About IDH1
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is pathogenic. Select a step to read what it means.
Pathogenic.A pathogenic classification under the recorded framework.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
R132L recombinant protein was directly tested and demonstrated gain-of-function neomorphic enzymatic activity, catalyzing NADPH-dependent reduction of α-ketoglutarate to the oncometabolite (R)-2-hydroxyglutarate (PMID:19935646). Independently, an IDH1 R132L glioma tumor sample was directly analyzed and showed markedly elevated (R)-2HG levels (>500-fold above wild-type; PMID:21326614). A third study confirmed that R132L mutant enzyme is biochemically targetable by the mutant-specific inhibitor AG-120 (ivosidenib) with IC50 of 13 nM (PMID:29670690). These represent at least two independent publications with variant-specific experimental functional data.
The variant affects codon Arg132, the critical active-site residue of IDH1 and a statistically significant mutational hotspot (cancerhotspots.org). This residue is located in the enzyme's catalytic domain where it forms hydrogen bonds with the α- and β-carboxyl groups of isocitrate. All cancer-associated IDH1 mutations cluster at this single residue, defining it as a well-characterized functional domain where missense variation is established as pathogenic.
This variant is absent from all population databases, including gnomAD v2.1 (exomes), gnomAD v4.1 (exomes), and gnomAD-Canada v1.0 (genomes). The allele frequency of 0.0% is well below the PM2 threshold of <0.1% for a dominant disorder gene with no VCEP/CSPEC override.
Multiple different missense variants at the same residue (Arg132) have been established as pathogenic. Arg132His (R132H), Arg132Cys (R132C), Arg132Ser (R132S), and Arg132Gly (R132G) are well-documented pathogenic substitutions in glioma and AML (PMID:19246647). R132H alone accounts for ~91% of IDH1 mutations in glioma. The presence of multiple pathogenic missense variants at this same codon supports PM5 at moderate strength.
Multiple in silico predictors support a deleterious effect. REVEL score is 0.835 (deleterious; above the 0.75 threshold). BayesDel score is 0.402 (intermediate). SpliceAI predicts no significant splice impact (max delta score 0.10), consistent with the missense mechanism rather than splicing disruption. The REVEL score in the high-confidence deleterious range supports PP3 at supporting level.
This variant has been reported in ClinVar as Pathogenic by CeGaT Center for Human Genetics Tuebingen (criteria provided, single submitter; ClinVar Variation ID: 375889). While the submission is from a clinical testing laboratory with criteria provided, the review status is 'single submitter' without expert panel review, limiting the weight to supporting level.
No benign criterion marked as applied in the recorded assessment.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PS3 strong, PM1 moderate, PM2 supporting, PM5 moderate, PP3 supporting, PP5 supporting; combination = 1 strong + 2 moderate + 3 supporting, which maps to Pathogenic.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1 allele counts were not recorded for this variant.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.100. Refer to the recorded PP3/BP4 rationale for interpretation.
1 Pathogenic. ClinVar API review status: criteria provided, single submitter.
OncoKB identified variant-specific curated literature and context relevant to functional review; curated oncogenicity label: Likely Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV61615420, n = 159 times).
This variant lies in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
26 criteria with recorded statuses: 6 met · 16 not met · 0 not assessed · 4 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
PS3 (strong): Recombinant R132L protein directly tested in purified enzyme assay demonstrated gain-of-function neomorphic activity, catalyzing NADPH-dependent reduction of α-ketoglutarate to the oncometabolite (R)-2-hydroxyglutarate (PMID:19935646). Independently, a glioma sample harboring IDH1 R132L showed markedly elevated (R)-2HG levels on direct tissue analysis (PMID:21326614).
PM1 (moderate): The variant affects codon Arg132, the critical active-site residue and a statistically significant mutational hotspot. All cancer-associated IDH1 mutations cluster at this single residue, defining it as a well-characterized functional domain.
PM2 (supporting): This variant is absent from all population databases including gnomAD v2.1, v4.1, and gnomAD-Canada, consistent with a rare pathogenic variant.
PM5 (moderate): Multiple different missense variants at the same residue (R132H, R132C, R132S, R132G) are well-established as pathogenic in glioma and AML (PMID:19246647).
PP3 (supporting): REVEL score of 0.835 is in the high-confidence deleterious range, supporting a pathogenic effect.
PP5 (supporting): ClinVar reports this variant as Pathogenic (Variation ID 375889; criteria provided, single submitter).
No criteria match.
No further detail was recorded.
Every interpreted variant in IDH1, mapped onto the exon structure of NM_005896.3. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
Absent from gnomAD v4.1.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.10). REVEL score = 0.835. BayesDel score = 0.402059.
9 paper records listed. 4 cited in the classification.
six mutations were CGT→TGT (Arg→Cys), five were CGT→GGT (Arg→Gly), and one was CGT→AGT (Arg→Ser).
Location Results; Frequency of IDH1 Mutations
Similar to R132H mutant protein, R132C, R132L, and R132S mutations all result in a gain-of-function for NADPH-dependent reduction of αKG.
Location Results; Supplementary Figure 4; Methods Summary
Context Recombinant IDH1 protein purified from E. coli; NADPH-dependent αKG reduction assay; U87MG and LN-18 glioblastoma cell lines
We analyzed 2HG in 12 glioma samples, including samples containing IDH1 R132H, IDH1 R132L, IDH2 R172K, IDH2 R172M or no IDH mutations... all tumors containing IDH mutations had markedly elevated (R)-2-hydroxyglutarate compared to tumors without IDH mutations (54.4 vs. 0.1 mg 2HG/g protein, p<0.001).
Location Results (Fig. 3c); Discussion
Context Patient glioma tissue samples; LC-MS/MS quantification of (R)-2-hydroxyglutarate
IDH1-R132L 13
Location Table 3
Context Biochemical enzyme assay; recombinant mIDH1-R132 homodimer; HT1080 chondrosarcoma cell line (R132C)
IDH1 R132L/G
Table 1; cholangiocarcinoma section
R132G/L/S
Table 1 (R132G/L/S group)
All IDH mutations involved IDH1, the most common being R132H (15/18 cases). IDH1 R132S mutations were observed in two cases, while IDH1 R132C was seen in one case.
Table 1; Results
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
Absent from gnomAD v4.1.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Pathogenic (1 clinical laboratory). (ClinVarID = 375889)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.10). REVEL score = 0.835. BayesDel score = 0.402059.
OncoKB identified variant-specific curated literature and context relevant to functional review; curated oncogenicity label: Likely Oncogenic.
This variant lies in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV61615420, n = 159 times).
This variant lies in a statistically significant hotspot.