PMID- 25720673 OWN - NLM STAT- MEDLINE DCOM- 20160229 LR - 20181113 IS - 2045-7634 (Electronic) IS - 2045-7634 (Print) IS - 2045-7634 (Linking) VI - 4 IP - 6 DP - 2015 Jun TI - HER2 as a target in invasive urothelial carcinoma. PG - 844-52 LID - 10.1002/cam4.432 [doi] AB - We evaluated primary tumors from two cohorts, Spain (N = 111) and Greece (N = 102), for patients who were treated with platinum-based chemotherapy. Patients were tested for HER2 status (IHC score of 3+ or FISH ratio of >/= 2.2) by immunohistochemistry (IHC), fluorescence in situ hybridization (FISH), DNA copy number, mRNA expression, and mutation status in patients with metastatic urothelial carcinoma (UC), and its impact on survival. ERBB2 mutation was determined by hotspot sequencing. mRNA expression was assessed using NanoString counting. Association of overall survival (OS) and HER2 status was assessed by a Cox regression model. NIH-3T3 cells containing HER2 V777L were assessed for growth, invasion, and HER2 kinase activation. In all, 22% of Spanish and 4% of Greek cohorts had 3+ HER2 staining by IHC. FISH amplification was identified in 20% of Spanish and 4% of Greek cohorts. Kappa coefficient between FISH and IHC was 0.47. HER2 status was not associated with OS in univariate (Spanish P = 0.34; Greek P = 0.11) or multivariate (Spanish P = 0.49; Greek P = 0.12) analysis. HER2-positive tumors expressed higher levels of HER2 mRNA than HER2-negative tumors (P < 0.001). HER2 mutations (V777L and L755S) were identified in two (2%) patients. In vitro analysis of V777L results in transformation of NIH-3T3 cells, leading to increased growth, invasion on soft agar, and HER2 kinase constitutive activation. In summary, HER2 overexpression or amplification in the primary tumor did not predict OS in patients with metastatic UC. HER2 positivity rates can differ between different populations. Further trials in genomically screened patients are needed to assess HER2-targeted therapies in UC. CI - (c) 2015 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - Bellmunt, Joaquim AU - Bellmunt J AD - Bladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. AD - Department of Medical Oncology, University Hospital de Mar-IMIM, Barcelona, Spain. FAU - Werner, Lillian AU - Werner L AD - Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts. FAU - Bamias, Aristotle AU - Bamias A AD - University of Athens and Hellenic Co-operative Oncology Group, Athens, Greece. FAU - Fay, Andre P AU - Fay AP AD - Bladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. FAU - Park, Rachel S AU - Park RS AD - Bladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. FAU - Riester, Markus AU - Riester M AD - Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts. FAU - Selvarajah, Shamini AU - Selvarajah S AD - Center for Molecular Oncologic Pathology, Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts. FAU - Barletta, Justine A AU - Barletta JA AD - Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts. FAU - Berman, David M AU - Berman DM AD - The Johns Hopkins University School of Medicine, Baltimore, Maryland. FAU - de Muga, Silvia AU - de Muga S AD - Hospital de Mar Research Institute-IMIM, Barcelona, Spain. FAU - Salido, Marta AU - Salido M AD - Hospital de Mar Research Institute-IMIM, Barcelona, Spain. FAU - Gallardo, Enrique AU - Gallardo E AD - Hospital Parc Tauli, Sabadell, Spain. FAU - Rojo, Federico AU - Rojo F AD - Hospital de Mar Research Institute-IMIM, Barcelona, Spain. AD - IIS-Fundacion Jimenez Diaz, Madrid, Spain. FAU - Guancial, Elizabeth A AU - Guancial EA AUID- ORCID: 0000-0002-6518-5179 AD - Bladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. FAU - Bambury, Richard AU - Bambury R AD - Memorial Sloan Kettering Cancer Center, New York City, New York. FAU - Mullane, Stephanie A AU - Mullane SA AD - Bladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. FAU - Choueiri, Toni K AU - Choueiri TK AD - Bladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. FAU - Loda, Massimo AU - Loda M AD - Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts. FAU - Stack, Edward AU - Stack E AD - Center for Molecular Oncologic Pathology, Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts. FAU - Rosenberg, Jonathan AU - Rosenberg J AD - Bladder Cancer Center, Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. AD - Memorial Sloan Kettering Cancer Center, New York City, New York. LA - eng SI - ClinicalTrials.gov/NCT00949455 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20150226 PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - 0 (RNA, Messenger) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM CIN - J Urol. 2016 Dec;196(6):1637-1639. PMID: 27845103 MH - Clinical Trials, Phase III as Topic MH - Cohort Studies MH - DNA Copy Number Variations/genetics MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Mutation/*genetics MH - Neoplasm Metastasis MH - Observer Variation MH - RNA, Messenger/genetics/metabolism MH - Receptor, ErbB-2/genetics/*metabolism MH - Survival Analysis MH - Urinary Bladder Neoplasms/drug therapy/*genetics PMC - PMC4472207 OTO - NOTNLM OT - ERBB2 OT - HER2 OT - genomic alterations OT - prognosis OT - urothelial carcinomas EDAT- 2015/02/28 06:00 MHDA- 2016/03/02 06:00 PMCR- 2015/06/01 CRDT- 2015/02/28 06:00 PHST- 2014/09/03 00:00 [received] PHST- 2015/01/12 00:00 [revised] PHST- 2015/01/13 00:00 [accepted] PHST- 2015/02/28 06:00 [entrez] PHST- 2015/02/28 06:00 [pubmed] PHST- 2016/03/02 06:00 [medline] PHST- 2015/06/01 00:00 [pmc-release] AID - 10.1002/cam4.432 [doi] PST - ppublish SO - Cancer Med. 2015 Jun;4(6):844-52. doi: 10.1002/cam4.432. Epub 2015 Feb 26.