PMID- 19096145 OWN - NLM STAT- MEDLINE DCOM- 20090205 LR - 20211020 IS - 1875-8606 (Electronic) IS - 1570-5870 (Print) IS - 1570-5870 (Linking) VI - 31 IP - 1 DP - 2009 TI - HER-2/neu amplification testing in breast cancer by multiplex ligation-dependent probe amplification in comparison with immunohistochemistry and in situ hybridization. PG - 1-10 AB - BACKGROUND: Assessment of HER-2/neu status in invasive breast cancer is crucial to establish eligibility for trastuzumab and taxane based chemotherapy. Next to immunohistochemistry (IHC) to evaluate protein overexpression, a second line gene amplification test is required for cases with equivocal protein expression. This study aimed to validate a new PCR based test, called Multiplex Ligation-dependent Probe Amplification (MLPA), as a simple and quick method to assess HER-2/neu gene amplification status in invasive breast cancer. METHODS: MPLA results were compared with gene amplification status assessed by fluorescence in situ hybridization (FISH) and chromogenic in situ hybridization (CISH) as gold standard, and with protein overexpression by IHC in 518 breast carcinoma patients. RESULTS: About 10% of cases overexpressed HER-2/neu at the protein level (IHC), and 11% of cases showed gene-amplification by MLPA. A high concordance was found between FISH and CISH, MLPA and IHC, and MLPA and CISH. MLPA showed amplification in 7/36 (19%) of the equivocal IHC 2+ cases. However, of the IHC 0/1+ cases, 6/434 (1.4%) were also amplified by MLPA, and amplification was confirmed in all of these cases by FISH/CISH. On the other hand, one of the 48 (2%) IHC 3+ cases was normal by MLPA and lack of amplification was confirmed by FISH/CISH. CONCLUSION: MLPA is a fast, accurate and cheap method to detect breast cancer HER-2/neu amplification in small quantities of DNA extracted from paraffin blocks, and thereby a reliable alternative to FISH and CISH. FAU - Moelans, Cathy B AU - Moelans CB AD - Department of Pathology, University Medical Centre Utrecht, Heidelberglaan 100, Utrecht, The Netherlands. FAU - de Weger, Roel A AU - de Weger RA FAU - van Blokland, Marja T M AU - van Blokland MT FAU - Ezendam, Chantal AU - Ezendam C FAU - Elshof, Sabrina AU - Elshof S FAU - Tilanus, Marcel G J AU - Tilanus MG FAU - van Diest, Paul J AU - van Diest PJ LA - eng PT - Comparative Study PT - Journal Article PL - Netherlands TA - Cell Oncol JT - Cellular oncology : the official journal of the International Society for Cellular Oncology JID - 101219418 RN - 0 (Molecular Probes) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM CIN - Cell Oncol. 2010 Jan 1;32(4):311-2. PMID: 20442492 MH - Breast Neoplasms/*genetics/metabolism MH - Female MH - *Gene Amplification MH - Humans MH - Immunohistochemistry/*methods MH - In Situ Hybridization, Fluorescence/*methods MH - Ligase Chain Reaction/economics/*methods MH - Molecular Probes/genetics MH - Receptor, ErbB-2/*genetics/metabolism PMC - PMC4618800 EDAT- 2008/12/20 09:00 MHDA- 2009/02/06 09:00 PMCR- 2008/12/18 CRDT- 2008/12/20 09:00 PHST- 2008/12/20 09:00 [entrez] PHST- 2008/12/20 09:00 [pubmed] PHST- 2009/02/06 09:00 [medline] PHST- 2008/12/18 00:00 [pmc-release] AID - 615178 [pii] AID - 10.3233/clo-2009-0461 [doi] PST - ppublish SO - Cell Oncol. 2009;31(1):1-10. doi: 10.3233/clo-2009-0461.