PMID- 25227424 OWN - NLM STAT- MEDLINE DCOM- 20151019 LR - 20211021 IS - 1746-1596 (Electronic) IS - 1746-1596 (Linking) VI - 9 DP - 2014 Sep 17 TI - Correlation of EGFR expression, gene copy number and clinicopathological status in NSCLC. PG - 165 LID - 10.1186/s13000-014-0165-0 [doi] LID - 165 AB - BACKGROUND: Epidermal Growth Factor Receptor (EGFR) targeting therapies are currently of great relevance for the treatment of lung cancer. For this reason, in addition to mutational analysis immunohistochemistry (IHC) of EGFR in lung cancer has been discussed for the decision making of according therapeutic strategies. The aim of this study was to obtain standardization of EGFR-expression methods for the selection of patients who might benefit of EGFR targeting therapies. METHODS: As a starting point of a broad investigation, aimed at elucidating the expression of EGFR on different biological levels, four EGFR specific antibodies were analyzed concerning potential differences in expression levels by Immunohistochemistry (IHC) and correlated with fluorescence in situ hybridization (FISH) analysis and clinicopathological data. 206 tumor tissues were analyzed in a tissue microarray format employing immunohistochemistry with four different antibodies including Dako PharmDx kit (clone 2-18C9), clone 31G7, clone 2.1E1 and clone SP84 using three different scoring methods. Protein expression was compared to FISH utilizing two different probes. RESULTS: EGFR protein expression determined by IHC with Dako PharmDx kit, clone 31G7 and clone 2.1E1 (p /= 10% of the tumor cells show membranous staining of moderate and severe intensity (p=0.001). CONCLUSION: Overall, our data show differences in EGFR expression determined by IHC, due to the applied antibody. Highest concordance with FISH is shown for antibody clone 31G7, evaluated with score B (p=0.001). On this account, this antibody clone might by utilized for standard evaluation of EGFR expression by IHC. VIRTUAL SLIDES: The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/13000_2014_165. FAU - Gaber, Rania AU - Gaber R FAU - Watermann, Iris AU - Watermann I FAU - Kugler, Christian AU - Kugler C FAU - Reinmuth, Nils AU - Reinmuth N FAU - Huber, Rudolf M AU - Huber RM FAU - Schnabel, Philipp A AU - Schnabel PA FAU - Vollmer, Ekkehard AU - Vollmer E FAU - Reck, Martin AU - Reck M FAU - Goldmann, Torsten AU - Goldmann T LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140917 PL - England TA - Diagn Pathol JT - Diagnostic pathology JID - 101251558 RN - 0 (Antibodies) RN - 0 (DNA, Neoplasm) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Aged MH - Antibodies/immunology MH - Carcinoid Tumor/diagnosis/genetics/pathology MH - Carcinoma, Adenosquamous/diagnosis/genetics/pathology MH - Carcinoma, Large Cell/diagnosis/genetics/pathology MH - Carcinoma, Non-Small-Cell Lung/diagnosis/genetics/*pathology MH - DNA, Neoplasm/genetics MH - Diagnosis, Differential MH - ErbB Receptors/*genetics/immunology/metabolism MH - Female MH - Gene Dosage/*genetics MH - Gene Expression Regulation, Neoplastic/*genetics MH - Humans MH - Immunohistochemistry/*methods/standards MH - In Situ Hybridization, Fluorescence/*methods/standards MH - Lung Neoplasms/diagnosis/genetics/*pathology MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Reproducibility of Results PMC - PMC4176848 EDAT- 2014/09/18 06:00 MHDA- 2015/10/20 06:00 PMCR- 2014/09/17 CRDT- 2014/09/18 06:00 PHST- 2014/07/07 00:00 [received] PHST- 2014/08/16 00:00 [accepted] PHST- 2014/09/18 06:00 [entrez] PHST- 2014/09/18 06:00 [pubmed] PHST- 2015/10/20 06:00 [medline] PHST- 2014/09/17 00:00 [pmc-release] AID - s13000-014-0165-0 [pii] AID - 165 [pii] AID - 10.1186/s13000-014-0165-0 [doi] PST - epublish SO - Diagn Pathol. 2014 Sep 17;9:165. doi: 10.1186/s13000-014-0165-0.