“…IDH mutations are an early, possibly driver, event for LGG (Watanabe et al, 2009), and clinical trials of IDH inhibitors are underway (Dimitrov et al, 2015). Many studies have demonstrated that survival outcome of LGG patients is significantly different based on the status of IDH gene mutation, 1p/19q codeletion, telomerase reverse transcriptase ( TERT ) promoter mutation, ATRX gene mutation, CpG island methylator phenotypes (CIMP), O-6-methylguanine-DNA methytransferase ( MGMT) promoter methylation, the neural stem cell gene nestin ( NES ) expression and mRNA expression signatures by multiple genes (Cancer Genome Atlas Research et al, 2015, Eckel-Passow et al, 2015, Ceccarelli et al, 2016, Chan et al, 2015, Noushmehr et al, 2010, Turcan et al, 2012, Hatanpaa et al, 2014, Siegal, 2015, Bao et al, 2014, Zhang et al, 2015). The classification by CIMP status after filtering IDH mutation status revealed biologically discrete subsets having different clinic survival outcomes in diffuse gliomas (Ceccarelli et al, 2016), supporting the principle that IDH mutation status plus other molecular biomarkers can enhance the prognostic value for certain molecularly distinct subsets of LGG patients.…”