| Autor: |
Thota, Balaram, Shukla, Sudhanshu K., Srividya, Mallavarapu R., Shwetha, Shivayogi D., Arivazhagan, Arimappamagan, Thennarasu, Kandavel, Chickabasaviah, Yasha T., Hegde, Alangar S., Chandramouli, Bangalore A., Somasundaram, Kumarvel, Santosh, Vani |
| Předmět: |
|
| Zdroj: |
American Journal of Clinical Pathology; Aug2012, Vol. 138 Issue 2, p177-184, 8p, 1 Color Photograph, 2 Charts, 1 Graph |
| Abstrakt: |
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 of14 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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
