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IDH1-R132H 突变型而非非典型 IDH1/2 突变和 1p/19q 联合缺失型少突胶质细胞瘤中频繁出现 H3K27 三甲基化丢失:一项日本队列研究。

Loss of H3K27 trimethylation is frequent in IDH1-R132H but not in non-canonical IDH1/2 mutated and 1p/19q codeleted oligodendroglioma: a Japanese cohort study.

机构信息

Department of Cancer Pathology, Faculty of Medicine, Hokkaido University, N15, W7, Kita-Ku, Sapporo, 060-8638, Japan.

Department of Oral Pathology and Periodontology, Sapporo Dental College and Hospital, Dhaka, Bangladesh.

出版信息

Acta Neuropathol Commun. 2021 May 21;9(1):95. doi: 10.1186/s40478-021-01194-7.

Abstract

Oligodendrogliomas are defined by mutation in isocitrate dehydrogenase (NADP(+)) (IDH)1/2 genes and chromosome 1p/19q codeletion. World Health Organisation diagnosis endorses testing for 1p/19q codeletion to distinguish IDH mutant (Mut) oligodendrogliomas from astrocytomas because these gliomas require different treatments and they have different outcomes. Several methods have been used to identify 1p/19q status; however, these techniques are not routinely available and require substantial infrastructure investment. Two recent studies reported reduced immunostaining for trimethylation at lysine 27 on histone H3 (H3K27me3) in IDH Mut 1p/19q codeleted oligodendroglioma. However, the specificity of H3K27me3 immunostaining in this setting is controversial. Therefore, we developed an easy-to-implement immunohistochemical surrogate for IDH Mut glioma subclassification and evaluated a validated adult glioma cohort. We screened 145 adult glioma cases, consisting of 45 IDH Mut and 1p/19q codeleted oligodendrogliomas, 30 IDH Mut astrocytomas, 16 IDH wild-type (Wt) astrocytomas, and 54 IDH Wt glioblastomas (GBMs). We compared immunostaining with DNA sequencing and fluorescent in situ hybridization analysis and assessed differences in H3K27me3 staining between oligodendroglial and astrocytic lineages and between IDH1-R132H and non-canonical (non-R132H) IDH1/2 Mut oligodendroglioma. A loss of H3K27me3 was observed in 36/40 (90%) of IDH1-R132H Mut oligodendroglioma. In contrast, loss of H3K27me3 was never seen in IDH1-R132L or IDH2-mutated 1p/19q codeleted oligodendrogliomas. IDH Mut astrocytoma, IDH Wt astrocytoma and GBM showed preserved nuclear staining in 87%, 94%, and 91% of cases, respectively. A high recursive partitioning model predicted probability score (0.9835) indicated that the loss of H3K27me3 is frequent to IDH1-R132H Mut oligodendroglioma. Our results demonstrate H3K27me3 immunohistochemical evaluation to be a cost-effective and reliable method for defining 1p/19q codeletion along with IDH1-R132H and ATRX immunostaining, even in the absence of 1p/19q testing.

摘要

少突胶质细胞瘤的定义是异柠檬酸脱氢酶(NADP(+))(IDH)1/2 基因突变和 1p/19q 染色体缺失。世界卫生组织诊断支持检测 1p/19q 缺失,以区分 IDH 突变(Mut)少突胶质细胞瘤和星形细胞瘤,因为这些胶质瘤需要不同的治疗方法,并且具有不同的预后。已经使用了几种方法来识别 1p/19q 状态;然而,这些技术并不常规可用,并且需要大量的基础设施投资。最近的两项研究报告称,在 IDH Mut 1p/19q 缺失的少突胶质细胞瘤中,组蛋白 H3 赖氨酸 27 三甲基化(H3K27me3)的免疫染色减少。然而,在这种情况下 H3K27me3 免疫染色的特异性存在争议。因此,我们开发了一种易于实施的免疫组织化学替代物,用于 IDH Mut 胶质瘤分类,并评估了经过验证的成人胶质瘤队列。我们筛选了 145 例成人胶质瘤病例,包括 45 例 IDH Mut 和 1p/19q 缺失的少突胶质细胞瘤、30 例 IDH Mut 星形细胞瘤、16 例 IDH 野生型(Wt)星形细胞瘤和 54 例 IDH Wt 胶质母细胞瘤(GBM)。我们将免疫染色与 DNA 测序和荧光原位杂交分析进行了比较,并评估了 H3K27me3 染色在少突胶质细胞和星形细胞谱系之间以及 IDH1-R132H 和非典型(非-R132H)IDH1/2 Mut 少突胶质细胞瘤之间的差异。在 40 例 IDH1-R132H Mut 少突胶质细胞瘤中,观察到 36/40(90%)例 H3K27me3 缺失。相比之下,在 IDH1-R132L 或 IDH2 突变的 1p/19q 缺失的少突胶质细胞瘤中从未观察到 H3K27me3 缺失。IDH Mut 星形细胞瘤、IDH Wt 星形细胞瘤和 GBM 在 87%、94%和 91%的病例中分别显示保留的核染色。高递归分区模型预测概率评分(0.9835)表明,IDH1-R132H Mut 少突胶质细胞瘤中 H3K27me3 的缺失是常见的。我们的结果表明,即使没有 1p/19q 检测,H3K27me3 免疫组织化学评估也是一种具有成本效益和可靠的方法,可用于定义 1p/19q 缺失以及 IDH1-R132H 和 ATRX 免疫染色。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70cc/8138926/9dd2993005fc/40478_2021_1194_Fig1_HTML.jpg

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