PMID- 11774167 OWN - NLM STAT- MEDLINE DCOM- 20020125 LR - 20141120 IS - 0046-8177 (Print) IS - 0046-8177 (Linking) VI - 32 IP - 12 DP - 2001 Dec TI - Tyrosine kinase activation in breast carcinoma with correlation to HER-2/neu gene amplification and receptor overexpression. PG - 1344-50 AB - The HER-2/neu oncogene encodes a transmembrane receptor with intrinsic tyrosine kinase activity. A pilot study was performed to investigate downstream effects of HER-2/neu (or related growth factor receptor) activation by identifying phosphorylated tyrosine. Fifty-four breast carcinomas were evaluated for HER-2/neu overexpression by the HercepTest (Dako, Carpinteria, CA) and the monoclonal CB11 antibody (Ventana, Tucson, AZ). Phosphotyrosine (an indication of tyrosine kinase activity) was detected by an antiphosphotyrosine mouse monoclonal antibody (Upstate Biotechnology, Lake Placid, NY). The gene amplification status was evaluated in 50 of the 54 cases by fluorescence in situ hybridization (FISH) using the Ventana gene probe. The HER-2/neu oncogene amplification was detected in 28% (14 of 50) of cases. Of the 14 cases showing oncogene amplification, tyrosine kinase activity was detected in 9 (64.2%) cases. There was moderate agreement between HER-2/neu gene amplification and tyrosine kinase activity (kappa = 0.43). Immunohistochemical staining of 3+ (with both HercepTest and CB11) showed better agreement with HER-2/neu oncogene amplification and increased tyrosine kinase activity than 2+ immunohistochemical staining. Overall, oncogene amplification and overexpression correlated with increased tyrosine kinase activity, supporting the mechanism of tyrosine kinase activation by HER-2/neu amplification and overexpression. However, 7 cases showing increased tyrosine kinase activity did not show gene amplification or 3+ receptor expression (by either HercepTest or CB11), raising the possibility of other growth factor receptors operating via the tyrosine kinase pathway. There was no apparent correlation between tyrosine kinase activity and hormone receptor status (estrogen or progesterone). Increased tyrosine kinase activity is more commonly associated with higher-grade tumors and thus may correlate with aggressive biologic behavior in breast carcinoma. The results of this pilot study suggest that a larger-scale investigation into downstream activation of tyrosine kinase and correlation to clinical outcome or response to Herceptin therapy may identify subsets of patients whose clinical response or outcome may be predicted by tyrosine kinase activation. CI - Copyright 2001 by W.B. Saunders Company FAU - Bhargava, R AU - Bhargava R AD - Department of Pathology, Baystate Medical Center, Springfield, MA 01199, USA. FAU - Naeem, R AU - Naeem R FAU - Marconi, S AU - Marconi S FAU - Luszcz, J AU - Luszcz J FAU - Garb, J AU - Garb J FAU - Gasparini, R AU - Gasparini R FAU - Otis, C N AU - Otis CN LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (Receptors, Estrogen) RN - 0 (Receptors, Progesterone) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Breast Neoplasms/*enzymology/*genetics/pathology/surgery MH - Enzyme Activation MH - Female MH - Gene Amplification MH - Genes, erbB-2/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Lymph Nodes/pathology MH - Lymphatic Metastasis MH - Middle Aged MH - Pilot Projects MH - Prognosis MH - Protein-Tyrosine Kinases/*biosynthesis MH - Receptor, ErbB-2/biosynthesis/*genetics MH - Receptors, Estrogen/metabolism MH - Receptors, Progesterone/metabolism EDAT- 2002/01/05 10:00 MHDA- 2002/01/26 10:01 CRDT- 2002/01/05 10:00 PHST- 2002/01/05 10:00 [pubmed] PHST- 2002/01/26 10:01 [medline] PHST- 2002/01/05 10:00 [entrez] AID - S0046-8177(01)62921-6 [pii] AID - 10.1053/hupa.2001.29668 [doi] PST - ppublish SO - Hum Pathol. 2001 Dec;32(12):1344-50. doi: 10.1053/hupa.2001.29668.