D-2-hydroxyglutarate supports a tolerogenic phenotype with lowered major histocompatibility class II expression in non-malignant dendritic cells and acute myeloid leukemia cells

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Haematologica - (2024) vom: 18. Jan.

Sprache:

Englisch

Beteiligte Personen:

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

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Journal Article

Anmerkungen:

Date Revised 18.01.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.3324/haematol.2023.283597

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367260085