PMID- 25921313 OWN - NLM STAT- MEDLINE DCOM- 20160512 LR - 20150708 IS - 1532-8198 (Electronic) IS - 1092-9134 (Linking) VI - 19 IP - 4 DP - 2015 Aug TI - Gene protein detection platform--a comparison of a new human epidermal growth factor receptor 2 assay with conventional immunohistochemistry and fluorescence in situ hybridization platforms. PG - 203-10 LID - S1092-9134(15)00057-X [pii] LID - 10.1016/j.anndiagpath.2015.04.002 [doi] AB - Human epidermal growth factor receptor 2 (HER2) immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) are widely used semiquantitative assays for selecting breast cancer patients for HER2 antibody therapy. However, both techniques have been shown to have disadvantages. Our aim was to test a recent automated technique of combined IHC and brightfield dual in situ hybridization-gene protein detection platform (GPDP)-in breast cancer HER2 protein, gene, and chromosome 17 centromere status evaluations, comparing the results in accordance to the American Society of Clinical Oncology/College of American Pathologists recommendations for HER2 testing in breast cancer from both 2007 and 2013. The GPDP technique performance was evaluated on 52 consecutive whole slide invasive breast cancer cases with HER2 IHC 2/3+ scoring results. Applying in turns the American Society of Clinical Oncology/College of American Pathologists recommendations for HER2 testing in breast cancer from 2007 and 2013 to both FISH and GPDP DISH assays, the HER2 gene amplification results showed 100% concordance among amplified/nonamplified cases, but there was a shift in 4 cases toward positive from equivocal results and toward equivocal from negative results. This might be related to the emphasis on the average HER2 copy number in the 2013 criteria. HER2 expression by IVD market IHC kit (Pathway(R)) has a strong correlation with GPDP HER2 protein, including a full concordance for all cases scored as 3+ and a reduction from 2+ to 1+ in 7 cases corresponding to nonamplified cases. Gene protein detection platform HER2 protein "solo" could have spared the need for 7 FISH studies. In addition, the platform offered advantages on interpretation reassurance including selecting areas for counting gene signals paralleled with protein IHC expression, on heterogeneity detection, interpretation time, technical time, and tissue expense. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Stalhammar, Gustav AU - Stalhammar G AD - Department of Oncology and Pathology, Karolinska Institutet, Stockholm, Sweden; St Erik Eye Hospital, Stockholm, Sweden. Electronic address: gustav.stalhammar@ki.se. FAU - Farrajota, Pedro AU - Farrajota P AD - Department of Clinical Pathology and Cytology, Karolinska University Hospital, Stockholm, Sweden. FAU - Olsson, Ann AU - Olsson A AD - Department of Clinical Pathology and Cytology, Karolinska University Hospital, Stockholm, Sweden. FAU - Silva, Cristina AU - Silva C AD - Oporto Hospital Center (CHP), Porto, Portugal. FAU - Hartman, Johan AU - Hartman J AD - Department of Oncology and Pathology, Karolinska Institutet, Stockholm, Sweden; Department of Clinical Pathology and Cytology, Karolinska University Hospital, Stockholm, Sweden. FAU - Elmberger, Goran AU - Elmberger G AD - Orebro University Hospital, Orebro, Sweden. LA - eng PT - Comparative Study PT - Journal Article DEP - 20150407 PL - United States TA - Ann Diagn Pathol JT - Annals of diagnostic pathology JID - 9800503 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Automation/methods MH - Biomarkers, Tumor/*analysis/biosynthesis/*genetics/metabolism MH - Breast Neoplasms/*chemistry/*genetics/metabolism/pathology MH - Chromosomes, Human, Pair 17 MH - Female MH - Gene Amplification MH - Humans MH - Immunohistochemistry/*methods MH - In Situ Hybridization, Fluorescence/*methods MH - Receptor, ErbB-2/*analysis/biosynthesis/*genetics OTO - NOTNLM OT - Breast OT - Dual ISH OT - GPDP OT - HER2 OT - IHC EDAT- 2015/04/30 06:00 MHDA- 2016/05/14 06:00 CRDT- 2015/04/30 06:00 PHST- 2015/02/07 00:00 [received] PHST- 2015/03/31 00:00 [revised] PHST- 2015/04/02 00:00 [accepted] PHST- 2015/04/30 06:00 [entrez] PHST- 2015/04/30 06:00 [pubmed] PHST- 2016/05/14 06:00 [medline] AID - S1092-9134(15)00057-X [pii] AID - 10.1016/j.anndiagpath.2015.04.002 [doi] PST - ppublish SO - Ann Diagn Pathol. 2015 Aug;19(4):203-10. doi: 10.1016/j.anndiagpath.2015.04.002. Epub 2015 Apr 7.