RIPK3 deficiency blocks R-2-hydroxyglutarate–induced necroptosis in IDH-mutated AML cells

Author:

Zhu Shuanghong123ORCID,Luo Yingwan12ORCID,Li Kongfei12ORCID,Mei Chen12ORCID,Wang Yuxia12ORCID,Jiang Lingxu12ORCID,Wang Wei123ORCID,Zhang Qi123ORCID,Yang Wenli123ORCID,Lang Wei123ORCID,Zhou Xinping12ORCID,Wang Lu123ORCID,Ren Yanling12ORCID,Ma Liya12ORCID,Ye Li12ORCID,Huang Xin123ORCID,Chen Jianjun45ORCID,Sun Jie136ORCID,Tong Hongyan1236ORCID

Affiliation:

1. Department of Hematology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, PR China.

2. Zhejiang Provincial Key Laboratory of Hematopoietic Malignancy, Zhejiang University, Hangzhou, Zhejiang, PR China.

3. Zhejiang Provincial Clinical Research Center for Hematological Disorders, Hangzhou, Zhejiang, PR China.

4. Department of Systems Biology, Beckman Research Institute of City of Hope, Monrovia, CA 91016, USA.

5. Gehr Family Center for Leukemia Research, City of Hope Medical Center and Comprehensive Cancer Center, Duarte, CA 91010, USA.

6. Zhejiang University Cancer Center, Hangzhou, Zhejiang, PR China.

Abstract

Mutant isocitrate dehydrogenases (IDHs) produce R-2-hydroxyglutarate (R-2HG), which inhibits the growth of most acute myeloid leukemia (AML) cells. Here, we showed that necroptosis, a form of programmed cell death, contributed to the antileukemia activity of R-2HG. Mechanistically, R-2HG competitively inhibited the activity of lysine demethylase 2B (KDM2B), an α-ketoglutarate–dependent dioxygenase. KDM2B inhibition increased histone 3 lysine 4 trimethylation levels and promoted the expression of receptor-interacting protein kinase 1 (RIPK1), which consequently caused necroptosis in AML cells. The expression of RIPK3 was silenced because of DNA methylation in IDH-mutant (mIDH) AML cells, resulting in R-2HG resistance. Decitabine up-regulated RIPK3 expression and repaired endogenous R-2HG–induced necroptosis pathway in mIDH AML cells. Together, R-2HG induced RIPK1-dependent necroptosis via KDM2B inhibition in AML cells. The loss of RIPK3 protected mIDH AML cells from necroptosis. Restoring RIPK3 expression to exert R-2HG’s intrinsic antileukemia effect will be a potential therapeutic strategy in patients with AML.

Publisher

American Association for the Advancement of Science (AAAS)

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