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Glioblastomas, oligodendrogliomas, and astrocytomas harbour mutations in isocitrate dehydrogenase (IDH). The IDH mutations found in these cancers caus
Question

Glioblastomas, oligodendrogliomas, and astrocytomas harbour mutations in isocitrate dehydrogenase (IDH). The IDH mutations found in these cancers cause the enzyme to convert isocitrate into the oncometabolite, __________, which accumulates in cancer cells. This oncometabolite works by inhibiting several enzymes that require __________ for their function.

A.

2-hydroxyglutarate, succinate

B.

2-hydroxybutyrate, α-ketoglutarate

C.

2-hydroxyglutarate, 2-hydroxybutyrate

D.

2-hydroxyglutarate, α-ketoglutarate

Correct option is D

In cancers such as glioblastomas, oligodendrogliomas, and astrocytomas, mutations in the enzyme isocitrate dehydrogenase (IDH) lead to the conversion of isocitrate into the oncometabolite 2-hydroxyglutarate. This oncometabolite accumulates in the cells and has been shown to disrupt normal cellular metabolism. One of its key effects is the inhibition of enzymes that require α-ketoglutarate, a critical molecule in the tricarboxylic acid (TCA) cycle, for their function. α-Ketoglutarate is involved in multiple enzymatic reactions, and its inhibition by 2-hydroxyglutarate can disrupt normal cellular processes, contributing to the oncogenic behavior of these cancers.

Information Booster:

  • 2-hydroxyglutarate is a potent oncometabolite that acts by inhibiting α-ketoglutarate-dependent enzymes, such as those involved in epigenetic regulation (e.g., histone demethylases and TET enzymes). Its accumulation is a hallmark of IDH-mutant cancers.
  • The disruption of α-ketoglutarate’s function impacts many cellular processes, including DNA and histone modifications, which play a role in cancer development and progression.

Additional Information:

  • 2-hydroxybutyrate, α-ketoglutarate: This combination is not correct. 2-hydroxybutyrate is a different metabolite and does not play a significant role in IDH mutation-related cancer progression in the same way as 2-hydroxyglutarate.
  • 2-hydroxyglutarate, succinate: Succinate is another metabolite that can accumulate in cells with mutations in other enzymes (e.g., SDH, fumarate hydratase), but it is not relevant to the context of IDH mutations.
  • 2-hydroxyglutarate, 2-hydroxybutyrate: While both metabolites contain "hydroxy" groups, 2-hydroxybutyrate is not the metabolite that accumulates due to IDH mutations in cancer cells.

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