PMID- 22168383 OWN - NLM STAT- MEDLINE DCOM- 20120515 LR - 20171116 IS - 1365-2559 (Electronic) IS - 0309-0167 (Linking) VI - 60 IP - 3 DP - 2012 Feb TI - Classical lobular breast carcinoma consistently lacks topoisomerase-IIalpha gene amplification: implications for the tailored use of anthracycline-based chemotherapies. PG - 482-8 LID - 10.1111/j.1365-2559.2011.04067.x [doi] AB - AIMS: There is consistent lack of data focusing the topoisomerase-IIalpha gene status in lobular breast carcinoma, a subtype that usually shows poor responsiveness to chemotherapies including those using anthracycline drugs. METHODS AND RESULTS: Forty-six infiltrative lobular carcinomas, 13 with matched metastases, were used. Topoisomerase-IIalpha gene amplification was evaluated by chromogenic in situ hybridization (CISH) and fluorescence in situ hybridization (FISH). We also assessed Her2/neu status by CISH, FISH and silver in situ hybridization (SISH). HER2 immunoexpression was assessed by the HercepTest. Forty-four of 46 (95%) cases revealed no topoisomerase-IIalpha amplification, whereas two of 46 (5%) cases were amplified by all three techniques. Eleven of the 13 metastatic sites showed no amplification either in the primary or in the metastases (85%); the remaining two were amplified (15%). Her2/neu was not amplified in 44 of 46 (95%) cases nor was it amplified in 11 of 13 (95%) metastatic tissues. The two cases showing Her2/neu and topoisomerase-IIalpha amplification scored 3+; the remaining non-amplified cases scored 0 or 1+ in 40 and 2+ in four cases. CONCLUSIONS: In the era of personalized and tailored therapies, we suggest that patients affected by the classical lobular subtype of breast carcinoma constantly lack the ad hoc predictive rationale for receiving common chemotherapy that includes anthracyclines. CI - (c) 2011 Blackwell Publishing Limited. FAU - Brunello, Eleonora AU - Brunello E AD - Department of Pathology and Diagnostic, University of Verona, Italy. FAU - Brunelli, Matteo AU - Brunelli M FAU - Manfrin, Erminia AU - Manfrin E FAU - Nottegar, Alessia AU - Nottegar A FAU - Bersani, Samantha AU - Bersani S FAU - Vergine, Marco AU - Vergine M FAU - Molino, Annamaria AU - Molino A FAU - Fiorio, Elena AU - Fiorio E FAU - Chilosi, Marco AU - Chilosi M FAU - Gobbo, Stefano AU - Gobbo S FAU - Martignoni, Guido AU - Martignoni G FAU - Bonetti, Franco AU - Bonetti F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111214 PL - England TA - Histopathology JT - Histopathology JID - 7704136 RN - 0 (Anthracyclines) RN - 0 (Antigens, Neoplasm) RN - 0 (DNA, Neoplasm) RN - 0 (DNA-Binding Proteins) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 5.99.1.3 (DNA Topoisomerases, Type II) SB - IM MH - Anthracyclines/*therapeutic use MH - Antigens, Neoplasm/*genetics/metabolism MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Breast Neoplasms/*genetics/pathology/therapy MH - Carcinoma, Lobular/*genetics/secondary/therapy MH - Chemotherapy, Adjuvant MH - DNA Topoisomerases, Type II/*genetics/metabolism MH - DNA, Neoplasm/analysis MH - DNA-Binding Proteins/*genetics/metabolism MH - Female MH - *Gene Amplification MH - Gene Expression Regulation, Neoplastic MH - Humans MH - In Situ Hybridization, Fluorescence MH - Precision Medicine MH - Receptor, ErbB-2/genetics/metabolism EDAT- 2011/12/16 06:00 MHDA- 2012/05/16 06:00 CRDT- 2011/12/16 06:00 PHST- 2011/12/16 06:00 [entrez] PHST- 2011/12/16 06:00 [pubmed] PHST- 2012/05/16 06:00 [medline] AID - 10.1111/j.1365-2559.2011.04067.x [doi] PST - ppublish SO - Histopathology. 2012 Feb;60(3):482-8. doi: 10.1111/j.1365-2559.2011.04067.x. Epub 2011 Dec 14.