PMID- 19443884 OWN - NLM STAT- MEDLINE DCOM- 20090715 LR - 20141120 IS - 1066-8969 (Print) IS - 1066-8969 (Linking) VI - 17 IP - 3 DP - 2009 Jun TI - Role of polysomy 17 in transitional cell carcinoma of the bladder: immunohistochemical study of HER2/neu expression and fish analysis of c-erbB-2 gene and chromosome 17. PG - 198-205 LID - 10.1177/1066896909333415 [doi] AB - This study investigates the potential clinical significance of c-erbB-2 gene and chromosome 17 alterations by fluorescence in situ hybridization (FISH) analysis and HER2/neu overexpression by immunohistochemical staining in transitional cell carcinoma (TCC) of urinary bladder correlating the results with tumor stage and grade categories and with clinical behavior. Sixty-three cases of TCC retrieved from the files of 2 institutions were analyzed for chromosome 17 aberrations and c-erbB-2 amplification by FISH analysis and evaluated immunohistochemically for HER2/neu overexpression. Five tumors were G1, 29 intermediate grade (G2), and 29 tumors high grade (G3); 32 tumors had stage Ta, 18 tumors T1, and 13 tumors T2. We found polysomy of chromosome 17 in 58.7% of TCC with average chromosome copy number >2.26; increased number of HER2/neu gene copy was observed in 66.7% of tumors. C-erbB-2 amplification occurred in 6.3% of tumors. Immunohistochemically, 60.3% of TCC overexpressed HER2/neu and 39.7% of tumors were negative. All tumors with polysomy showed simultaneously increase of HER2/neu gene copy number of which 34/37 with protein overexpression. A statistically significant correlation between polysomy of chromosome 17 and tumor stage (P = .0003) and tumor grade (P < .0001) was found; polysomy was not seen in G1 tumors; however, 8/29 G2 tumors and 29/29 G3 tumors revealed polysomy of chromosome 17; in 8/32 Ta tumors, 14/18 T1 and 13/13 of deeply invasive tumors (T2) polysomy 17 was observed. Moreover, it was found that 7 superficial tumors (1 Ta and 6 T1) showed high polysomy with average of chromosome 17 copy number > or =3.76 as observed in all invasive tumors. The data suggest that although HER2/neu amplification, found in high grade and invasive tumors, is a rare event in TCC, polysomy of chromosome 17 is an important factor correlated with tumor stage and grade categories and could be considered a molecular marker of tumor progression with interesting diagnostic implications. FAU - Simonetti, Sara AU - Simonetti S AD - Department of Biomorphological and Functional Sciences, University Federico II of Naples, Naples, Italy. FAU - Russo, Rosa AU - Russo R FAU - Ciancia, Giuseppe AU - Ciancia G FAU - Altieri, Vincenzo AU - Altieri V FAU - De Rosa, Gaetano AU - De Rosa G FAU - Insabato, Luigi AU - Insabato L LA - eng PT - Journal Article PL - United States TA - Int J Surg Pathol JT - International journal of surgical pathology JID - 9314927 RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Transitional Cell/*genetics/pathology MH - Chromosomes, Human, Pair 17/*genetics MH - Female MH - Gene Amplification MH - Gene Dosage MH - Gene Expression MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Receptor, ErbB-2/*biosynthesis/genetics MH - Urinary Bladder Neoplasms/*genetics/pathology EDAT- 2009/05/16 09:00 MHDA- 2009/07/16 09:00 CRDT- 2009/05/16 09:00 PHST- 2009/05/16 09:00 [entrez] PHST- 2009/05/16 09:00 [pubmed] PHST- 2009/07/16 09:00 [medline] AID - 17/3/198 [pii] AID - 10.1177/1066896909333415 [doi] PST - ppublish SO - Int J Surg Pathol. 2009 Jun;17(3):198-205. doi: 10.1177/1066896909333415.