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Abstract #2641

Inhibiting 2-hydroxyglutarate production reverses some, but not all, of the MRS-detectable metabolic markers of mutant IDH1 in glioma

Pavithra Viswanath1, Russell Pieper2, and Sabrina M Ronen1

1Radiology, University of California San Francisco, San Francisco, CA, United States, 2Neurological Surgery, University of California San Francisco, San Francisco, CA, United States

Mutations in IDH1 are predominant in low-grade gliomas, and inhibitors of the mutant IDH1 enzyme are under investigation as therapeutic agents. Beyond 2-HG production, the IDH1 mutation also induces a broader pattern of 1H-MRS-detectable metabolic alterations. In this study, we investigated whether inhibiting mutant IDH1 using AGI-5198 reverses the metabolic reprogramming observed in IDH1 mutant glioma cells. Our results indicate that AGI-5198 treatment, while completely inhibiting 2-HG production, nevertheless only partially reverses other metabolic alterations and results in a moderate effect on clonogenicity of IDH1 mutant cells.

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