Mutant IDH1 inhibition induces dsDNA sensing to activate tumor immunity

Science. 2024 Jul 12;385(6705):eadl6173. doi: 10.1126/science.adl6173. Epub 2024 Jul 12.

Abstract

Isocitrate dehydrogenase 1 (IDH1) is the most commonly mutated metabolic gene across human cancers. Mutant IDH1 (mIDH1) generates the oncometabolite (R)-2-hydroxyglutarate, disrupting enzymes involved in epigenetics and other processes. A hallmark of IDH1-mutant solid tumors is T cell exclusion, whereas mIDH1 inhibition in preclinical models restores antitumor immunity. Here, we define a cell-autonomous mechanism of mIDH1-driven immune evasion. IDH1-mutant solid tumors show selective hypermethylation and silencing of the cytoplasmic double-stranded DNA (dsDNA) sensor CGAS, compromising innate immune signaling. mIDH1 inhibition restores DNA demethylation, derepressing CGAS and transposable element (TE) subclasses. dsDNA produced by TE-reverse transcriptase (TE-RT) activates cGAS, triggering viral mimicry and stimulating antitumor immunity. In summary, we demonstrate that mIDH1 epigenetically suppresses innate immunity and link endogenous RT activity to the mechanism of action of a US Food and Drug Administration-approved oncology drug.

MeSH terms

  • Animals
  • Cell Line, Tumor
  • DNA / metabolism
  • DNA Demethylation
  • DNA Methylation
  • DNA Transposable Elements
  • Epigenesis, Genetic
  • Glutarates / metabolism
  • Humans
  • Immune Evasion* / genetics
  • Immunity, Innate* / genetics
  • Isocitrate Dehydrogenase* / genetics
  • Isocitrate Dehydrogenase* / metabolism
  • Mice
  • Mutation
  • Neoplasms* / genetics
  • Neoplasms* / immunology
  • Nucleotidyltransferases / genetics
  • Tumor Escape

Substances

  • alpha-hydroxyglutarate
  • cGAS protein, mouse
  • DNA
  • DNA Transposable Elements
  • Glutarates
  • IDH1 protein, human
  • Idh1 protein, mouse
  • Isocitrate Dehydrogenase
  • Nucleotidyltransferases