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  • D-2-hydroxyglutarate suppor...
    Hammon, Kathrin; Renner, Kathrin; Althammer, Michael; Voll, Florian; Babl, Nathalie; Decking, Sonja-Maria; Siska, Peter J; Matos, Carina; Conejo, Zugey Elizabeth Cárdenas; Mendes, Karina; Einwag, Friederike; Siegmund, Heiko; Iberl, Sabine; Berger, Raffaela S; Dettmer, Katja; Schoenmehl, Rebecca; Brochhausen, Christoph; Herr, Wolfgang; Oefner, Peter J; Rehli, Michael; Thomas, Simone; Kreutz, Marina

    Haematologica (Roma), 2024-Jan-18, Letnik: 999, Številka: 1
    Journal Article

    D-2-hydroxyglutarate (D-2-HG) accumulates in primary acute myeloid leukemia (AML) patients with mutated isocitrate dehydrogenase (IDH) and other malignancies. D-2-HG suppresses antitumor T cell immunity but little is known about potential effects on non-malignant myeloid cells. Here we show that D-2-HG impairs human but not murine dendritic cell (DC) differentiation, resulting in a tolerogenic phenotype with low major histocompatibility (MHC) class II expression. In line, IDH-mutated AML blasts exhibited lower expression of HLA-DP and were less susceptible to lysis by HLA-DP-specific T cells. Interestingly, D-2-HG reprogrammed metabolism towards increased lactate production in DCs and AML besides its expected impact on DNA demethylation. Vitamin C accelerated DNA demethylation, but only the combination of vitamin C and glycolytic inhibition lowered lactate levels and supported MHC class II expression. Our results indicate an unexpected link between the immunosuppressive metabolites 2-HG and lactic acid and suggest a potentially novel therapeutic strategy with combinations of anti-glycolytic drugs and epigenetic modulators (hypomethylating agents) or other therapeutics for the treatment of AML.