PMID- 20427748 OWN - NLM STAT- MEDLINE DCOM- 20100625 LR - 20220812 IS - 1526-632X (Electronic) IS - 0028-3878 (Linking) VI - 74 IP - 23 DP - 2010 Jun 8 TI - All the 1p19q codeleted gliomas are mutated on IDH1 or IDH2. PG - 1886-90 LID - 10.1212/WNL.0b013e3181e1cf3a [doi] AB - BACKGROUND: Recently, the gene encoding the human cytosolic NADPH-dependent isocitrate dehydrogenase (IDH1) was reported frequently mutated in gliomas. Rare mutations were also found in the sequence of the mitochondrial isoform IDH2. METHODS: In a series of 764 gliomas genome-wide characterized, we determined the presence of mutations in the sequences of both IDH1 and IDH2 genes by direct sequencing. RESULTS: We found that all tumors with complete 1p19q codeletion (n = 128) were mutated in the IDH1 (118) or IDH2 (10) gene. This 100% mutation rate contrasted strikingly with other gliomas exhibiting either variable 1p and 19q alterations (n = 159, IDH1/IDH2 mutation rate of 33%) or no 1p19q alteration (n = 477, IDH1/IDH2 mutation rate 32%). Our data also confirm the prognostic impact of IDH1/IDH2 mutation in gliomas whatever grade considered: patients harboring mutations of IDH1/IDH2 have an improved median overall survival. Moreover, in WHO grade II and III gliomas, 3 groups with significantly different outcomes were identified according to their 1p19q and IDH1/IDH2 statuses. Tumors carrying both alterations had longer overall survival than their nonmutated counterpart. CONCLUSIONS: This exclusive association suggests a new mechanism of tumorigenesis. Perhaps the IDH1/IDH2 mutation is a prerequisite for the occurrence of the t(1;19) translocation, or it is required for the 1p19q codeleted cells to acquire a tumor phenotype. FAU - Labussiere, M AU - Labussiere M AD - UMR 975 INSERM-UPMC, Paris, France. FAU - Idbaih, A AU - Idbaih A FAU - Wang, X-W AU - Wang XW FAU - Marie, Y AU - Marie Y FAU - Boisselier, B AU - Boisselier B FAU - Falet, C AU - Falet C FAU - Paris, S AU - Paris S FAU - Laffaire, J AU - Laffaire J FAU - Carpentier, C AU - Carpentier C FAU - Criniere, E AU - Criniere E FAU - Ducray, F AU - Ducray F FAU - El Hallani, S AU - El Hallani S FAU - Mokhtari, K AU - Mokhtari K FAU - Hoang-Xuan, K AU - Hoang-Xuan K FAU - Delattre, J-Y AU - Delattre JY FAU - Sanson, M AU - Sanson M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100428 PL - United States TA - Neurology JT - Neurology JID - 0401060 RN - EC 1.1.1.41 (IDH2 protein, human) RN - EC 1.1.1.41 (Isocitrate Dehydrogenase) RN - EC 1.1.1.42. (IDH1 protein, human) SB - IM CIN - Neurology. 2010 Jun 8;74(23):1848-9. PMID: 20445147 MH - Brain Neoplasms/*genetics/mortality MH - Chromosomes, Human, Pair 1/*genetics MH - Follow-Up Studies MH - Genome-Wide Association Study/methods MH - Glioma/*genetics/mortality MH - Humans MH - Isocitrate Dehydrogenase/*genetics MH - Mutation/*genetics MH - Survival Analysis EDAT- 2010/04/30 06:00 MHDA- 2010/06/26 06:00 CRDT- 2010/04/30 06:00 PHST- 2010/04/30 06:00 [entrez] PHST- 2010/04/30 06:00 [pubmed] PHST- 2010/06/26 06:00 [medline] AID - WNL.0b013e3181e1cf3a [pii] AID - 10.1212/WNL.0b013e3181e1cf3a [doi] PST - ppublish SO - Neurology. 2010 Jun 8;74(23):1886-90. doi: 10.1212/WNL.0b013e3181e1cf3a. Epub 2010 Apr 28.