PMID- 15920544 OWN - NLM STAT- MEDLINE DCOM- 20051005 LR - 20230210 IS - 0893-3952 (Print) IS - 0893-3952 (Linking) VI - 18 IP - 8 DP - 2005 Aug TI - EGFR gene amplification in breast cancer: correlation with epidermal growth factor receptor mRNA and protein expression and HER-2 status and absence of EGFR-activating mutations. PG - 1027-33 AB - The human epidermal growth factor receptor (HER) family of receptor tyrosine kinase has been extensively studied in breast cancer; however, systematic studies of EGFR gene amplification and protein overexpression in breast carcinoma are lacking. We studied EGFR gene amplification by chromogenic in situ hybridization (CISH) and protein expression by immunohistochemistry in 175 breast carcinomas, using tissue microarrays. Tumors with >5 EGFR gene copies per nucleus were interpreted as positive for gene amplification. Protein overexpression was scored according to standardized criteria originally developed for HER-2. EGFR mRNA levels, as measured by Affymetrix U133 Gene Chip microarray hybridization, were available in 63 of these tumors. HER-2 gene amplification by fluorescence in situ hybridization (FISH) and protein overexpression by immunohistochemistry were also studied. EGFR gene amplification (copy number range: 7-18; median: 12) was detected in 11/175 (6%) tumors, and protein overexpression was found in 13/175 (7%) tumors. Of the 11 tumors, 10 (91%) with gene amplification also showed EGFR protein overexpression (2+ or 3+ by immunohistochemistry). The EGFR mRNA level, based on Affymetrix U133 chip hybridization data, was increased relative to other breast cancer samples in three of the five tumors showing gene amplification. Exons 19 and 21 of EGFR, the sites of hotspot mutations in lung adenocarcinomas, were screened in the 11 EGFR-amplified tumors but no mutations were found. Three of these 11 tumors also showed HER-2 overexpression and gene amplification. Approximately 6% of breast carcinomas show EGFR amplification with EGFR protein overexpression and may be candidates for trials of EGFR-targeted antibodies or small inhibitory molecules. FAU - Bhargava, Rohit AU - Bhargava R AD - Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA. FAU - Gerald, William L AU - Gerald WL FAU - Li, Allan R AU - Li AR FAU - Pan, Qiulu AU - Pan Q FAU - Lal, Priti AU - Lal P FAU - Ladanyi, Marc AU - Ladanyi M FAU - Chen, Beiyun AU - Chen B LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Mod Pathol JT - Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc JID - 8806605 RN - 0 (RNA, Messenger) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adenocarcinoma/genetics/metabolism/pathology MH - Adult MH - Aged MH - Aged, 80 and over MH - Breast Neoplasms/genetics/metabolism/*pathology MH - DNA Mutational Analysis/methods MH - ErbB Receptors/*genetics/metabolism MH - Female MH - Gene Amplification MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization/methods MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/genetics/metabolism/pathology MH - Middle Aged MH - Mutation MH - RNA, Messenger/genetics/metabolism MH - Receptor, ErbB-2/genetics MH - Tissue Array Analysis EDAT- 2005/05/28 09:00 MHDA- 2005/10/06 09:00 CRDT- 2005/05/28 09:00 PHST- 2005/05/28 09:00 [pubmed] PHST- 2005/10/06 09:00 [medline] PHST- 2005/05/28 09:00 [entrez] AID - S0893-3952(22)04573-2 [pii] AID - 10.1038/modpathol.3800438 [doi] PST - ppublish SO - Mod Pathol. 2005 Aug;18(8):1027-33. doi: 10.1038/modpathol.3800438.