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Loss of IDH1 and IDH2 mutations during the evolution of metastatic chondrosarcoma.

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journal contribution
posted on 2025-12-02, 14:02 authored by William Cross, Iben Lyskjær, Christopher Davies, Abigail Bunkum, Ana Maia Rocha, Tom Lesluyes, Fernanda Amary, Roberto Tirabosco, Cristina Naceur-Lombardelli, PEACE consortium, Mariam Jamal-Hanjani, Charles Swanton, Nischalan Pillay, Simone Zaccaria, Adrienne M Flanagan, Peter Van Loo
Driver mutations in IDH1 and IDH2 are initiating events in the evolution of chondrosarcoma and several other cancer types. Here, we present evidence that mutant IDH1 is recurrently lost in metastatic central chondrosarcoma. This may reflect either relaxed positive selection for the mutant IDH1 locus, or negative selection for the hypermethylation phenotype later in tumor evolution. This finding highlights the challenge for therapeutic intervention by mutant IDH1 inhibitors in chondrosarcoma.

Funding

Bone Cancer Research Trust (Grant ID: BCRT 6820) Lundbeck Foundation (Grant ID: R303-2018-3018) Cancer Research UK (Grant ID: CC2008) Cancer Research UK (Grant ID: CC2041) Cancer Research UK (Grant ID: RCCCDF-Nov21\100005) Wellcome Trust (Grant ID: CC2008) Wellcome Trust (Grant ID: CC2041) Medical Research Council (Grant ID: CC2008) Medical Research Council (Grant ID: CC2041) Sarcoma UK (Grant ID: SUKG01.2018) Cancer Prevention and Research Institute of Texas (Grant ID: RR210006) Crick (Grant ID: CC2008, Grant title: Van Loo CC2008) Crick (Grant ID: CC2041, Grant title: Swanton CC2041) Novo Nordisk UK Research Foundation (Grant ID: NNF15OC0016584, Grant title: NovoNordisk Foundation 16584) European Research Council (Grant ID: 835297 - PROTEUS, Grant title: ERC 835297 - PROTEUS)

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