PMID- 11073807 OWN - NLM STAT- MEDLINE DCOM- 20001207 LR - 20220408 IS - 0002-9440 (Print) IS - 1525-2191 (Electronic) IS - 0002-9440 (Linking) VI - 157 IP - 5 DP - 2000 Nov TI - Chromogenic in situ hybridization: a practical alternative for fluorescence in situ hybridization to detect HER-2/neu oncogene amplification in archival breast cancer samples. PG - 1467-72 AB - Determination of HER-2/neu oncogene amplification has become necessary for selection of breast cancer patients for trastuzumab (Herceptin) therapy. Fluorescence in situ hybridization (FISH) is currently regarded as a gold standard method for detecting HER-2/neu amplification, but it is not very practical for routine histopathological laboratories. We evaluated a new modification of in situ hybridization, the chromogenic in situ hybridization (CISH), which enables detection of HER-2/neu gene copies with conventional peroxidase reaction. Archival formalin-fixed paraffin-embedded tumor tissue sections were pretreated (by heating in a microwave oven and using enzyme digestion) and hybridized with a digoxigenin-labeled DNA probe. The probe was detected with anti-digoxigenin fluorescein, anti-fluorescein peroxidase, and diaminobenzidine. Gene copies visualized by CISH could be easily distinguished with a x40 objective in hematoxylin-stained tissue sections. HER-2/neu amplification typically appeared as large peroxidase-positive intranuclear gene copy clusters. CISH and FISH (according to Vysis, made from frozen pulverized tumor samples) correlated well in a series of 157 breast cancers (kappa coefficient, 0.81). The few different classifications were mostly because of low-level amplifications by FISH that were negative by CISH and immunohistochemistry with monoclonal antibody CB-11. We conclude that CISH, using conventional bright-field microscopy in evaluation, is a useful alternative for determination of HER-2/neu amplification in paraffin-embedded tumor samples, especially for confirming the immunohistochemical staining results. FAU - Tanner, M AU - Tanner M AD - Laboratory of Cancer Genetics, Institute of Medical Technology University and University Hospital of Tampere, Tampere, Finland. FAU - Gancberg, D AU - Gancberg D FAU - Di Leo, A AU - Di Leo A FAU - Larsimont, D AU - Larsimont D FAU - Rouas, G AU - Rouas G FAU - Piccart, M J AU - Piccart MJ FAU - Isola, J AU - Isola J LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Pathol JT - The American journal of pathology JID - 0370502 RN - 0 (Chromogenic Compounds) SB - IM MH - Archives MH - Breast Neoplasms/*genetics MH - *Chromogenic Compounds MH - Female MH - *Gene Amplification MH - Genes, erbB-2/*genetics MH - Humans MH - Immunohistochemistry/standards MH - In Situ Hybridization/*methods/standards MH - In Situ Hybridization, Fluorescence/standards PMC - PMC1885742 EDAT- 2000/11/14 11:00 MHDA- 2001/02/28 10:01 PMCR- 2001/05/01 CRDT- 2000/11/14 11:00 PHST- 2000/11/14 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/11/14 11:00 [entrez] PHST- 2001/05/01 00:00 [pmc-release] AID - S0002-9440(10)64785-2 [pii] AID - 2385 [pii] AID - 10.1016/S0002-9440(10)64785-2 [doi] PST - ppublish SO - Am J Pathol. 2000 Nov;157(5):1467-72. doi: 10.1016/S0002-9440(10)64785-2.