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Diagnosis/Monitoring of Glioblastoma and Acute Myeloid Leukemia by (D)-2-Hydroxyglutarate Test (P-977)

A simple and robust enzymatic assay for the diagnosis and monitoring of IDH1/IDH2/IDH3 dependent diseases

Published: 1st July 2019
Diagnosis/Monitoring of Glioblastoma and Acute Myeloid Leukemia by (D)-2-Hydroxyglutarate Test (P-977)


Isocitrate dehydrogenase (IDH) enzymes catalyze the oxidative decarboxylation of isocitrate to alpha ketoglutarate. In humans, three IDH isoforms are known, the homodimers IDH1 and IDH2 and the heterotetramer IDH3.

Mutations in genes encoding IDH1 and 2 enzymes have been identified in metabolic disorders, inborn tumor associated disease and numerous tumors. IDH mutations define secondary glioblastoma, diffused astrocytoma, and oligodendrogliomas (100%). IDH mutations occur not only in diffuse gliomas, but also in enchondroma (~80%), chondrosarcoma (~60 %), angioimmunoblastic T cell lymphoma (~45 %), intrahepatic cholangiocarcinoma (~25 %), acute myeloid leukemia (~20 %), and other tumor entities (<5%) . All mutations lead to a nemorphic enzyme function, now producing (D)-2-hydroxyglutarate (D2HG), which can be used as surrogate marker for all mutations.

The diagnosis of IDH mutations is presently performed by immuno-histological analysis using the IDH1 R132H-specific antibody or sequencing. As alternative, detection of D2HGin tumor tissue, in paraffin-embedded tissues and in blood/sera can be carried out by individual mass spectrometry analysis.

Technology Overview

Researchers from DKFZ and University Hospital of Heidelberg developed a test for detecting D2HG in diverse samples by measuring the production of the reduced state of the dye. The technique can be used for diagnosis but in addition monitoring a D2HG-associated disease of a patient.

Figure 1

Figure 2: Measurement of sera of patients suffering from acute myeloid leukemia (AML).

Stage of Development

The test can be used for HTS and was successfully tested using on 96 up to 1536 well format.

Further Details

“Detection of 2-hydroxyglutarate in formalin-fixed paraffin-embedded glioma specimens by gas chromatography/mass spectrometry.” in Brain Pathol. 2012 Jan;22(1):26-31 by Sahm F et al.

“Enzymatic assay for quantitative analysis of (D)-2-hydroxyglutarate.” in Acta Neuropathol. 2012 Dec;124(6):883-91 by Balss J et al.

“Pan‑ mutant IDH1 inhibitor BAY 1436032 for effective treatment of IDH1 mutant astrocytoma in vivo.” In Acta Neuropathol. 2017 Jan 25. PMID:28124097 by Stefan Pusch et al.

“Pan-mutant-IDH1 inhibitor BAY1436032 is highly effective against human IDH1 mutant acute myeloid leukemia in vivo.” In Leukemia, Jan 2017; doi: 10.1038/leu.2017.46. by A Chaturvedi et al.


  • Diagnosis and monitoring of IDH1/IDH2/IDH3 dependent diseases such as: Glioblastomas, astrocytoma, oligodendrogliomas, oligoastrocytoma, acute myeloid leukemia (AML), chondrosarcoma, intrahepatic cholangiocarcinoma, angioimmunoblastic T cell lymphoma
  • Simple and robust enzymatic assay; readout in 3 hours; suitable for 96 up to 1536 well format
  • Less expensive/time-consuming and high-throughput possible in opposite to established GC-MS test


Development and distribution of a simple and robust enzymatic assays for the specific determination of theD2HG. The readout is available already in about 2 to 3 hours. Moreover, it is suitable for 96-well format and can be even further miniaturized to the 1536-well format, thereby allowing for the parallel analysis (high-throughput) of numerous samples at the same time.


Beside an already granted license for research use only, DKFZ now seek a licensee for the diagnostic field.

IP Status
  • Patented
  • Licensing