PMID- 25022067 OWN - NLM STAT- MEDLINE DCOM- 20140815 LR - 20151119 IS - 0047-1860 (Print) IS - 0047-1860 (Linking) VI - 62 IP - 4 DP - 2014 Apr TI - [Companion diagnostics in the era of personalized medicine--chairmen's introductory remarks]. PG - 378-80 AB - Personalized medicine is a medical model that proposes the customization of treatment for individual patients. In this model, diagnostic tests are essential for selecting safer and more efficacious treatments. The term "companion diagnostics" has been used to describe these tests, whereby molecular assays that measure the levels of proteins or specific gene mutations are used to provide a specific therapy for an individual by stratifying the disease status, selecting the proper medication, and tailoring dosages. Examples of companion diagnostics in the field of cancer medicine for molecular targeted therapy include tests for the ALK-fusion gene in non-small cell lung cancer and expression of CCR4 in adult T-cell leukemia. For breast cancer, the expression of HER2 protein is evaluated by immunohistochemistry (IHC), and gene amplification of HER2 is tested by fluorescence in situ hybridization (FISH); both tests consist of pre-analysis, analysis, and post-analysis processes that require quality control to ensure the reliability of the results. This symposium includes: 1) future aspects of companion diagnostics addressing many of the problems that must be overcome, 2) companion diagnostics using FISH focusing on HER2 amplification and ALK alteration, 3) newly developed diagnostic tests using tumor specimens and cell-free DNA in serum, and 4) CCR4 expression detected by IHC and flow cytometry. FAU - Fukutsuka, Katsuhiro AU - Fukutsuka K FAU - Takubo, Takayuki AU - Takubo T LA - jpn PT - English Abstract PT - Journal Article PT - Review PL - Japan TA - Rinsho Byori JT - Rinsho byori. The Japanese journal of clinical pathology JID - 2984781R RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Breast Neoplasms/diagnosis/drug therapy/genetics MH - Carcinoma, Non-Small-Cell Lung/diagnosis/drug therapy/genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Pathology, Molecular MH - *Precision Medicine/economics MH - Receptor, ErbB-2/genetics/metabolism EDAT- 2014/07/16 06:00 MHDA- 2014/08/16 06:00 CRDT- 2014/07/16 06:00 PHST- 2014/07/16 06:00 [entrez] PHST- 2014/07/16 06:00 [pubmed] PHST- 2014/08/16 06:00 [medline] PST - ppublish SO - Rinsho Byori. 2014 Apr;62(4):378-80.