Article ; Online: Clinical Evaluation of IDH Mutation Status in Formalin-Fixed Paraffin-Embedded Tissue in Gliomas.
2023 Volume 27, Issue 3, Page(s) 371–381
Abstract: Background and objective: Determination of isocitrate dehydrogenase (IDH) 1/2 mutational status is crucial for a glioma diagnosis. It is common for IDH mutational status to be determined via a two-step algorithm that utilizes immunohistochemistry ... ...
Abstract | Background and objective: Determination of isocitrate dehydrogenase (IDH) 1/2 mutational status is crucial for a glioma diagnosis. It is common for IDH mutational status to be determined via a two-step algorithm that utilizes immunohistochemistry studies for IDH1 R132H, the most frequent variant, followed by next-generation sequencing studies for immunohistochemistry-negative or immunohistochemistry-equivocal cases. The objective of this study was to evaluate adding a rapid real-time polymerase chain reaction (RT-PCR) assay to the testing algorithm. METHODS: We validated a modified, commercial, qualitative, RT-PCR assay with the ability to detect 14 variants in IDH1/2 in formalin-fixed paraffin-embedded glioma tumor specimens. The assay was validated using 51 tumor formalin-fixed paraffin-embedded specimens. During clinical implementation of this assay, 48 brain tumor specimens were assessed for IDH result concordance and turnaround time to result. Results: Concordance between the RT-PCR and sequencing and IHC studies was 100%. This RT-PCR assay also showed concordant results with IHC for IDH1 R132H for 11 of the 12 (92%) tumor specimens with IDH mutations. The RT-PCR assay yielded faster results (average 2.6 days turnaround time) in comparison to sequencing studies (17.9 days), with complete concordance. Conclusions: In summary, we report that this RT-PCR assay can reliably be performed on formalin-fixed paraffin-embedded specimens and has a faster turnaround time than sequencing assays and can be clinically implemented for determination of IDH mutation status for patients with glioma. |
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MeSH term(s) | Humans ; Paraffin Embedding ; Isocitrate Dehydrogenase/genetics ; Glioma/genetics ; Brain Neoplasms/genetics ; Mutation ; Formaldehyde |
Chemical Substances | Isocitrate Dehydrogenase (EC 1.1.1.41) ; Formaldehyde (1HG84L3525) |
Language | English |
Publishing date | 2023-01-23 |
Publishing country | New Zealand |
Document type | Journal Article |
ZDB-ID | 2232796-4 |
ISSN | 1179-2000 ; 1177-1062 |
ISSN (online) | 1179-2000 |
ISSN | 1177-1062 |
DOI | 10.1007/s40291-022-00638-7 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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