Abstract
Purpose
Isocitrate dehydrogenase (IDH) gene mutation is one of the most exciting new advances in these years. It has been reported that IDH gene frequently altered in grade II and grade III gliomas. We aimed to identify the mutation frequency of IDH genes in Chinese anaplastic glioma patients, the association of IDH gene mutation with other clinical and molecular pathological features and the prognostic value of it.
Methods
We performed polymerase chain reaction-based IDH gene mutation detection in 203 anaplastic glioma patients from China.
Results
A total of 108 and 3 patients harbored IDH1 and IDH2 gene mutation, respectively. And there was a higher proportion of MGMT promoter methylation, frontal lobe location, and better outcome and lower proportion of temporal location in IDH-mutated samples. There were hardly any significant association between protein expression level of well-known markers and IDH mutation. Anaplastic oligoastrocytoma and anaplastic astrocytoma patients with IDH gene mutation showed similar prognosis with anaplastic oligodendroglioma patients with wild-type IDH gene.
Conclusions
IDH gene mutation is a good prognostic marker and a potential substratification factor for anaplastic glioma patients.
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Acknowledgments
This work was supported by Grants from 1. National High Technology Research and Development Program (No. 2012AA02A508) 2. International Science and Technology Cooperation Program (No. 2012DFA30470) 3. National Natural Science Foundation of China (No. 81272804; 81071011, 91229121).
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All the authors declare that they have no conflict of interest.
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Chuan-Bao Zhang, Zhao-Shi Bao and Hong-Jun Wang have contributed equally to this work.
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Zhang, CB., Bao, ZS., Wang, HJ. et al. Correlation of IDH1/2 mutation with clinicopathologic factors and prognosis in anaplastic gliomas: a report of 203 patients from China. J Cancer Res Clin Oncol 140, 45–51 (2014). https://doi.org/10.1007/s00432-013-1519-9
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DOI: https://doi.org/10.1007/s00432-013-1519-9