Primary mismatch repair deficient IDH-mutant astrocytoma (PMMRDIA) is a distinct type with a poor prognosis
[Paper-level Aggregated] PMCID: PMC7785563
Evidence Type(s): Oncogenic, Predisposing
Justification: Oncogenic: The text indicates that 90% of the cases harbored the IDH1-R132H mutation, which is associated with conventional supratentorial IDH-mutant astrocytomas, suggesting its role in tumorigenesis. Predisposing: The mention of a personal and family history of colorectal cancer in case no. 10, along with the identification of germline mutations in MMR genes, suggests a predisposition to cancer in these cases.
Gene→Variant (gene-first): IDH1(3417):R132H
Genes: IDH1(3417)
Variants: R132H