IDH-1

Identifies isocitrate dehydrogenase 1, an enzyme that participates in the citric acid cycle and is mutated in a high fraction of gliomas and oligodendrogliomas, particularly in grade II and grade III neoplasms. These mutations are frequent genetic alterations in low-grade diffuse gliomas and secondary glioblastoma (70%), and has been observed in fewer than 10% of primary glioblastoma cases. The antibody is a diagnostic tool in assessing the mutational status of codon 132 (R132H) and does not cross react with the native protein, helping differentiate GBM tumors from others. Because these mutations do not occur in reactive gliosis, these can often be separated from diffuse gliomas, which are usually positive for the mutation.

Synonyms
Isocitrate Dehydrogenase 1
Turnaround Time
Tech-Only (stain only): 24 hrs
Methodology
IHC
Specimen Requirements

A formalin-fixed, paraffin-embedded (FFPE) tissue block is preferred specimen typeorOne (1) unbaked, unstained slide for H&E staining (required) and two to three (2-3) positively charged unstained slides (all cut at 4-5 microns) for each test/antibody orderedBlock and slide identifiers should be clearly written and match exactly with the specimen ID and specimen labeling as noted on the requisition.

Storage and Transportation

Use cold pack for transport. Make sure cold pack is not in direct contact with specimen.

CPT Codes
88342 x 1 or 88341 x 1