Singh Angad, Gurav Mamta, Dhanavade Sandeep, Shetty Omshree, Epari Sridhar
Division of Molecular Pathology, Department of Pathology, Tata Memorial Centre, Parel, Mumbai, India.
Neuropathology. 2017 Dec;37(6):582-585. doi: 10.1111/neup.12401. Epub 2017 Aug 7.
Isocitrate dehydrogenase (IDH1/IDH2) mutations in gliomas of WHO grade II/III and secondary glioblastoma are almost always heterozygous missense mutations. Here, we report an extremely rare case of homozygous IDH1R132H mutation in a recurrent WHO grade III anaplastic astrocytoma. The authors here also review the relevant literature for the possible metabolic impact of homozygous IDH1/2 mutations in the gliomagenesis.
世界卫生组织(WHO)二级/三级胶质瘤和继发性胶质母细胞瘤中的异柠檬酸脱氢酶(IDH1/IDH2)突变几乎均为杂合错义突变。在此,我们报告了1例极为罕见的复发性WHO三级间变性星形细胞瘤中存在纯合IDH1R132H突变的病例。本文作者还回顾了相关文献,以探讨IDH1/2纯合突变在胶质瘤发生过程中可能产生的代谢影响。