PMID- 23743928 OWN - NLM STAT- MEDLINE DCOM- 20140811 LR - 20230210 IS - 1530-0285 (Electronic) IS - 0893-3952 (Linking) VI - 26 IP - 12 DP - 2013 Dec TI - Testing for ALK rearrangement in lung adenocarcinoma: a multicenter comparison of immunohistochemistry and fluorescent in situ hybridization. PG - 1545-53 LID - 10.1038/modpathol.2013.87 [doi] AB - Rearrangements of anaplastic lymphoma kinase (ALK) gene in non-small cell lung cancer (NSCLC) define a molecular subgroup of tumors characterized clinically by sensitivity to ALK tyrosine kinase inhibitors such as crizotinib. Although ALK rearrangements may be detected by reverse transcriptase-PCR, immunohistochemistry or fluorescence in situ hybridization (FISH), the optimal clinical strategy for identifying ALK rearrangements in clinical samples remains to be determined. We evaluated immunohistochemistry using three different antibodies (ALK1, 5A4 and D5F3 clones) to detect ALK rearrangements and compared those with FISH. We report the frequency and clinicopathologic features of lung cancers harboring ALK translocations in 594 resected NSCLCs (470 adenocarcinomas; 83 squamous carcinomas, 26 large cell carcinomas and 15 other histological subtypes) using a tissue microarray approach. We identified an ALK gene rearrangement in 7/594 cases (1%) by FISH and all anti-ALK antibodies correctly identified the seven ALK-positive cases (100% sensitivity), although the intensity of staining was weak in some cases. These data indicate that the use of antibodies with high sensitivity and avidity to ALK may provide an effective pre-screening technique to complement the more expensive and labor-intensive approach of ALK FISH testing. FAU - Selinger, Christina I AU - Selinger CI AD - Department of Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Camperdown, NSW, Australia. FAU - Rogers, Toni-Maree AU - Rogers TM FAU - Russell, Prudence A AU - Russell PA FAU - O'Toole, Sandra AU - O'Toole S FAU - Yip, Poyee AU - Yip P FAU - Wright, Gavin M AU - Wright GM FAU - Wainer, Zoe AU - Wainer Z FAU - Horvath, Lisa G AU - Horvath LG FAU - Boyer, Michael AU - Boyer M FAU - McCaughan, Brian AU - McCaughan B FAU - Kohonen-Corish, Maija Rj AU - Kohonen-Corish MR FAU - Fox, Stephen AU - Fox S FAU - Cooper, Wendy A AU - Cooper WA FAU - Solomon, Benjamin AU - Solomon B LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20130607 PL - United States TA - Mod Pathol JT - Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc JID - 8806605 RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM CIN - Mod Pathol. 2014 Oct;27(10):1423-4. PMID: 25269809 CIN - Mod Pathol. 2014 Oct;27(10):1424-5. PMID: 25269810 MH - Adenocarcinoma/*genetics MH - Adenocarcinoma of Lung MH - Adult MH - Aged MH - Aged, 80 and over MH - Anaplastic Lymphoma Kinase MH - Female MH - Gene Rearrangement MH - Humans MH - Immunohistochemistry/*methods MH - In Situ Hybridization, Fluorescence/*methods MH - Lung Neoplasms/*genetics MH - Male MH - Middle Aged MH - Receptor Protein-Tyrosine Kinases/*genetics MH - Tissue Array Analysis EDAT- 2013/06/08 06:00 MHDA- 2014/08/12 06:00 CRDT- 2013/06/08 06:00 PHST- 2013/01/21 00:00 [received] PHST- 2013/03/03 00:00 [revised] PHST- 2013/03/23 00:00 [accepted] PHST- 2013/06/08 06:00 [entrez] PHST- 2013/06/08 06:00 [pubmed] PHST- 2014/08/12 06:00 [medline] AID - S0893-3952(22)03003-4 [pii] AID - 10.1038/modpathol.2013.87 [doi] PST - ppublish SO - Mod Pathol. 2013 Dec;26(12):1545-53. doi: 10.1038/modpathol.2013.87. Epub 2013 Jun 7.