. RAP1 silencing caused telomere dysfunction in ATRX-deficient cells, whereas XRCC1 silencing suppressed lethal fusion of dysfunctional telomeres by allowing IDH1-mutant ATRX-deficient cells to use homologous recombination and ALT to resolve telomeric dysfunction and escape cell death. Overall, our studies show how expression of mutant IDH1 initiates telomeric dysfunction and alters DNA repair pathway preferences at telomeres, cooperating with ATRX loss to defeat a key barrier to gliomagenesis.</jats:p> <jats:p>Significance: Studies show how expression of mutant IDH1 initiates telomeric dysfunction and alters DNA repair pathway preferences at telomeres, cooperating with ATRX loss to defeat a key barrier to gliomagenesis and suggesting new therapeutic options to treat low-grade gliomas. Cancer Res; 78(11); 2966–77. ©2018 AACR.</jats:p>

収録刊行物

  • Cancer Research

    Cancer Research 78 (11), 2966-2977, 2018-05-31

    American Association for Cancer Research (AACR)

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