A new study has found that a mutated gene, called IDH1, could be the key to the development of some types of glioma brain tumour.
The latest study, by US firm Agios Pharmaceuticals, has revealed that the mutation leads to hugely increased levels of a chemical in the brain, which seems to feed the cancer.
AdvertisementAccording to the study, detecting higher levels of the chemical could provide doctors with a useful diagnostic tool.
The research also raises hopes that blocking production of the chemical might prevent the cancer getting worse.
People with particular brain tumours, such as lower-grade gliomas, often carry a mutated version of a gene controlling the production of IDH1 enzyme.
The study shows that these mutations change the way the enzyme works and result in the build-up of high levels of a chemical called 2-hydroxyglutarate (2HG) in the brain.
Researchers found malignant glioma samples with IDH1 mutations had 100 times more 2HG than similar samples from patients without the mutation.
They said measuring 2HG levels could be used to help identify patients with IDH1 mutant brain tumours.
"This will be important for prognosis as patients with IDH1 mutations live longer than patients with gliomas characterised by other mutations," the BBC quoted the researchers as saying.
"In addition, patients with lower-grade gliomas may benefit by the therapeutic inhibition of 2HG production.
"Inhibition of 2HG production by mutant IDH1 might slow or halt conversion of lower-grade glioma into lethal secondary glioblastoma, changing the course of the disease," they added.
Professor Lew Cantley, a cancer expert at the Beth Israel Deaconess Medical Center, who founded Agios, said it had previously been thought that IDH1 played no role in cancer.
The researchers used techniques from an emerging area of research called cancer metabolism, which focuses on studying changes in metabolic activity in cancer cells.
"What was previously considered an inactive enzyme is in reality an active oncogene and a potential therapeutic target," he said.
The study has been published in Nature.
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