Target intelligence / Profile preview

Isocitrate dehydrogenase [NADP(+)] 1 (cytoplasmic) (IDH1)

Target
IDH1
Molecular classification
Enzyme, Oxidoreductase
01

Overview

Isocitrate dehydrogenase [NADP(+)] 1 (IDH1) is a cytosolic and peroxisomal enzyme that catalyzes the oxidative decarboxylation of isocitrate to α-ketoglutarate (also called 2-oxoglutarate) with the concomitant reduction of NADP+ to NADPH, a pivotal reaction in the TCA cycle and cellular redox metabolism[1][3][7]. IDH1 is a homodimer with its active site at the interface between two subunits, allowing for intricate conformational regulation[1][9]. Physiologically, IDH1 supports redox homeostasis, lipid metabolism, and protection against oxidative stress, and regulates glucose-stimulated insulin secretion[1][3]. Mutations (particularly at Arg132, R132H) confer gain of function, producing the oncometabolite D-2-hydroxyglutarate from α-ketoglutarate, which disrupts cellular epigenetic and metabolic regulation, driving the development of multiple cancers, especially lower-grade gliomas and acute myeloid leukemia[7][9]. IDH1 (especially its mutant forms) is a validated therapeutic target, and several small-molecule inhibitors such as ivosidenib are approved or in development for IDH1-mutant malignancies. Key challenges in targeting IDH1 include drug resistance, differentiation syndrome, and safely modulating normal cellular metabolism[7].

Other names
Isocitrate dehydrogenase 1PICDIDHCytosolic NADP-isocitrate dehydrogenaseIDPcNADP(+)-specific ICDHOxalosuccinate decarboxylaseHEL-216HEL-S-26IDCDIDPCNADP-dependent isocitrate dehydrogenase, cytosolicNADP-dependent isocitrate dehydrogenase, peroxisomalepididymis luminal protein 216epididymis secretory protein Li 26epididymis secretory sperm binding proteinisocitrate dehydrogenase (NADP(+)) 1, soluble
02

Mechanism of action

Inhibition of mutant IDH1 enzymatic conversion of α-ketoglutarate to D-2-hydroxyglutarate (oncometabolite)

03

Biological functions

Metabolic regulation (TCA cycle)Cellular response to oxidative stressNADPH productionFatty acid metabolismRedox balanceRegulation of insulin secretion
04

Disease associations

Cancer (notably glioma, acute myeloid leukemia, intrahepatic cholangiocarcinoma)Other (disruption of metabolic homeostasis)
05

Safety considerations

Differentiation syndrome (with mutant IDH1 inhibitors, especially in acute myeloid leukemia)Resistance mutations (to IDH1 inhibitors)Off-target metabolic effects (theoretical)
06

Interacting drugs

Ivosidenib (AG-120)

2 more in the full profile.

07

Biomarkers

IDH1 R132H mutation (diagnostic and therapeutic selection for gliomas)D-2-hydroxyglutarate (metabolic biomarker for mutant IDH1 activity)

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