IDH1 mutations in diffusely infiltrating astrocytomas: grade specificity, association with protein expression, and clinical relevance.
IDH1 mutations are frequent genetic alterations in low-grade diffuse gliomas and secondary glioblastoma (GBM). To validate mutation frequency, IDH1 gene at codon 132 was sequenced in 74 diffusely infiltrating astrocytomas: diffuse astrocytoma (DA; World Health Organization [WHO] grade II), anaplastic astrocytoma (AA; WHO grade III), and GBM (WHO grade IV). All cases were immunostained with IDH1-R132H monoclonal antibody. Mutational status was correlated with mutant protein expression, patient age, duration of symptoms, and prognosis of patients with GBM. We detected 31 (41.9%) heterozygous IDH1 mutations resulting in arginine-to-histidine substitution (R132H;CGT-CAT). All 12 DAs (100%), 13 of 14 AAs (92.9%), and 6 of 48 GBMs (12.5%) (5/6 [83.3%] secondary, and 1/42 [2.4%] primary) harbored IDH1 mutations. The correlation between mutational status and protein expression was significant (P < . 001). IDH1 mutation status, though not associated with prognosis of patients with GBM, showed significant association with younger age and longer duration of symptoms in the whole cohort (P < .001). Our study validates IDH1 mutant protein expression across various grades of astrocytoma, and demonstrates a high incidence of IDH1 mutations in DA, AA, and secondary GBM.
Department of Neuropathology, National Institute of Mental Health and Neurosciences, Bangalore, India.
Balaram
B
Thota
Sudhanshu K
SK
Shukla
Mallavarapu R
MR
Srividya
Shivayogi D
SD
Shwetha
Arimappamagan
A
Arivazhagan
Kandavel
K
Thennarasu
Yasha T
YT
Chickabasaviah
Alangar S
AS
Hegde
Bangalore A
BA
Chandramouli
Kumarvel
K
Somasundaram
Vani
V
Santosh
D019943:Amino Acid Substitution; D001254:Astrocytoma / Q000235:genetics* / Q000401:mortality / Q000473:pathology*; D001932:Brain Neoplasms / Q000235:genetics* / Q000401:mortality / Q000473:pathology*; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D007521:Isocitrate Dehydrogenase / Q000235:genetics*; D008297:Male; D009154:Mutation; D060787:Neoplasm Grading; D009361:Neoplasm Invasiveness; D016019:Survival Analysis
D007521:Isocitrate Dehydrogenase; C543588:IDH1 protein, human