PMID- 25676400 OWN - NLM STAT- MEDLINE DCOM- 20151105 LR - 20181202 IS - 1999-6187 (Electronic) IS - 1009-3419 (Print) IS - 1009-3419 (Linking) VI - 18 IP - 2 DP - 2015 Feb TI - [Analysis of EML4-ALK gene fusion mutation in patients 
with non-small cell lung cancer]. PG - 80-4 LID - 10.3779/j.issn.1009-3419.2015.02.05 [doi] AB - BACKGROUND: Non-small cell lung cancer (NSCLC) is the main type of lung cancer, and the related locus mutation detection research has become a hot direction of molecular targeted therapy, studying on gene mutation status of echinodem microtubule associated protein like 4-Anaplastic lymphoma kinase (EML4-ALK) and epidermal growth factor receptor (EGFR), detecting the sensitivity of EML4-ALK gene fusion and gene mutation of EGFR. METHODS: EML4-ALK gene fusion in 85 cases of paraffin embedded tumor tissue and adjacent lung tissue was detected with the application of immunohistochemistry (IHC), Scorpions amplification refractory mutation system (Scorpions ARMS) fluorescence quantitative PCR and fluorescence in situ hybridization (FISH) technology, and EGFR gene in 18, 19, 20 and 21 exon mutation status was detected with the application of ARMS method. RESULTS: In 115 cases of NSCLC, IHC showed 32 cases with ALK (D5F3) expression, the expression rate was 27.8%; ARMS showed 27 cases with EML4-ALK fusion gene mutation, the mutation detection rate was 23.5%; 53 cases were detected with EGFR mutation, the mutation rate was 46%. While FISH showed 23 cases with EML4-ALK fusion gene mutation, the detection rate was 20%, slightly lower than the ARMS detection results, suggesting that ARMS more sensitive. CONCLUSIONS: The application of IHC, ARMS fluorescence quantitative PCR and FISH technology can make a rapid and accurate evaluation of EML4-ALK gene fusion. FAU - Wang, Xuzhou AU - Wang X AD - Department of Pathology, Fuzhou General Hospital of NanJing Military Rejion, Fuzhou 350025, China. FAU - Chen, Weisheng AU - Chen W AD - Department of Cardiothoracic Surgery, Fuzhou General Hospital of NanJing Military Rejion, Fuzhou 350025, China. FAU - Yu, Yinghao AU - Yu Y AD - Department of Pathology, Fuzhou General Hospital of NanJing Military Rejion, Fuzhou 350025, China. LA - chi PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhongguo Fei Ai Za Zhi JT - Zhongguo fei ai za zhi = Chinese journal of lung cancer JID - 101126433 RN - 0 (EML4-ALK fusion protein, human) RN - 0 (Oncogene Proteins, Fusion) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Adult MH - Aged MH - Carcinoma, Non-Small-Cell Lung/enzymology/*genetics MH - ErbB Receptors/genetics MH - Female MH - Gene Fusion MH - Humans MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/*genetics MH - Male MH - Middle Aged MH - *Mutation MH - Mutation Rate MH - Oncogene Proteins, Fusion/*genetics PMC - PMC5999844 EDAT- 2015/02/14 06:00 MHDA- 2015/11/06 06:00 PMCR- 2015/02/20 CRDT- 2015/02/14 06:00 PHST- 2015/02/14 06:00 [entrez] PHST- 2015/02/14 06:00 [pubmed] PHST- 2015/11/06 06:00 [medline] PHST- 2015/02/20 00:00 [pmc-release] AID - zgfazz-18-2-80 [pii] AID - 10.3779/j.issn.1009-3419.2015.02.05 [doi] PST - ppublish SO - Zhongguo Fei Ai Za Zhi. 2015 Feb;18(2):80-4. doi: 10.3779/j.issn.1009-3419.2015.02.05.