The oncogenes that are expressed in gliomas reprogram particular pathways of glucose, amino acid, and fatty acid metabolism. Mutations in the isocitrate dehydrogenase genes (IDH1/2) in diffuse gliomas are associated with abnormally high 2-hydroxyglutarate (2-HG) levels. Non-invasive measurement of 2-HG via in vivo 1H magnetic resonance spectroscopy (MRS) can be used to differentiate mutant cytosolic IDH1 from mitochondrial IDH2 in gliomas.
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