PMID- 20660336 OWN - NLM STAT- MEDLINE DCOM- 20100820 LR - 20141120 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 134 IP - 2 DP - 2010 Aug TI - Comparison of central HER2 testing with quantitative total HER2 expression and HER2 homodimer measurements using a novel proximity-based assay. PG - 303-11 LID - 10.1309/AJCP3BZY4YAFNTRG [doi] AB - The accuracy and reliability of immunohistochemical analysis and in situ hybridization for the assessment of HER2 status remains a subject of debate. We developed a novel assay (HERmark Breast Cancer Assay, Monogram Biosciences, South San Francisco, CA) that provides precise quantification of total HER2 protein expression (H2T) and HER2 homodimers (H2D) in formalin-fixed, paraffin-embedded tissue specimens. H2T and H2D results of 237 breast cancers were compared with those of immunohistochemical studies and fluorescence in situ hybridization (FISH) centrally performed at the Mayo Clinic, Rochester, MN. H2T described a continuum across a wide dynamic range ( approximately 2.5 log). Excluding the equivocal cases, HERmark showed 98% concordance with immunohistochemical studies for positive and negative assay values. For the 94 immunohistochemically equivocal cases, 67% and 39% concordance values were observed between HERmark and FISH for positive and negative assay values, respectively. Polysomy 17 in the absence of HER2 gene amplification did not result in HER2 overexpression as evaluated quantitatively using the HERmark assay. FAU - Huang, Weidong AU - Huang W AD - Dept. of Clinical Research, Monogram Biosciences, South San Francisco, CA 94080, USA. FAU - Reinholz, Monica AU - Reinholz M FAU - Weidler, Jodi AU - Weidler J FAU - Yolanda, Lie AU - Yolanda L FAU - Paquet, Agnes AU - Paquet A FAU - Whitcomb, Jeannette AU - Whitcomb J FAU - Lingle, Wilma AU - Lingle W FAU - Jenkins, Robert B AU - Jenkins RB FAU - Chen, Beiyun AU - Chen B FAU - Larson, Jeffrey S AU - Larson JS FAU - Tan, Yuping AU - Tan Y FAU - Sherwood, Thomas AU - Sherwood T FAU - Bates, Michael AU - Bates M FAU - Perez, Edith A AU - Perez EA LA - eng PT - Comparative Study PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Breast Neoplasms/*genetics/metabolism MH - Female MH - Fluorescent Antibody Technique/*methods MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Receptor, ErbB-2/*analysis/biosynthesis/genetics MH - Reproducibility of Results EDAT- 2010/07/28 06:00 MHDA- 2010/08/21 06:00 CRDT- 2010/07/28 06:00 PHST- 2010/07/28 06:00 [entrez] PHST- 2010/07/28 06:00 [pubmed] PHST- 2010/08/21 06:00 [medline] AID - 134/2/303 [pii] AID - 10.1309/AJCP3BZY4YAFNTRG [doi] PST - ppublish SO - Am J Clin Pathol. 2010 Aug;134(2):303-11. doi: 10.1309/AJCP3BZY4YAFNTRG.