Multiple Ways to Detect IDH2 Mutations in Angioimmunoblastic T-Cell Lymphoma from Immunohistochemistry to Next-Generation Sequencing.

Details

Serval ID
serval:BIB_66E7D6BC7241
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Multiple Ways to Detect IDH2 Mutations in Angioimmunoblastic T-Cell Lymphoma from Immunohistochemistry to Next-Generation Sequencing.
Journal
The Journal of molecular diagnostics
Author(s)
Dupuy A., Lemonnier F., Fataccioli V., Martin-Garcia N., Robe C., Pelletier R., Poullot E., Moktefi A., Mokhtari K., Rousselet M.C., Traverse-Glehen A., Delarue R., Tournilhac O., Delfau-Larue M.H., Haioun C., Ortonne N., Copie-Bergman C., de Leval L., Pujals A., Gaulard P.
ISSN
1943-7811 (Electronic)
ISSN-L
1525-1578
Publication state
Published
Issued date
09/2018
Peer-reviewed
Oui
Volume
20
Number
5
Pages
677-685
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Angioimmunoblastic T-cell lymphoma (AITL) is a peripheral T-cell lymphoma associated with chemoresistance and a poor prognosis. Various nonsynonymous mutations in the R172 residue of IDH2 are present in 20% to 30% of AITL patients. In addition to their diagnostic value, these mutations are potentially targetable, especially by isocitrate dehydrogenase (IDH) 2 inhibitor, and therefore their identification in a routine setting is clinically relevant. However, in AITL, the neoplastic cells may be scarce, making the identification of molecular anomalies difficult. We evaluated the diagnostic value of different methods to detect IDH2 mutations in formalin-fixed, paraffin-embedded tumor samples. Immunohistochemistry with an anti-IDH2 R172K antibody, Sanger sequencing, high-resolution melting PCR, allele-specific real-time quantitative PCR, and next-generation sequencing (NGS) were applied to biopsy specimens from 42 AITL patients. We demonstrate that the IDH2 R172K antibody is specific to this amino acid substitution and highly sensitive for the detection of the IDH2 <sup>R172K</sup> variant, the most frequent substitution in this disease. In our study, NGS and allele-specific real-time quantitative PCR displayed a good sensitivity, detecting 96% and 92% of IDH2 mutations, respectively, in contrast to Sanger sequencing and high-resolution melting PCR, which showed a significantly lower detection rate (58% and 42%, respectively). These results suggest that a combination of immunohistochemistry and AS-PCR or NGS should be considered for the identification of IDH2 mutations in AITL in a routine setting.
Keywords
Amino Acid Substitution/genetics, Base Sequence, Codon/genetics, DNA Mutational Analysis, High-Throughput Nucleotide Sequencing/methods, Humans, Immunoblastic Lymphadenopathy/genetics, Immunoblastic Lymphadenopathy/pathology, Immunohistochemistry, Isocitrate Dehydrogenase/genetics, Lymphoma, T-Cell/genetics, Lymphoma, T-Cell/pathology, Mutation/genetics, Sensitivity and Specificity
Pubmed
Web of science
Open Access
Yes
Create date
20/07/2018 16:31
Last modification date
24/09/2019 6:11
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