Molecular and morphological changes induced by ivosidenib correlate with efficacy in mutant-IDH1 cholangiocarcinoma

被引:20
作者
Aguado-Fraile, Elia [1 ]
Tassinari, Ania [1 ]
Ishii, Yuko [1 ]
Sigel, Carlie [2 ]
Lowery, Maeve A. [3 ]
Goyal, Lipika [4 ]
Gliser, Camelia [1 ]
Jiang, Liewen [1 ]
Pandya, Shuchi S. [1 ]
Wu, Bin [1 ]
Bardeesy, Nabeel [4 ]
Choe, Sung [1 ]
Deshpande, Vikram [4 ,5 ]
机构
[1] Agios Pharmaceut Inc, Cambridge, MA 02139 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Pathol, New York, NY 10065 USA
[3] Trinity Coll Dublin, Trinity St James Canc Inst, Dublin D02, Ireland
[4] Harvard Med Sch, Massachusetts Gen Hosp, Canc Ctr, Dept Med, Boston, MA 02114 USA
[5] Harvard Med Sch, Massachusetts Gen Hosp, Canc Ctr, Dept Pathol, Boston, MA 02114 USA
关键词
cholangiocarcinoma; drug mechanisms; gastrointestinal cancers; genetic profiling; hepatic differentiation; isocitrate dehydrogenase; ivosidenib; tumor biopsy; SET ENRICHMENT ANALYSIS; ONCOMETABOLITE; 2-HYDROXYGLUTARATE; INTRAHEPATIC CHOLANGIOCARCINOMAS; GENE-EXPRESSION; IDH MUTATION; DIFFERENTIATION; (R)-2-HYDROXYGLUTARATE; REGENERATION; HEPATOCYTES; IDH1-MUTANT;
D O I
10.2217/fon-2020-1274
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: IDH1 mutations occur in approximately 13% of intrahepatic cholangiocarcinomas (IHCCs). The oral, targeted, mutant IDH1 (mIDH1) inhibitor ivosidenib (AG-120) suppresses production of the oncometabolite D-2-hydroxyglutarate, promoting disease stabilization and improved progression-free survival (PFS) in mIDH1 IHCC. Materials & methods: Harnessing matched baseline and on-treatment biopsies, we investigate the potential mechanisms underlying ivosidenib's efficacy. Results: mIDH1 inhibition leads to decreased cytoplasm and expression of hepatocyte lineage markers in patients with prolonged PFS. These findings are accompanied by downregulation of biliary fate, cell cycle progression and AKT pathway activity. Conclusion: Ivosidenib stimulates a hepatocyte differentiation program in mIDH1 IHCC, a phenotype associated with clinical benefit. mIDH1 inhibition could be a paradigm for differentiation-based therapy in solid tumors.
引用
收藏
页码:2057 / 2074
页数:18
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