1. IDH1 mutation contributes to myeloid dysplasia in mice by disturbing heme biosynthesis and erythropoiesis
- Author
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Guangxun Gao, Zhe Wang, Tak W. Mak, Yuanlin Zhao, Yuan Yuan, Risheng Yang, Julie Leca, Jing Ye, Wenjing Zhou, Alan Tseng, Mary E. Saunders, Andrew Wakeham, Yu Gu, Liming Xiao, Feng Zhang, Lijun Zhang, Ying Yang, Wanda Y. Li, Thorsten Berger, Xing Gao, and Jerome Fortin
- Subjects
Ineffective erythropoiesis ,Myeloid ,Erythroblasts ,Immunology ,Mutation, Missense ,Heme ,Biology ,medicine.disease_cause ,Biochemistry ,Glutarates ,Mice ,chemistry.chemical_compound ,Bone Marrow ,hemic and lymphatic diseases ,medicine ,Animals ,Point Mutation ,Preleukemia ,Erythropoiesis ,Ketoglutarate Dehydrogenase Complex ,Myeloid Cells ,Gene Knock-In Techniques ,Myelopoiesis ,Mutation ,Membrane Proteins ,Myeloid leukemia ,Anemia ,Cell Biology ,Hematology ,Hematopoietic Stem Cells ,Thrombocytopenia ,Isocitrate Dehydrogenase ,Recombinant Proteins ,Mice, Inbred C57BL ,Haematopoiesis ,medicine.anatomical_structure ,chemistry ,Splenomegaly ,Cancer research ,Acyl Coenzyme A ,Stem cell ,Reactive Oxygen Species ,Heme Oxygenase-1 - Abstract
Isocitrate dehydrogenase (IDH) mutations are common genetic alterations in myeloid disorders, including acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS). Epigenetic changes, including abnormal histone and DNA methylation, have been implicated in the pathogenic build-up of hematopoietic progenitors, but it is still unclear whether and how IDH mutations themselves affect hematopoiesis. Here, we show that IDH1-mutant mice develop myeloid dysplasia in that these animals exhibit anemia, ineffective erythropoiesis, and increased immature progenitors and erythroblasts. In erythroid cells of these mice, D-2-hydroxyglutarate, an aberrant metabolite produced by the mutant IDH1 enzyme, inhibits oxoglutarate dehydrogenase activity and diminishes succinyl–coenzyme A (CoA) production. This succinyl-CoA deficiency attenuates heme biosynthesis in IDH1-mutant hematopoietic cells, thus blocking erythroid differentiation at the late erythroblast stage and the erythroid commitment of hematopoietic stem cells, while the exogenous succinyl-CoA or 5-ALA rescues erythropoiesis in IDH1-mutant erythroid cells. Heme deficiency also impairs heme oxygenase-1 expression, which reduces levels of important heme catabolites such as biliverdin and bilirubin. These deficits result in accumulation of excessive reactive oxygen species that induce the cell death of IDH1-mutant erythroid cells. Our results clearly show the essential role of IDH1 in normal erythropoiesis and describe how its mutation leads to myeloid disorders. These data thus have important implications for the devising of new treatments for IDH-mutant tumors.
- Published
- 2021