PMID- 21347793 OWN - NLM STAT- MEDLINE DCOM- 20111207 LR - 20141120 IS - 1534-4681 (Electronic) IS - 1068-9265 (Linking) VI - 18 IP - 8 DP - 2011 Aug TI - Identification of the coexisting HER2 gene amplification and novel mutations in the HER2 protein-overexpressed mucinous epithelial ovarian cancer. PG - 2388-94 LID - 10.1245/s10434-011-1572-z [doi] AB - BACKGROUND: Although overexpression, amplification, and somatic mutation of the HER2 gene have been noted in various types of human cancers, we report here for the first time that novel mutations and amplification of the HER2 gene occurred concomitantly in mucinous epithelial ovarian cancer (EOC). METHODS: Twenty-seven tissue microarray samples from EOC patients were analyzed by immunohistochemistry (IHC) with Dako c-erb-B2 antibody and subsequently were examined by fluorescence in situ hybridization (FISH) with the Abbott PathVysion HER2 DNA Probe Kit. HER2 gene, exon 18-24, encoding a tyrosine kinase domain, was analyzed by polymerase chain reaction (PCR) and direct sequencing. RESULTS: The FISH-IHC paired results confirmed 19 concordant negative results and 3 concordant positive results. Moreover, all 4 HER2-amplified cases were of the mucinous type, whereas the remaining 23 HER2-nonamplified cases were of the nonmucinous type. The 4 mucinous EOC cases with HER2 gene amplification were selected and further analyzed for HER2 gene mutations. Data revealed that somatic mutations were present in 2 cases (R970W and E971G), but absent in the other 2 cases. CONCLUSIONS: HER2 protein overexpression correlated significantly with HER2 gene amplification in EOC (P = 0.027). It is surprising that all 4 cases of mucinous EOC showed HER2 gene amplification confirmed by FISH testing. However, we suppose that increasing the number of cases would possibly modify the results. This study also showed that both HER2 gene amplification and somatic mutations are not mutually exclusive in mucinous EOC. Further studies are warranted to investigate the potential role of anti-HER2 therapy. FAU - Lin, Wea-Lung AU - Lin WL AD - Department of Pathology, Chung-Shan Medical University Hospital and School of Medicine, Chung-Shan Medical University, Taichung, Taiwan. FAU - Kuo, Wu-Hsien AU - Kuo WH FAU - Chen, Fong-Lin AU - Chen FL FAU - Lee, Ming-Yung AU - Lee MY FAU - Ruan, Alexandra AU - Ruan A FAU - Tyan, Yeu-Sheng AU - Tyan YS FAU - Hsu, Jeng-Dong AU - Hsu JD FAU - Chiang, Hung AU - Chiang H FAU - Han, Chih-Ping AU - Han CP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110223 PL - United States TA - Ann Surg Oncol JT - Annals of surgical oncology JID - 9420840 RN - 0 (DNA, Neoplasm) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adenocarcinoma, Clear Cell/genetics/metabolism/pathology MH - Adenocarcinoma, Mucinous/genetics/metabolism/pathology MH - Cystadenocarcinoma, Serous/genetics/metabolism/pathology MH - DNA, Neoplasm/genetics MH - Endometrial Neoplasms/genetics/metabolism/pathology MH - Female MH - *Gene Amplification MH - Humans MH - Immunoenzyme Techniques MH - In Situ Hybridization, Fluorescence MH - Mutation/*genetics MH - Ovarian Neoplasms/*genetics/*metabolism/pathology MH - Polymerase Chain Reaction MH - Prognosis MH - Receptor, ErbB-2/*genetics/*metabolism MH - Survival Rate EDAT- 2011/02/25 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/02/25 06:00 PHST- 2010/10/07 00:00 [received] PHST- 2011/02/25 06:00 [entrez] PHST- 2011/02/25 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] AID - 10.1245/s10434-011-1572-z [doi] PST - ppublish SO - Ann Surg Oncol. 2011 Aug;18(8):2388-94. doi: 10.1245/s10434-011-1572-z. Epub 2011 Feb 23.