PMID- 15628907 OWN - NLM STAT- MEDLINE DCOM- 20050602 LR - 20210527 IS - 1543-2165 (Electronic) IS - 0003-9985 (Linking) VI - 129 IP - 1 DP - 2005 Jan TI - Copy number analysis of c-erb-B2 (HER-2/neu) and topoisomerase IIalpha genes in breast carcinoma by quantitative real-time polymerase chain reaction using hybridization probes and fluorescence in situ hybridization. PG - 39-46 AB - CONTEXT: The Topoisomerase IIalpha (TOP2A) protein is the target of the anthracycline class of chemotherapeutic agents. TOP2A is frequently coamplified with c-erb-B2 and consequently might be a prognostic and/or predictive factor for breast cancer patients when anthracycline-based chemotherapy is a consideration. A total of 20% to 35% of breast carcinomas show amplification of the erb-B2 gene, some of which also have coamplification of the TOP2A gene. Investigation of the prognostic or predictive significance of these gene amplifications requires a reliable and sensitive method for the measurement of gene copy number in clinical tumor samples. OBJECTIVE: To assess 2 different assay methods that might allow accurate, reproducible, quantitative, and high-throughput estimation of gene copy number in fresh, frozen, or paraffin-embedded breast cancer specimens. DESIGN: We developed an assay and analyzed the gene copy numbers of the erb-B2 and TOP2A genes in 8 breast cancer cell lines, 6 fresh frozen samples, and 38 paraffin-embedded breast tumor specimens by a novel real-time polymerase chain reaction (PCR) assay using hybridization probes. The results were compared with standard fluorescence in situ hybridization. RESULTS: We discovered a 100% concordance between assessment of gene copy number of erb-B2 and TOP2A between quantitative PCR and fluorescence in situ hybridization (FISH). Quantitative PCR also had the additional feature of uncovering an erb-B2 gene polymorphism. Finally, we observed that TOP2A amplification only occurred in conjunction with erb-B2 amplification in our paraffin-embedded cases of invasive breast carcinoma and that this event was present in 5 (42%) of 12 erb-B2 amplified cases. CONCLUSIONS: We conclude that the potentially automatic, real-time PCR analysis using hybridization probes is an efficient method to perform copy number analysis, with results that appear identical to the FISH technique and with the benefit of identifying HER-2 polymorphisms. FAU - Murthy, Sabita K AU - Murthy SK AD - Department of Pathology, The University of Calgary, Alberta, Canada. FAU - Magliocco, Anthony M AU - Magliocco AM FAU - Demetrick, Douglas J AU - Demetrick DJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arch Pathol Lab Med JT - Archives of pathology & laboratory medicine JID - 7607091 RN - 0 (Antigens, Neoplasm) RN - 0 (DNA Probes) RN - 0 (DNA, Neoplasm) RN - 0 (DNA-Binding Proteins) RN - 0 (Poly-ADP-Ribose Binding Proteins) RN - EC 5.99.1.3 (DNA Topoisomerases, Type II) RN - EC 5.99.1.3 (TOP2A protein, human) SB - IM MH - Antigens, Neoplasm/*genetics MH - Breast Neoplasms/*genetics/pathology MH - Carcinoma/*genetics/pathology MH - Cell Line, Tumor MH - Computer Systems MH - DNA Probes/genetics MH - DNA Topoisomerases, Type II/*genetics MH - DNA, Neoplasm/genetics MH - DNA-Binding Proteins/*genetics MH - Gene Amplification/*genetics MH - *Gene Dosage MH - Genes, erbB-2/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Poly-ADP-Ribose Binding Proteins MH - Polymerase Chain Reaction/*methods MH - Predictive Value of Tests MH - Reproducibility of Results MH - Sensitivity and Specificity EDAT- 2005/01/05 09:00 MHDA- 2005/06/03 09:00 CRDT- 2005/01/05 09:00 PHST- 2005/01/05 09:00 [pubmed] PHST- 2005/06/03 09:00 [medline] PHST- 2005/01/05 09:00 [entrez] AID - OA4070 [pii] AID - 10.5858/2005-129-39-CNAOCN [doi] PST - ppublish SO - Arch Pathol Lab Med. 2005 Jan;129(1):39-46. doi: 10.5858/2005-129-39-CNAOCN.