PMID- 25742289 OWN - NLM STAT- MEDLINE DCOM- 20160115 LR - 20220408 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 3 DP - 2015 TI - Detection of ROS1 gene rearrangement in lung adenocarcinoma: comparison of IHC, FISH and real-time RT-PCR. PG - e0120422 LID - 10.1371/journal.pone.0120422 [doi] LID - e0120422 AB - AIMS: To compare fluorescence in situ hybridization (FISH), immunohistochemistry (IHC) and quantitative real-time reverse transcription-PCR (qRT-PCR) assays for detection of ROS1 fusion in a large number of ROS1-positive lung adenocatcinoma (ADC) patients. METHODS: Using IHC analysis, sixty lung ADCs including 16 cases with ROS1 protein expression and 44 cases without ROS1 expression were selected for this study. The ROS1 fusion status was examined by FISH and qRT-PCR assay. RESULTS: Among 60 cases, 16 (26.7%), 13 (21.7%) and 20 (33.3%) cases were ROS1 positive revealed by IHC, FISH and qRT-PCR, respectively. Using FISH as a standard method for ROS1 fusion detection, the sensitivity and specificity of IHC were 100% and 93.6%, respectively. Three IHC-positive cases, which showed FISH negative, were demonstrated with ROS1 fusion by qRT-PCR analysis. The sensitivity and specificity of qRT-PCR for detection for ROS1 fusion were 100% and 85.1%, respectively. The total concordance rate between IHC and qRT-PCR were 93.3%. CONCLUSION: IHC is a reliable and rapid screening tool in routine pathologic laboratories for the identification of suitable candidates for ROS1-targeted therapy. Some ROS1 IHC-positive but FISH-negative cases did harbor the translocation events and may benefit from crizotinib. FAU - Shan, Ling AU - Shan L AD - Department of Pathology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China. FAU - Lian, Fang AU - Lian F AD - Department of Pathology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China. FAU - Guo, Lei AU - Guo L AD - Department of Pathology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China. FAU - Qiu, Tian AU - Qiu T AD - Department of Pathology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China. FAU - Ling, Yun AU - Ling Y AD - Department of Pathology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China. FAU - Ying, Jianming AU - Ying J AD - Department of Pathology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China. FAU - Lin, Dongmei AU - Lin D AD - Department of Pathology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150305 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (ROS1 protein, human) SB - IM MH - Adenocarcinoma/*genetics/*metabolism MH - Adenocarcinoma of Lung MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - *Gene Rearrangement MH - Humans MH - Immunohistochemistry/*methods MH - In Situ Hybridization, Fluorescence/*methods MH - Lung Neoplasms/*genetics/*metabolism MH - Male MH - Middle Aged MH - Oncogene Proteins, Fusion/genetics/metabolism MH - Protein-Tyrosine Kinases/genetics/metabolism MH - Proto-Oncogene Proteins/genetics/metabolism MH - Real-Time Polymerase Chain Reaction/*methods MH - Sensitivity and Specificity PMC - PMC4351102 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/03/06 06:00 MHDA- 2016/01/16 06:00 PMCR- 2015/03/05 CRDT- 2015/03/06 06:00 PHST- 2014/11/19 00:00 [received] PHST- 2015/01/07 00:00 [accepted] PHST- 2015/03/06 06:00 [entrez] PHST- 2015/03/06 06:00 [pubmed] PHST- 2016/01/16 06:00 [medline] PHST- 2015/03/05 00:00 [pmc-release] AID - PONE-D-14-50674 [pii] AID - 10.1371/journal.pone.0120422 [doi] PST - epublish SO - PLoS One. 2015 Mar 5;10(3):e0120422. doi: 10.1371/journal.pone.0120422. eCollection 2015.