Serum D‐2‐hydroxyglutarate and the ratio of D‐2HG/L‐2HG predict IDH mutation in acute myeloid leukemia

Abstract This study investigates whether serum D‐2HG (D‐2‐hydroxyglutarate) produced by the mutated isocitrate dehydrogenase (IDH) can predict IDH mutations in acute myeloid leukemia (AML) at diagnosis. D‐2HG and L‐2HG are measured by liquid chromatography‐tandem mass spectrometry. D‐2HG, total 2HG...

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Main Authors: Chelsea Zhang, Andrew Chu, Richard Boriack, Robert Collins, Jing Xu, Dwight Oliver, Ruifang Zheng, Dinesh Rakheja, Weina Chen
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:eJHaem
Subjects:
Online Access:https://doi.org/10.1002/jha2.723
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author Chelsea Zhang
Andrew Chu
Richard Boriack
Robert Collins
Jing Xu
Dwight Oliver
Ruifang Zheng
Dinesh Rakheja
Weina Chen
author_facet Chelsea Zhang
Andrew Chu
Richard Boriack
Robert Collins
Jing Xu
Dwight Oliver
Ruifang Zheng
Dinesh Rakheja
Weina Chen
author_sort Chelsea Zhang
collection DOAJ
description Abstract This study investigates whether serum D‐2HG (D‐2‐hydroxyglutarate) produced by the mutated isocitrate dehydrogenase (IDH) can predict IDH mutations in acute myeloid leukemia (AML) at diagnosis. D‐2HG and L‐2HG are measured by liquid chromatography‐tandem mass spectrometry. D‐2HG, total 2HG and the D/L ratio (D‐2HG/L‐2HG) are significantly higher in IDHmutated cases than in IDHwild cases. The optimal cutoff values to predict IDH mutations at 100% sensitivity (specificity 91%–94%) are >588 ng/mL for D‐2HG and >2.33 for the D/L ratio. Our study indicates that elevated serum D‐2HG and the D/L ratio may serve as noninvasive biomarkers of IDH mutation in AML.
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spelling doaj.art-4016bab4731d458cb950d8116b053e662023-09-14T15:30:47ZengWileyeJHaem2688-61462023-08-014372372710.1002/jha2.723Serum D‐2‐hydroxyglutarate and the ratio of D‐2HG/L‐2HG predict IDH mutation in acute myeloid leukemiaChelsea Zhang0Andrew Chu1Richard Boriack2Robert Collins3Jing Xu4Dwight Oliver5Ruifang Zheng6Dinesh Rakheja7Weina Chen8Departments of Pathology University of Texas Southwestern Medical Center Dallas Texas USADepartments of Pathology University of Texas Southwestern Medical Center Dallas Texas USAChildren's Medical Center Dallas Dallas Texas USAInternal Medicine (Hematology and Oncology) University of Texas Southwestern Medical Center Dallas Texas USADepartments of Pathology University of Texas Southwestern Medical Center Dallas Texas USADepartments of Pathology University of Texas Southwestern Medical Center Dallas Texas USADepartments of Pathology University of Texas Southwestern Medical Center Dallas Texas USADepartments of Pathology University of Texas Southwestern Medical Center Dallas Texas USADepartments of Pathology University of Texas Southwestern Medical Center Dallas Texas USAAbstract This study investigates whether serum D‐2HG (D‐2‐hydroxyglutarate) produced by the mutated isocitrate dehydrogenase (IDH) can predict IDH mutations in acute myeloid leukemia (AML) at diagnosis. D‐2HG and L‐2HG are measured by liquid chromatography‐tandem mass spectrometry. D‐2HG, total 2HG and the D/L ratio (D‐2HG/L‐2HG) are significantly higher in IDHmutated cases than in IDHwild cases. The optimal cutoff values to predict IDH mutations at 100% sensitivity (specificity 91%–94%) are >588 ng/mL for D‐2HG and >2.33 for the D/L ratio. Our study indicates that elevated serum D‐2HG and the D/L ratio may serve as noninvasive biomarkers of IDH mutation in AML.https://doi.org/10.1002/jha2.723acute myeloid leukemiaD‐2HG/L‐2HG RatioD‐2‐HydroxyglutarateIDHL‐2‐Hydroxyglutarate
spellingShingle Chelsea Zhang
Andrew Chu
Richard Boriack
Robert Collins
Jing Xu
Dwight Oliver
Ruifang Zheng
Dinesh Rakheja
Weina Chen
Serum D‐2‐hydroxyglutarate and the ratio of D‐2HG/L‐2HG predict IDH mutation in acute myeloid leukemia
eJHaem
acute myeloid leukemia
D‐2HG/L‐2HG Ratio
D‐2‐Hydroxyglutarate
IDH
L‐2‐Hydroxyglutarate
title Serum D‐2‐hydroxyglutarate and the ratio of D‐2HG/L‐2HG predict IDH mutation in acute myeloid leukemia
title_full Serum D‐2‐hydroxyglutarate and the ratio of D‐2HG/L‐2HG predict IDH mutation in acute myeloid leukemia
title_fullStr Serum D‐2‐hydroxyglutarate and the ratio of D‐2HG/L‐2HG predict IDH mutation in acute myeloid leukemia
title_full_unstemmed Serum D‐2‐hydroxyglutarate and the ratio of D‐2HG/L‐2HG predict IDH mutation in acute myeloid leukemia
title_short Serum D‐2‐hydroxyglutarate and the ratio of D‐2HG/L‐2HG predict IDH mutation in acute myeloid leukemia
title_sort serum d 2 hydroxyglutarate and the ratio of d 2hg l 2hg predict idh mutation in acute myeloid leukemia
topic acute myeloid leukemia
D‐2HG/L‐2HG Ratio
D‐2‐Hydroxyglutarate
IDH
L‐2‐Hydroxyglutarate
url https://doi.org/10.1002/jha2.723
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