PMID- 21773753 OWN - NLM STAT- MEDLINE DCOM- 20111115 LR - 20220330 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 459 IP - 4 DP - 2011 Oct TI - ERG gene rearrangement status in prostate cancer detected by immunohistochemistry. PG - 441-7 LID - 10.1007/s00428-011-1128-4 [doi] AB - TMPRSS2-ERG, the most common gene fusion in prostate cancer, is associated with expression of a truncated protein product of the oncogene ERG. A novel anti-ERG monoclonal antibody has been recently characterized. We investigated the correlation between ERG rearrangement assessed by fluorescence in situ hybridization (FISH) and ERG expression detected by immunohistochemistry in a large cohort of patients treated with radical prostatectomy for clinically localized prostate cancer. Thirteen tissue microarrays comprising 305 tumors and a subset of 112 samples of nonneoplastic prostatic tissue were assessed for ERG rearrangement status by FISH and for ERG expression by immunohistochemistry. Accuracy of ERG detection by immunohistochemistry in predicting ERG status as assessed by FISH (criterion standard) was calculated in terms of sensitivity, specificity, positive and negative predictive values. Of 305 tumor foci, 103 (34%) showed ERG rearrangement by FISH. ERG was detected by immunohistochemistry in 100 (33%) cases, 99 of which were FISH positive. ERG detection by immunohistochemistry demonstrated a sensitivity and specificity of 96% and 99%, respectively, with positive and negative predictive values of 99% and 98%, respectively. None of the 112 samples of nonneoplastic prostatic tissue was rearranged by FISH or showed any ERG expression. In conclusion, ERG detection by immunohistochemistry in prostate cancer was highly predictive of ERG rearrangement as assessed by FISH in a large cohort of prostatectomy patients. Given the high yield and the easier task of performing immunohistochemistry vs. FISH, ERG assessment by immunohistochemistry may be useful for characterizing ERG status in prostate cancer. FAU - Falzarano, Sara Moscovita AU - Falzarano SM AD - Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA. FAU - Zhou, Ming AU - Zhou M FAU - Carver, Paula AU - Carver P FAU - Tsuzuki, Toyonori AU - Tsuzuki T FAU - Simmerman, Kelly AU - Simmerman K FAU - He, Huiying AU - He H FAU - Magi-Galluzzi, Cristina AU - Magi-Galluzzi C LA - eng PT - Comparative Study PT - Journal Article DEP - 20110720 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 RN - 0 (Antibodies, Monoclonal) RN - 0 (ERG protein, human) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (TMPRSS2-ERG fusion protein, human) RN - 0 (Trans-Activators) RN - 0 (Transcriptional Regulator ERG) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Monoclonal MH - Gene Rearrangement MH - Humans MH - *Immunohistochemistry MH - *In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Oncogene Proteins, Fusion/*analysis/genetics MH - Prostatic Neoplasms/*genetics MH - Sensitivity and Specificity MH - Tissue Array Analysis MH - Trans-Activators/*analysis/genetics MH - Transcriptional Regulator ERG EDAT- 2011/07/21 06:00 MHDA- 2011/11/16 06:00 CRDT- 2011/07/21 06:00 PHST- 2011/03/07 00:00 [received] PHST- 2011/04/20 00:00 [accepted] PHST- 2011/04/07 00:00 [revised] PHST- 2011/07/21 06:00 [entrez] PHST- 2011/07/21 06:00 [pubmed] PHST- 2011/11/16 06:00 [medline] AID - 10.1007/s00428-011-1128-4 [doi] PST - ppublish SO - Virchows Arch. 2011 Oct;459(4):441-7. doi: 10.1007/s00428-011-1128-4. Epub 2011 Jul 20.