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idh, article, google, scholar, pubmed, cas, university, mutation, mutations, anaplastic, gliomas, patients, germany, classification, glioblastoma, cancer, acta, prognostic, hartmann, brain, clinical, department, astrocytomas, glioma, neuropathol, analysis, data, research, glioblastomas, status, age, wick, weller, astrocytoma, german, molecular, heidelberg, bonn, privacy, cookies, content, prognosis, deimling, grading, tumors, trial, access, clin, neuropathology, publish,

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month download article/chapter andreas von deimling mutation-specific antibody recognizing differentiate high-grade astrocytomas german neuro-oncology group mgmt gene silencing high-grade astrocytic gliomas eberhard karls-university tübingen ruprecht-karls-university heidelberg full article pdf von deimling monoclonal antibody specific idh1 r132h mutation privacy choices/manage cookies david capper mgmt promoter methylation idh1 mutation status newly diagnosed glioblastoma idh-mutated astrocytomas german cancer aid related subjects prospective translational study idh1 expression status future clinical trials shared allelic losses scheithauer bw integrated genomic analysis induce hif-1alpha sigmund freud str siegmund-freud-str anaplastic oligodendroglial tumors idh-mutant gliomas article hartmann german glioma network human glioblastoma multiforme conditions privacy policy anaplastic astrocytomas distinct molecular subtypes check access instant access european economic area prognosis unfavorable prognostic effect greater prognostic relevance heinrich heine university standard histological criteria central nervous system idh1-mutated glioblastomas common adult gliomas parsons dw

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• Weller M, Stupp R, Reifenberger G et al (2010) MGMT promoter methylation in malignant gliomas: ready for personalized medicine?

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         headline:Patients with IDH1 wild type anaplastic astrocytomas exhibit worse prognosis than IDH1-mutated glioblastomas, and IDH1 mutation status accounts for the unfavorable prognostic effect of higher age: implications for classification of gliomas
         description:WHO grading of human brain tumors extends beyond a strictly histological grading system by providing a basis predictive for the clinical behavior of the respective neoplasm. For example, patients with glioblastoma WHO grade IV usually show a less favorable clinical course and receive more aggressive first-line treatment than patients with anaplastic astrocytoma WHO grade III. Here we provide evidence that the IDH1 status is more prognostic for overall survival than standard histological criteria that differentiate high-grade astrocytomas. We sequenced the isocitrate dehydrogenase 1 gene (IDH1) at codon 132 in 382 patients with anaplastic astrocytoma and glioblastoma from the NOA-04 trial and from a prospective translational cohort study of the German Glioma Network. Patients with anaplastic astrocytomas carried IDH1 mutations in 60%, and patients with glioblastomas in 7.2%. IDH1 was the most prominent single prognostic factor (RR 2.7; 95% CI 1.6–4.5) followed by age, diagnosis and MGMT. The sequence from more favorable to poorer outcome was (1) anaplastic astrocytoma with IDH1 mutation, (2) glioblastoma with IDH1 mutation, (3) anaplastic astrocytoma without IDH1 mutation and (4) glioblastoma without IDH1 mutation (p < 0.0001). In this combined set of anaplastic astrocytomas and glioblastomas both, IDH1 mutation and IDH1 expression status were of greater prognostic relevance than histological diagnosis according to the current WHO classification system. Our data indicate that much of the prognostic significance of patient age is due to the predominant occurrence of IDH1 mutations in younger patients. Immunohistochemistry using a mutation-specific antibody recognizing the R132H mutation yielded similar results. We propose to complement the current WHO classification and grading of high-grade astrocytic gliomas by the IDH1 mutation status and to use this combined histological and molecular classification in future clinical trials.
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            name:University Hamburg-Eppendorf
            address:
               name:Department of Neurosurgery, University Hamburg-Eppendorf, Hamburg, Germany
               type:PostalAddress
            type:Organization
      name:Gabriele Schackert
      affiliation:
            name:University Dresden
            address:
               name:Department of Neurosurgery, University Dresden, Dresden, Germany
               type:PostalAddress
            type:Organization
      name:Richard Meyermann
      affiliation:
            name:Eberhard Karls-University Tübingen
            address:
               name:Brain Research Institute, Eberhard Karls-University Tübingen, Tübingen, Germany
               type:PostalAddress
            type:Organization
      name:Torsten Pietsch
      affiliation:
            name:University of Bonn
            address:
               name:Department of Neuropathology, University of Bonn, Bonn, Germany
               type:PostalAddress
            type:Organization
      name:Guido Reifenberger
      affiliation:
            name:Heinrich Heine University
            address:
               name:Department of Neuropathology, Heinrich Heine University, Düsseldorf, Germany
               type:PostalAddress
            type:Organization
      name:Michael Weller
      affiliation:
            name:University Hospital Zurich
            address:
               name:Department of Neurology, University Hospital Zurich, Zurich, Switzerland
               type:PostalAddress
            type:Organization
      name:Markus Loeffler
      affiliation:
            name:Universität Leipzig
            address:
               name:Institute for Medical Informatics, Statistics and Epidemiology, Universität Leipzig, Leipzig, Germany
               type:PostalAddress
            type:Organization
      name:Andreas von Deimling
      affiliation:
            name:Ruprecht-Karls-University Heidelberg
            address:
               name:Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
               type:PostalAddress
            type:Organization
            name:German Cancer Research Center
            address:
               name:Clinical Cooperation Unit Neuropathology, German Cancer Research Center, Heidelberg, Germany
               type:PostalAddress
            type:Organization
      email:[email protected]
PostalAddress:
      name:Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
      name:Clinical Cooperation Unit Neuropathology, German Cancer Research Center, Heidelberg, Germany
      name:Institute for Medical Informatics, Statistics and Epidemiology, Universität Leipzig, Leipzig, Germany
      name:Clinical Cooperation Unit Neuropathology, German Cancer Research Center, Heidelberg, Germany
      name:Department of Neurooncology, Neurology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
      name:Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
      name:Department of Neuropathology, Heinrich Heine University, Düsseldorf, Germany
      name:Department of Neurosurgery, University of Bonn, Bonn, Germany
      name:Department of Neurosurgery, University Hamburg-Eppendorf, Hamburg, Germany
      name:Department of Neurosurgery, University Dresden, Dresden, Germany
      name:Brain Research Institute, Eberhard Karls-University Tübingen, Tübingen, Germany
      name:Department of Neuropathology, University of Bonn, Bonn, Germany
      name:Department of Neuropathology, Heinrich Heine University, Düsseldorf, Germany
      name:Department of Neurology, University Hospital Zurich, Zurich, Switzerland
      name:Institute for Medical Informatics, Statistics and Epidemiology, Universität Leipzig, Leipzig, Germany
      name:Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
      name:Clinical Cooperation Unit Neuropathology, German Cancer Research Center, Heidelberg, Germany
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