Pathologic diversity of glioneuronal tumor with neuropil-like islands: a histological and immunohistochemical study with a special reference to isocitrate dehydrogenase 1 (IDH1) in 5 cases.

Abstract	Glioneuronal tumor with neuropil-like islands (GTNI) is featured by "neuropil-like islands (NIs)" within dominating astroglial components. Isocitrate dehydrogenase (IDH) mutations, particularly IDH1 R132H (G395A), are found in WHO Grade II and III diffuse gliomas as well as secondary, but not primary, glioblastomas. We reviewed 5 cases of GTNI, and assessed histology and immunohistochemistry with various antibodies, including those for IDH1 R132H, as well as direct DNA sequencing for IDH1 G395A. NIs were variable in morphology, and constantly synaptophysin-positive and glial fibrillary acidic protein-negative. The glioma components were primary glioblastoma in 2 cases, anaplastic astrocytoma in 1 and anaplastic oligoastrocytoma in 2. The IDH1 R132H was expressed in the 2 cases with oligoastrocytoma: In 1, NIs and the astrocytoma-like area as well as the oligodendroglioma-like area were positive. In the other, only the oligodendrogliomalike area was positive. The mutation analysis performed on the latter case with DNA separately sampled from the oligodendroglioma- like area and the astrocytoma-like area detected IDH1 G395A in both areas. We have shown diverse pathologic aspects of GTNI. Also, we have shown that the expression of IDH1 R132H in GTNI is largely concordant with that in diffuse gliomas, and that it can be dependent on each histologic component although the mutant IDH1 gene is ubiquitously present within the tumor.
Authors	Keisuke Ishizawa, Takanori Hirose, Kazuhiko Sugiyama, Teruyoshi Kageji, Sumihito Nobusawa, Taku Homma, Takashi Komori, Atsushi Sasaki
Journal	Clinical neuropathology (Clin Neuropathol) 2012 Mar-Apr Vol. 31 Issue 2 Pg. 67-76 ISSN: 0722-5091 [Print] Germany
PMID	22385787 (Publication Type: Case Reports, Journal Article)
Chemical References	Isocitrate Dehydrogenase IDH1 protein, human
Topics	Adult Astrocytoma (genetics, metabolism, pathology) Brain Neoplasms (genetics, metabolism, pathology) DNA Mutational Analysis Female Humans Isocitrate Dehydrogenase (genetics, metabolism) Male Middle Aged Oligodendroglioma (genetics, metabolism, pathology)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.

Realize the full power of the drug-disease research graph!