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IDH1 mutation predicts seizure occurrence and prognosis in lower-grade glioma adults

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机构: [1]Department of Neurosurgery, Xuanwu Hospital Capital Medical University, Beijing 100053, China. [2]Clinical Research Center for Epilepsy, Capital Medical University, Beijing 100053, China. [3]Beijing Municipal Geriatric Medical Research Center, Beijing 100053, China.
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关键词: Epilepsy Glioma Isocitrate dehydrogenase Engel classification

摘要:
Epileptic seizures are frequently the first symptom in glioma patients. However, the causal relationship between glioma and epilepsy is not yet fully understood, as it cannot be explained solely by tumor mass effect or peritumoral factors. In this study, we retrospectively enrolled 320 patients with grade 2-4 glioma who received treatment between January 2019 and July 2022, and explored the biomarkers of seizure occurrence and seizure outcome prediction using univariate and multivariate logistic regression analyses. Our results showed that IDH1 R132H mutation was an independent risk factor for seizure occurrence in lower-grade glioma (LGG) patients (OR = 4.915, 95%CI = 1.713 - 14.103, P = 0.003). Additionally, IDH1 R132H mutation predicted higher seizure-free ratios in LGG patients with intact ATRX expression (OR = 6.793, 95%CI = 1.217 - 37.923, P = 0.029) one year after diagnosis. Therefore, our findings suggest that IDH1 mutation can predict seizure occurrence and control in LGG patients, providing further insights into the relationship between glioma and epilepsy.Copyright © 2024. Published by Elsevier GmbH.

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出版当年[2023]版:
大类 | 4 区 医学
小类 | 4 区 病理学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 病理学
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出版当年[2022]版:
Q2 PATHOLOGY
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Q2 PATHOLOGY

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第一作者机构: [1]Department of Neurosurgery, Xuanwu Hospital Capital Medical University, Beijing 100053, China.
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通讯机构: [1]Department of Neurosurgery, Xuanwu Hospital Capital Medical University, Beijing 100053, China. [2]Clinical Research Center for Epilepsy, Capital Medical University, Beijing 100053, China. [3]Beijing Municipal Geriatric Medical Research Center, Beijing 100053, China.
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