Wang 2014
Wang 2014
Research Article
IDH1R132H Mutation Increases U87 Glioma Cell
Sensitivity to Radiation Therapy in Hypoxia
Copyright © 2014 Xiao-Wei Wang et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective. IDH1 codon 132 mutation (mostly Arg132His) is frequently found in gliomas and is associated with longer survival.
However, it is still unclear whether IDH1 mutation renders the cell more vulnerable to current treatment, radio- and chemotherapy.
Materials and Methods. We transduced U87 with wild type IDH1 or 𝐼𝐷𝐻1𝑅132𝐻 expressing lentivirus and analyzed the
radiosensitivity (dose ranging 0 to 10 Gy) under normoxia (20% O2 ) and moderate hypoxia (1% O2 ). Results. We observed that
𝐼𝐷𝐻1𝑅132𝐻 U87 cells grow faster in hypoxia and were more sensitive to radiotherapy (in terms of cell mortality and colony formation
assay) compared to nontransduced U87 and IDH1𝑤𝑡 cells. This effect was not observed in normoxia. Conclusion. These data suggest
that 𝐼𝐷𝐻1𝑅132𝐻 mutation increases radiosensitivity in mild hypoxic conditions.
15
Quantification of IDH1-mRNA
10
0
U87-control U87-IDH1R132H U87-IDH1wt
Mutant
Figure 1: Real time PCR quantified the expression of the IDH1wt and IDH1R132H transduced genes.
10 10
8 8
Viable cells (AU) ∗
Viable cells (AU)
6 6
4 4
2 2
0 0
0 1 2 3 4 5 6 0 1 2 3 4 5 6
Days after seeding Days after seeding
Figure 2: Effect of IDH1R132H on U87 cell proliferation. U87, IDH1wt -U87, and IDH1R132H -U87 cells were incubated in normoxia 20% (left) or
hypoxia 1% (right) and cells were counted after 1, 3, and 7 days.
Surviving fraction 1 1
Surviving fraction
∗
0.1 0.1
0 2 4 6 8 10 0 2 4 6 8 10
Radiotherapy dose (Gy) Radiotherapy dose (Gy)
U87 U87-IDH1mutation U87 U87-IDH1mutation
U87-IDH1wt U87-IDH1wt
Figure 3: Effect of IDH1R132H on U87 cell viability after irradiation. Transduced cells were plated and then irradiated with doses ranging from
0 to 10 Gy, in normoxia (20%) (left) and in hypoxia (1%) (right). Cells were counted 5 days later.
80
60
2.5. Colony-Formation Assay in Normoxia and in Hypoxia.
U87, IDH1wt -U87, and IDH1R132H -U87 cells were plated in 6-
40 well containing 0.3% base agar layer. Six hours later, cells
were either incubated in the hypoxic or normoxic chamber
20 overnight. The next day, the cells were treated by radiotherapy
at the Radiotherapy Department of the Centre de Lutte
0 Contre le Cancer (CLCC) François Baclesse (Caen, France)
U87-IDH1wt
U87
U87-IDH1
U87-IDH1wt
mutation
U87-IDH1
mutation
1 1
Surviving fraction
Surviving fraction
0.1 0.1
∗∗
0.01 0.01
0 2 4 6 8 0 2 4 6 8
Radiotherapy dose (Gy) Radiotherapy dose (Gy)
U87 U87-IDH1mutation U87 U87-IDH1mutation
U87-IDH1wt U87-IDH1wt
Figure 5: IDH1R132H -U87 cells have a reduced colony forming cell ability after irradiation in hypoxia. U87, IDH1wt -U87, and IDH1R132H -U87
cells were plated 24 h before irradiation (0-2-4-6-8 Gy) in agar and incubated for one month in normoxia (20% O2 ) and in hypoxia (1%
O2 ). The colonies were fixed in ethanol, stained with 0.05% crystal violet, and counted. Survival rate was estimated by the ratio between the
colonies count and the number of cells plated, multiplicated by the plating efficiency.
3.2. IDH1R132H Expressing U87 Glioma Cells Grow Faster 3.5. Radiosensitivity of U87- IDH1R132H in Hypoxia Is Con-
in Hypoxia. We determined whether IDH1R132H expression firmed by Colony-Formation Assay. A colony-formation
directly influences cell growth in normoxia and in hypoxia. assay was used to confirm the effect of IDH1R132H on the
The viable cell number per well was determined by counting response to radiotherapy. Cells were treated with graded
with trypan blue at 1, 3, and 7 days after incubation in doses of radiation (0, 2, 4, 6, and 8 Gy). Colony-forming
normoxia and in hypoxia. Proliferation rate of U87-IDH1R132H efficiency was determined 1 month later and surviving
cells was significantly higher in normoxia than in hypoxia fractions were calculated. In normoxia, U87, U87-IDH1wt ,
for all the three cell lines. In normoxia, U87, U87-IDH1wt , and U87-IDH1R132H had the same colony-formation capacity
and U87-IDH1R132H cells grew at the same rate, whereas U87- after radiotherapy. In hypoxia, the colony number of U87-
IDH1R132H grew faster than U87 and U87-IDH1wt in hypoxia IDH1R132H after radiotherapy was significantly lower than
(Figure 2). U87 and U87-IDH1wt (Figure 5). Thus, U87-IDH1R132H signif-
icantly sensitized U87 glioma cells to radiation.
3.3. Effect of Transduced IDH1R132H on Cell Viability upon
Exposure to Doses Ranging 0 to 10 Gy in Normoxia and in 4. Discussion
Hypoxia. To evaluate the role of IDH1R132H in the response
to radiotherapy, U87, U87-IDH1wt , and U87-IDH1R132H were We observed here that IDH1 mutated U87 grew faster in
exposed to different doses (range: 0–10 Gy): in normoxia moderate hypoxic conditions (1% O2 ) than in normoxia
the three cell lines showed the same radiosensitivity profile, (21% O2 ). This contrast with data obtained in normoxia,
whereas in hypoxia, the viability of U87-IDH1R132H cells was IDH1R132H overexpression in established glioma cell lines in
significantly lower after 5 days compared to control cells and vitro, resulted in a marked decrease in proliferation and mice
IDH1wt cells (Figure 3) (13% versus 23% and 22% for a dose injected with IDH1R132H -U87 cells had prolonged survival
of 10 Gy, 𝑃 < 0.001), respectively. This result suggests that compared to mice injected with IDH1wt -U87 cells [12].
IDH1R132H makes the cells more radiosensitive in hypoxic, but We found then that IDH1R132H -U87 were more sensitive
not in normoxic conditions. to radiotherapy in hypoxic condition. Indeed a high rate of
cell proliferation is per se a sensitive factor of the radiation
therapy response. But on the other hand, IDH1/IDH2 mutated
3.4. Effect of Transduced IDH1R132H on Cell Mortality over Time cells may be more sensitive to oxidative stress. The role of
following 8 Gy Irradiation in Normoxia and in Hypoxia. We isocitrate dehydrogenase in cellular defense against oxidative
quantified then cell death at 24 h, 48 h, and 120 h after 8 Gy stress has been suggested [13]. Indeed, IDH1/IDH2 serves as
irradiation. There was no substantial cell death after 24 h. The a major source of cytosolic and mitochondrial NADPH pro-
effect appeared at 48 h in both normoxia and in hypoxia (data duction necessary to regenerate reduced glutathione (GSH)
not shown) and was maximal after 5 days. Cell death was by glutathione reductase and for the activity of NADPH-
significantly higher for IDH1R132H transduced cells in hypoxia dependent thioredoxin system, both are important in the
but not in normoxia (Figure 4). protection of cells from oxidative damage [14, 15]. Thus, the
BioMed Research International 5
decrease of NADPH in IDH1/IDH2 mutated cells might result Brain Tumor Group,” Clinical Cancer Research, vol. 16, no. 5, pp.
in an increase of ROS that can damage DNA. Partially in 1597–1604, 2010.
line with our results, U87 cells transduced with IDH1R132H or [4] C. Houillier, X. Wang, G. Kaloshi et al., “IDH1 or IDH2 muta-
IDH2R172K demonstrated increased sensitivity to radiation but tions predict longer survival and response to temozolomide in
the effect observed in normoxia and hypoxic conditions was low-grade gliomas,” Neurology, vol. 75, no. 17, pp. 1560–1566,
not investigated [16]. 2010.
Despite hypoxia being considered as a factor of radiore- [5] M. J. van den Bent, A. A. Brandes, M. J. B. Taphoorn et al.,
sistance, we observed here a radiosensitizing effect of “Adjuvant PCV chemotherapy in newly diagnosed anaplastic
oligodendroglioma—long term follow-up of EORTC Brain
IDH1R132H in glioblastoma cell line in hypoxic but not in
Tumor Group study 26951,” Journal of Clinical Oncology. In
normoxic condition. Until recently, IDH1/2 mutations were press.
believed to result in the stabilization of HIF1𝛼 [10, 17].
[6] J. G. Cairncross, M. Wang, R. B. Jenkins et al., “Benefit from
Interestingly Koivunen et al. [11] showed that D-2HG (but not procarbazine, lomustine, and vincristine in oligodendroglial
L-2HG) instead of being an inhibitor of EGLN (HIF prolyl 4- tumors is associated with mutation of IDH,” Journal of Clinical
hydroxylases) activity acts as a partial agonist of EGLN and Oncology, vol. 32, no. 8, pp. 783–790, 2014.
promotes the degradation of HIF1𝛼. Because HIF protects [7] L. Dang, D. W. White, S. Gross et al., “Cancer-associated IDH1
cells from irradiation therapy under hypoxic condition, mutations produce 2-hydroxyglutarate,” Nature, vol. 462, no.
we may hypothesize that IDH mutation, by inducing an 7274, pp. 739–744, 2009.
inappropriate degradation of HIF, could make the mutated [8] C. Lu, P. S. Ward, G. S. Kapoor et al., “IDH mutation impairs
cell more vulnerable to RT. histone demethylation and results in a block to cell differentia-
In conclusion, this study suggests a radiosensitizing effect tion,” Nature, vol. 483, no. 7390, pp. 474–478, 2012.
of IDH1R132H in glioblastoma cell lines U87 grown under mild [9] S. Turcan, D. Rohle, A. Goenka et al., “IDH1 mutation is
hypoxic conditions, which are close to in vivo conditions. We sufficient to establish the glioma hypermethylator phenotype,”
need to confirm this finding on clinical setting: the 1p19q Nature, vol. 483, no. 7390, pp. 479–483, 2012.
codeletion is a known marker of chemosensitivity. Whether [10] W. Xu, H. Yang, Y. Liu et al., “Oncometabolite 2-
the IDH1/2 mutation is a marker of radiosensitivity should be hydroxyglutarate is a competitive inhibitor of 𝛼-ketoglutarate-
determined. The ongoing EORTC trial on low grade gliomas, dependent dioxygenases,” Cancer Cell, vol. 19, no. 1, pp. 17–30,
which randomizes radiotherapy versus chemotherapy in low 2011.
grade gliomas at progression and includes also a prospective [11] P. Koivunen, S. Lee, C. G. Duncan et al., “Transformation
observational cohort, will be pivotal to answer this question. by the (R)-enantiomer of 2-hydroxyglutarate linked to EGLN
activation,” Nature, vol. 483, no. 7390, pp. 484–488, 2012.
[12] L. B. C. Bralten, N. K. Kloosterhof, R. Balvers et al., “IDH1
Conflict of Interests R132H decreases proliferation of glioma cell lines in vitro and
in vivo,” Annals of Neurology, vol. 69, no. 3, pp. 455–463, 2011.
The authors declare that there is no conflict of interests
regarding the publication of this paper. [13] H. L. Jin, Y. K. Sung, S. K. In, and J.-W. Park, “Regula-
tion of ionizing radiation-induced apoptosis by mitochondrial
NADP+-dependent isocitrate dehydrogenase,” Journal of Bio-
Acknowledgments logical Chemistry, vol. 282, no. 18, pp. 13385–13394, 2007.
[14] J. Shi, H. Zuo, L. Ni et al., “An IDH1 mutation inhibits
This work was supported by Grants from the Institut growth of glioma cells via GSH depletion and ROS generation,”
National du Cancer (INCA; PL 046), the Association pour Neurological Sciences. In press.
la Recherche sur le Cancer, the Centre National de la [15] I. V. Mohrenz, P. Antonietti, S. Pusch et al., “Isocitrate dehy-
Recherche Scientifique (CNRS), the University of Caen-Basse drogenase 1 mutant R132H sensitizes glioma cells to BCNU-
Normandie, the Conseil Régional de Basse-Normandie. The induced oxidative stress and cell death,” Apoptosis, vol. 18, pp.
authors wish to thank the Radiotherapy Department of the 1416–1425, 2013.
CLCC François Baclesse (Caen, France), especially A. Batalla [16] S. Li, A. P. Chou, W. Chen et al., “Overexpression of isocitrate
and P. Chevallier for giving them an access to the irradiator. dehydrogenase mutant proteins renders glioma cells more
sensitive to radiation,” Neuro-Oncology, vol. 15, pp. 57–68, 2013.
References [17] S. Zhao, Y. Lin, W. Xu et al., “Glioma-derived mutations in IDH1
dominantly inhibit IDH1 catalytic activity and induce HIF-1𝛼,”
[1] D. W. Parsons, S. Jones, X. Zhang et al., “An integrated genomic Science, vol. 324, no. 5924, pp. 261–265, 2009.
analysis of human glioblastoma multiforme,” Science, vol. 321,
no. 5897, pp. 1807–1812, 2008.
[2] M. Sanson, Y. Marie, S. Paris et al., “Isocitrate dehydrogenase
1 codon 132 mutation is an important prognostic biomarker in
gliomas,” Journal of Clinical Oncology, vol. 27, no. 25, pp. 4150–
4154, 2009.
[3] M. J. Van Den Bent, H. J. Dubbink, Y. Marie et al., “IDH1
and IDH2 mutations are prognostic but not predictive for
outcome in anaplastic oligodendroglial tumors: a report of the
European Organization for Research and Treatment of Cancer
Copyright of BioMed Research International is the property of Hindawi Publishing
Corporation and its content may not be copied or emailed to multiple sites or posted to a
listserv without the copyright holder's express written permission. However, users may print,
download, or email articles for individual use.