PMID- 23030524 OWN - NLM STAT- MEDLINE DCOM- 20130111 LR - 20211021 IS - 1600-0463 (Electronic) IS - 0903-4641 (Print) IS - 0903-4641 (Linking) VI - 120 IP - 12 DP - 2012 Dec TI - Assessing HER2 amplification by IHC, FISH, and real-time polymerase chain reaction analysis (real-time PCR) following LCM in formalin-fixed paraffin embedded tissue from 40 women with ovarian cancer. PG - 1000-7 LID - 10.1111/j.1600-0463.2012.02929.x [doi] AB - We compare HER2 receptor amplification analysis by immunohistochemistry (IHC), fluorescence in situ hybridization (FISH), and real-time polymerase chain reaction (real-time PCR) DNA copy-number assay following laser capture microdissection (LCM) in formalin-fixed paraffin embedded tissue from 40 women with verified ovarian cancer. We speculate that LCM should result in a more accurate assessment of HER2 amplification in our real-time PCR assay compared with IHC and FISH. HER2 overexpression measured by IHC, FISH, or real-time PCR was found in 5.0%, 5.0%, and 22.5%, respectively. HER2 negative results measured by IHC, FISH, or real-time PCR were found in 95%, 92.5%, and 60.0%, respectively. Analysis failed for IHC, FISH, or real-time PCR in 0%, 2.5%, or 17.5% of cases. Concordance between IHC and FISH, IHC and real-time PCR, or FISH and real-time PCR were 89.7%, 72.7%, or 78.1%, respectively. Only few ovarian cancer patients were HER2 overexpressed measured by IHC or FISH and thus could be eligible for antibody-based therapy with trastuzumab (Herceptin). Interestingly, we find an increased number of HER2 positive patients by real-time PCR analysis on microdissected cancer cells, suggesting a number of HER2 positive patients not detected by current methods. Thus, the concept of quantitative measurement of HER2 on microdissected cancer cells should be explored further. CI - (c) 2012 The Authors APMIS (c) 2012 APMIS. FAU - Hillig, Thore AU - Hillig T AD - Department of Clinical Biochemistry, Hillerod Hospital University of Copenhagen, 3400 Hillerod, Denmark. Thill@noh.regionh.dk FAU - Thode, Jorgen AU - Thode J FAU - Breinholt, Marie F AU - Breinholt MF FAU - Franzmann, Maria-Benedicte AU - Franzmann MB FAU - Pedersen, Carsten AU - Pedersen C FAU - Lund, Flemming AU - Lund F FAU - Mygind, Henrik AU - Mygind H FAU - Soletormos, Gyorgy AU - Soletormos G FAU - Rudnicki, Martin AU - Rudnicki M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120626 PL - Denmark TA - APMIS JT - APMIS : acta pathologica, microbiologica, et immunologica Scandinavica JID - 8803400 RN - 0 (Antibodies, Monoclonal, Humanized) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Antibodies, Monoclonal, Humanized MH - Female MH - *Gene Amplification MH - Gene Dosage MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Laser Capture Microdissection MH - Ovarian Neoplasms/*genetics MH - Paraffin Embedding MH - Real-Time Polymerase Chain Reaction MH - Receptor, ErbB-2/biosynthesis/*genetics MH - Trastuzumab MH - Tumor Cells, Cultured PMC - PMC3533780 EDAT- 2012/10/04 06:00 MHDA- 2013/01/12 06:00 CRDT- 2012/10/04 06:00 PHST- 2012/02/17 00:00 [received] PHST- 2012/05/07 00:00 [accepted] PHST- 2012/10/04 06:00 [entrez] PHST- 2012/10/04 06:00 [pubmed] PHST- 2013/01/12 06:00 [medline] AID - 10.1111/j.1600-0463.2012.02929.x [doi] PST - ppublish SO - APMIS. 2012 Dec;120(12):1000-7. doi: 10.1111/j.1600-0463.2012.02929.x. Epub 2012 Jun 26.