PMID- 21445634 OWN - NLM STAT- MEDLINE DCOM- 20110627 LR - 20231213 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 458 IP - 5 DP - 2011 May TI - Involvement of HER-2/neu and metastasis-related proteins in the development of ileal neuroendocrine tumors. PG - 525-36 LID - 10.1007/s00428-011-1069-y [doi] AB - HER-2/neu overexpression and/or gene amplification occurs in several human malignancies, frequently correlates with tumor aggressiveness, and provides the basis for treatment with trastuzumab. Among neuroendocrine neoplasms (NEN) of the gastroenteropancreatic (GEP) tract, ileal neuroendocrine tumors show peculiar features of malignancy with frequent metastases at the diagnosis. We investigated the overexpression and/or amplification of HER-2/neu and the involvement of the metastasis-related proteins c-Met, MTA-1, and VEGF in 24 primary ileal NEN by immunohistochemistry and fluorescence in situ hybridization (FISH). Data were compared with those of 43 GEP endocrine tumors of other sites. All primary ileal NEN showed an intense membranous and cytoplasmic immunostaining for HER-2/neu. According to the breast cancer scoring system, 17% of ileal carcinoids showed a score of 3+ and 71% with a score of 2+ with a significant difference respect the non-ileal GEP endocrine tumors (p < 0.0000). FISH analysis revealed chromosome 17 polysomy in 33% of 2+/3+ ileal tumors but not HER-2/neu gene amplification. The c-Met and MTA-1 but not VEGF were overexpressed in almost all ileal NEN, whereas VEGF presented more frequently a normal staining. The comparisons with the other GEP NEN demonstrated significant differences for all the three proteins (p < 0.0000, p < 0.0002, and p < 0.001, respectively). These findings suggest that in ileal NEN, HER-2/neu overexpression plays a role in the carcinogenetic process and by triggering the altered expression of c-Met and MTA-1, may activate the molecular pathway(s) promoting tumor progression and metastasis development. Ileal HER-2/neu overexpressing neuroendrocrine tumors may constitute potential candidates for target therapy with specific humanized monoclonal antibodies. FAU - Azzoni, Cinzia AU - Azzoni C AD - Department of Pathology, Section of Anatomic Pathology, University of Parma, Parma, Italy. cinzia.azzoni@unipr.it FAU - Bottarelli, Lorena AU - Bottarelli L FAU - Cecchini, Stefano AU - Cecchini S FAU - Lagrasta, Costanza AU - Lagrasta C FAU - Pizzi, Silvia AU - Pizzi S FAU - D'Adda, Tiziana AU - D'Adda T FAU - Tamburini, Elisa AU - Tamburini E FAU - Rindi, Guido AU - Rindi G FAU - Bordi, Cesare AU - Bordi C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110329 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (MTA1 protein, human) RN - 0 (Repressor Proteins) RN - 0 (Trans-Activators) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 3.5.1.98 (Histone Deacetylases) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Antibodies, Monoclonal MH - Antibodies, Monoclonal, Humanized MH - Gene Amplification MH - Genes, erbB-2 MH - Histone Deacetylases/*physiology MH - Humans MH - Ileal Neoplasms/*genetics MH - In Situ Hybridization, Fluorescence MH - Neuroendocrine Tumors/*genetics MH - Proto-Oncogene Proteins c-met/*physiology MH - Receptor, ErbB-2/*genetics MH - Repressor Proteins/*physiology MH - Trans-Activators MH - Trastuzumab MH - Vascular Endothelial Growth Factor A/physiology EDAT- 2011/03/30 06:00 MHDA- 2011/06/28 06:00 CRDT- 2011/03/30 06:00 PHST- 2010/12/07 00:00 [received] PHST- 2011/03/17 00:00 [accepted] PHST- 2011/03/14 00:00 [revised] PHST- 2011/03/30 06:00 [entrez] PHST- 2011/03/30 06:00 [pubmed] PHST- 2011/06/28 06:00 [medline] AID - 10.1007/s00428-011-1069-y [doi] PST - ppublish SO - Virchows Arch. 2011 May;458(5):525-36. doi: 10.1007/s00428-011-1069-y. Epub 2011 Mar 29.