PMID- 22083232 OWN - NLM STAT- MEDLINE DCOM- 20121106 LR - 20171116 IS - 1573-7217 (Electronic) IS - 0167-6806 (Linking) VI - 133 IP - 3 DP - 2012 Jun TI - Topoisomerase 2A gene amplification in breast cancer. Critical evaluation of different FISH probes. PG - 929-35 LID - 10.1007/s10549-011-1873-8 [doi] AB - The HER2 amplicon on chromosome 17q is variable in size and occasionally includes Topoisomerase 2A (TOP2A) at 17q21-22. It has been suggested that TOP2 co-amplification, not HER2 amplification on chromosome 17q11.2-12, is a useful predictive marker of response to anthracycline-based chemotherapy in breast cancer patients. Given the significant toxicities of anthracyclines, the detection methods of TOP2A gene amplifications have to be standardized. We determined TOP2A gene alterations using two different fluorescence in situ hybridization (FISH) DNA probes. HER2 amplifications were identified with the PathVysion probe. TOP2A status of 42 HER2 amplified breast cancers was tested by FISH with PathVysion covering 160 kb and DAKO pharm DX covering 228 kb of the TOP2A amplicon. TOP2A protein expression was tested by immunohistochemistry. Multiplex-ligation dependent probe amplification (MLPA) was performed retrospectively in cases showing discrepancies. TOP2A was amplified in 15 of 42 cases (35%) with DAKO pharm DX and in 11 of 42 cases (26%) with PathVysion. In all four discrepant cases, MLPA showed no TOP2A amplification, but instead amplification of an upstream region including HER2. TOP2A was deleted in the same seven of 42 carcinomas (17%) with both probes. TOP2A protein expression was detected in all 42 tumours (100%) with high intratumoral heterogeneity. TOP2A amplification rate depends on the length of the hybridized probes for the TOP2A locus. Because TOP2A, not HER2, is a target of anthracyclines, non-overlapping DNA probes should be used to evaluate any associations between such alterations and response to anthracycline-based chemotherapy. FAU - Varga, Zsuzsanna AU - Varga Z AD - Department of Pathology, Institute of Surgical Pathology, University Hospital Zurich, Schmelzbergstrasse 12, 8091 Zurich, Switzerland. zsuzsanna.varga@usz.ch FAU - Moelans, Cathy B AU - Moelans CB FAU - Zuerrer-Hardi, Ursina AU - Zuerrer-Hardi U FAU - Ramach, Constanze AU - Ramach C FAU - Behnke, Silvia AU - Behnke S FAU - Kristiansen, Glen AU - Kristiansen G FAU - Moch, Holger AU - Moch H LA - eng PT - Journal Article DEP - 20111115 PL - Netherlands TA - Breast Cancer Res Treat JT - Breast cancer research and treatment JID - 8111104 RN - 0 (Antigens, Neoplasm) RN - 0 (DNA Probes) RN - 0 (DNA-Binding Proteins) RN - 0 (Poly-ADP-Ribose Binding Proteins) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 5.99.1.3 (DNA Topoisomerases, Type II) RN - EC 5.99.1.3 (TOP2A protein, human) SB - IM MH - Antigens, Neoplasm/*genetics/metabolism MH - Breast Neoplasms/diagnosis/*genetics/metabolism MH - *DNA Probes MH - DNA Topoisomerases, Type II/*genetics/metabolism MH - DNA-Binding Proteins/*genetics/metabolism MH - Female MH - *Gene Amplification MH - Gene Dosage MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Poly-ADP-Ribose Binding Proteins MH - Receptor, ErbB-2/genetics/metabolism EDAT- 2011/11/16 06:00 MHDA- 2012/11/07 06:00 CRDT- 2011/11/16 06:00 PHST- 2011/09/15 00:00 [received] PHST- 2011/11/01 00:00 [accepted] PHST- 2011/11/16 06:00 [entrez] PHST- 2011/11/16 06:00 [pubmed] PHST- 2012/11/07 06:00 [medline] AID - 10.1007/s10549-011-1873-8 [doi] PST - ppublish SO - Breast Cancer Res Treat. 2012 Jun;133(3):929-35. doi: 10.1007/s10549-011-1873-8. Epub 2011 Nov 15.