PMID- 25400755 OWN - NLM STAT- MEDLINE DCOM- 20150709 LR - 20220317 IS - 1936-2625 (Electronic) IS - 1936-2625 (Linking) VI - 7 IP - 10 DP - 2014 TI - Quantitative RT-PCR assay of HER2 mRNA expression in formalin-fixed and paraffin-embedded breast cancer tissues. PG - 6752-9 AB - Detection of human epidermal growth factor receptor 2 gene (HER2, also known as erbB2) expression is a preparatory process to decide a treatment strategy for breast cancer patients. 20-30% of breast cancer patients have HER2 overexpression, and they usually show poor recovery rate. For detection of HER2 expression, immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) methods are conventionally used. Although these methods are accurate and reliable, their time-consuming process and high cost need a concise method with high sensitivity and accuracy. As a complementary method to the current IHC/FISH standard techniques, PCR-based methods have been developed. Here we employed a quantitative PCR method to detect HER2 expression in one hundred ninety nine formalin-fixed and paraffin-embedded (FFPE) breast cancer tissue samples from the patients treated over two years at the Yonsei University Severance Hospital, Republic of Korea. Relative expression of HER2 mRNA in the FFPE samples was analyzed using a quantitative RT-PCR (RT-qPCR) method and the obtained HER2 expression levels were compared with those from IHC/FISH methods. Our results show that the RT-qPCR method was highly concordant with IHC/FISH methods for detecting HER2 expression. Overall sensitivity and specificity of the BrightGen HER2 RT-qDx assay kit (Syantra, Calgary, Canada), which is a kit we used for RT-qPCR analyses, were 93.0% and 89.8% (P < 0.0001), respectively. The diagnostic cut-off value of HER2 RT-qDx for the clinical samples was determined by likelihood ratio, among which the highest likelihood ratio of relative HER2 mRNA levels was over 105.5 (AUC = 0.9466) with the highest sensitivity and specificity. Our study indicates that quantification of HER2 mRNA expression with the RT-qPCR could be an alternative method of conventional IHC/FISH methods. FAU - Park, Sangjung AU - Park S AD - Department of Biomedical Laboratory Science, College of Health Sciences, Yonsei University Gangwon, Republic of Korea ; Department of Clinical Laboratory Science, College of Medical Science, Daegu Haany University Daegu, Republic of Korea. FAU - Wang, Hye-Young AU - Wang HY AD - M&D, Inc., Wonju Eco Environmental Technology Center Gangwon, Republic of Korea. FAU - Kim, Sunghyun AU - Kim S AD - Department of Biomedical Laboratory Science, College of Health Sciences, Yonsei University Gangwon, Republic of Korea ; Institute for Life Science and Biotechnology, Yonsei University Seoul, Republic of Korea. FAU - Ahn, Sungwoo AU - Ahn S AD - Department of Biomedical Laboratory Science, College of Health Sciences, Yonsei University Gangwon, Republic of Korea. FAU - Lee, Dongsup AU - Lee D AD - Department of Clinical Laboratory Science, Hyejeon College Chungnam, Republic of Korea. FAU - Cho, Yoonjung AU - Cho Y AD - Department of Biomedical Laboratory Science, College of Health Sciences, Yonsei University Gangwon, Republic of Korea. FAU - Park, Kwang Hwa AU - Park KH AD - Department of Pathology, Wonju College of Medicine, Yonsei University Gangwon, Republic of Korea. FAU - Jung, Dongju AU - Jung D AD - Department of Biomedical Laboratory Science, College of Natural Sciences, Hoseo University Chungnam, Republic of Korea. FAU - Kim, Seung Il AU - Kim SI AD - Department of Surgery, Yonsei University College of Medicine Seoul, Republic of Korea. FAU - Lee, Hyeyoung AU - Lee H AD - Department of Biomedical Laboratory Science, College of Health Sciences, Yonsei University Gangwon, Republic of Korea. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140915 PL - United States TA - Int J Clin Exp Pathol JT - International journal of clinical and experimental pathology JID - 101480565 RN - 0 (Biomarkers, Tumor) RN - 0 (Fixatives) RN - 0 (RNA, Messenger) RN - 0 (Reagent Kits, Diagnostic) RN - 1HG84L3525 (Formaldehyde) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Biomarkers, Tumor/*genetics MH - Biopsy MH - Breast Neoplasms/*genetics/pathology MH - Cell Line, Tumor MH - Female MH - *Fixatives MH - *Formaldehyde MH - Hospitals, University MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - *Paraffin Embedding MH - Predictive Value of Tests MH - RNA, Messenger/*analysis MH - Reagent Kits, Diagnostic MH - *Real-Time Polymerase Chain Reaction/instrumentation MH - Receptor, ErbB-2/*genetics MH - Republic of Korea MH - *Reverse Transcriptase Polymerase Chain Reaction/instrumentation MH - Tissue Fixation/*methods PMC - PMC4230085 OTO - NOTNLM OT - Breast cancer OT - FFPE OT - HER2 OT - RT-qPCR OT - molecular diagnosis EDAT- 2014/11/18 06:00 MHDA- 2015/07/15 06:00 PMCR- 2014/09/15 CRDT- 2014/11/18 06:00 PHST- 2014/06/16 00:00 [received] PHST- 2014/07/29 00:00 [accepted] PHST- 2014/11/18 06:00 [entrez] PHST- 2014/11/18 06:00 [pubmed] PHST- 2015/07/15 06:00 [medline] PHST- 2014/09/15 00:00 [pmc-release] PST - epublish SO - Int J Clin Exp Pathol. 2014 Sep 15;7(10):6752-9. eCollection 2014.