Immunohistochemically detected IDH1 mutation is rare and mostly heterogeneous in prostate cancer
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Immunohistochemically detected IDH1 mutation is rare and mostly heterogeneous in prostate cancer. / Hinsch, Andrea; Brolund, Meta; Hube-Magg, Claudia; Kluth, Martina; Simon, Ronald; Möller-Koop, Christina; Sauter, Guido; Steurer, Stefan; Luebke, Andreas; Angerer, Alexander; Wittmer, Corinna; Neubauer, Emily; Göbel, Cosima; Büscheck, Franziska; Minner, Sarah; Wilczak, Waldemar; Schlomm, Thorsten; Jacobsen, Frank; Clauditz, Till Sebastian; Krech, Till; Tsourlakis, Maria Christina; Schroeder, Cornelia.
in: WORLD J UROL, Jahrgang 36, Nr. 6, 06.2018, S. 877-882.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Immunohistochemically detected IDH1 mutation is rare and mostly heterogeneous in prostate cancer
AU - Hinsch, Andrea
AU - Brolund, Meta
AU - Hube-Magg, Claudia
AU - Kluth, Martina
AU - Simon, Ronald
AU - Möller-Koop, Christina
AU - Sauter, Guido
AU - Steurer, Stefan
AU - Luebke, Andreas
AU - Angerer, Alexander
AU - Wittmer, Corinna
AU - Neubauer, Emily
AU - Göbel, Cosima
AU - Büscheck, Franziska
AU - Minner, Sarah
AU - Wilczak, Waldemar
AU - Schlomm, Thorsten
AU - Jacobsen, Frank
AU - Clauditz, Till Sebastian
AU - Krech, Till
AU - Tsourlakis, Maria Christina
AU - Schroeder, Cornelia
PY - 2018/6
Y1 - 2018/6
N2 - BACKGROUND: IDH1 mutations are oncogenic through induction of DNA damage and genome instability. They are of therapeutic interest because they confer increased sensitivity to radiation and cytotoxic therapy and hold potential for vaccination therapy.METHODS: In this study, we analyzed more than 17,000 primary prostate cancer tissues with a mutation-specific antibody for the IDH1R132H mutation.RESULTS: IDH1 mutation-specific staining was found in 42 of 15,531 (0.3%) interpretable cancers. IDH1 mutation was associated with higher preoperative PSA and Gleason grade (p < 0.05, each) but was unrelated to PSA recurrence. A comparison with other molecular tumor features available from earlier studies revealed that TMPRSS2-ERG fusion as well as deletion of PTEN, 5q21, 6q15, and 3p13 was less frequent in IDH1-mutated than in non-mutated cancer. Increased lethality of genetically instable, "aberration-rich" cancer cells in the presence of IDH1 mutations could possibly explain this observation. Heterogeneity analysis revealed a homogeneous mutation in only 1 of 16 IDH1-mutated cancers. This high degree of heterogeneity may profoundly limit therapeutic targeting of IDH1 mutations in prostate cancer.CONCLUSIONS: The data show that 0.3% of prostate cancers have an IDH1R132H mutation and that these are mostly heterogeneous. Once specific anti-IDH1 therapy becomes reality, only a very small group of prostate cancer patients may benefit from such a treatment.
AB - BACKGROUND: IDH1 mutations are oncogenic through induction of DNA damage and genome instability. They are of therapeutic interest because they confer increased sensitivity to radiation and cytotoxic therapy and hold potential for vaccination therapy.METHODS: In this study, we analyzed more than 17,000 primary prostate cancer tissues with a mutation-specific antibody for the IDH1R132H mutation.RESULTS: IDH1 mutation-specific staining was found in 42 of 15,531 (0.3%) interpretable cancers. IDH1 mutation was associated with higher preoperative PSA and Gleason grade (p < 0.05, each) but was unrelated to PSA recurrence. A comparison with other molecular tumor features available from earlier studies revealed that TMPRSS2-ERG fusion as well as deletion of PTEN, 5q21, 6q15, and 3p13 was less frequent in IDH1-mutated than in non-mutated cancer. Increased lethality of genetically instable, "aberration-rich" cancer cells in the presence of IDH1 mutations could possibly explain this observation. Heterogeneity analysis revealed a homogeneous mutation in only 1 of 16 IDH1-mutated cancers. This high degree of heterogeneity may profoundly limit therapeutic targeting of IDH1 mutations in prostate cancer.CONCLUSIONS: The data show that 0.3% of prostate cancers have an IDH1R132H mutation and that these are mostly heterogeneous. Once specific anti-IDH1 therapy becomes reality, only a very small group of prostate cancer patients may benefit from such a treatment.
KW - Journal Article
U2 - 10.1007/s00345-018-2225-7
DO - 10.1007/s00345-018-2225-7
M3 - SCORING: Journal article
C2 - 29427004
VL - 36
SP - 877
EP - 882
JO - WORLD J UROL
JF - WORLD J UROL
SN - 0724-4983
IS - 6
ER -