Department of Molecular Oncology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Br J Biomed Sci. 2022 Jan 31;79:10208. doi: 10.3389/bjbs.2021.10208. eCollection 2022.
There are isolated reports of mutations in genes for isocitrate dehydrogenases ( and ), but few have been examined in a large number of different malignancies. We aimed to analyze mutational prevalence of these genes in a large series of cancers and determine their significance in most mutated phenotype. We analyzed the frequencies of and mutations in 14,726 malignancies of 37 cancers. Furthermore, we examined these mutations in the most frequent cancer (gliomas, 923 cases) from a single cohort, and determined their clinical significance. mutations were present in 3% (473/14,726) of cancers. The highest frequencies were in oligodendrogliomas (91/102, 89%), anaplastic oligodendrogliomas (40/46, 87%), and diffuse astrocytomas (89/116, 77%). mutation was detected in <1% (83/14,726) of cancers, but were present in 13% (6/46) of anaplastic oligodendrogliomas, 9% (9/102) of oligodendrogliomas, and in 5% (2/39) of cutaneous squamous cell carcinomas. Further analyses of 923 gliomas revealed 34 and 1% of and mutations, respectively. In up to 342 months of follow-up, and mutations were significantly linked with better overall (OS) (both = 0.01) and progression-free survival (PFS) ( = 0.01; = 0.004), respectively. and are often mutated in a tissue-specific manner, most commonly in gliomas. Mutation in both genes is linked to OS and PFS. Our findings suggest that these genes are promising therapeutic targets and strong prognostic biomarkers in gliomas.
有孤立的报道称,异柠檬酸脱氢酶(IDH)基因(和)发生突变,但这些突变在大量不同的恶性肿瘤中很少被检测到。我们的目的是分析这些基因在大量癌症中的突变频率,并确定它们在最常见的突变表型中的意义。我们分析了 37 种癌症的 14726 种恶性肿瘤中 IDH 和 的突变频率。此外,我们在一个单一队列中对最常见的癌症(胶质瘤,923 例)进行了这些突变的检测,并确定了它们的临床意义。IDH 突变存在于 3%(473/14726)的癌症中。最高的频率见于少突胶质细胞瘤(91/102,89%)、间变性少突胶质细胞瘤(40/46,87%)和弥漫性星形细胞瘤(89/116,77%)。IDH 突变在 <1%(83/14726)的癌症中检测到,但在 13%(6/46)的间变性少突胶质细胞瘤、9%(9/102)的少突胶质细胞瘤和 5%(2/39)的皮肤鳞状细胞癌中存在。对 923 例胶质瘤的进一步分析显示,IDH 和 突变分别占 34%和 1%。在长达 342 个月的随访中,IDH 和 突变与总生存期(OS)(均为 P=0.01)和无进展生存期(PFS)(P=0.01;P=0.004)显著相关。IDH 和 通常以组织特异性方式发生突变,最常见于胶质瘤。这两种基因的突变与 OS 和 PFS 相关。我们的研究结果表明,这些基因是治疗靶点和胶质瘤预后的有前途的生物标志物。
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