PMID- 26547338 OWN - NLM STAT- MEDLINE DCOM- 20160125 LR - 20181202 IS - 1673-4254 (Print) IS - 1673-4254 (Linking) VI - 35 IP - 10 DP - 2015 Oct TI - [Manual immunohistochemistry for detecting ALK gene fusion antibody in 519 cases of non-small lung cancer]. PG - 1440-5 AB - OBJECTIVE: To investigate the expression of anaplastic lymphoma kinase (ALK) gene fusion antibody in non-small cell lung cancer (NSCLC) and explore the clinicopathological significance. METHODS: Using manual immunohistochemistry (IHC) with D5F3 rabbit monoclonal antibody, we detected the expression of ALK gene fusion protein in 519 cases of NSCLC. The relations of ALK fusion protein with the clinical characteristics of the patients and the histological classification of the tumors were analyzed. The expressions of ALK fusion protein were compared between surgical specimens and biopsy samples, and the consistency of manual IHC results was evaluated with the results of a fully automated IHC instrument and fluorescence in situ hybridization (FISH). RESULTS: The positivity rate of ALK fusion protein was 11.37% (59/519) among the cases detected by manual IHC. The patients tended to have a young age of onset (P=0.048) and most of the tumors were adenocarcinoma. In the surgical specimens, ALK fusion protein was expressed mostly in invasive mucinous adenocarcinoma (P<0.01), and it was a high risk factor of lymph node metastasis [OR=2.188(95%C.I:1.161-4.122)]. No statistical difference was found in the test results of manual IHC between surgical specimens and biopsy samples. The results by manual IHC suggesting a strong expression were consistent with the results by automated IHC and FISH. CONCLUSION: Manual IHC can be reliable for screening ALK fusion arrangement in patients with NSCLC. FAU - Gu, Xia AU - Gu X AD - Department of Pathology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China. E-mail: guxia1373@163.com. FAU - Wu, Jie-Yu AU - Wu JY FAU - He, Xin-Ming AU - He XM FAU - He, Ping AU - He P FAU - Fu, Xin-Ge AU - Fu XG FAU - Lin, Yun-En AU - Lin YE FAU - Li, Guang-Qiu AU - Li GQ FAU - Hao, Yan AU - Hao Y LA - chi PT - Journal Article PL - China TA - Nan Fang Yi Ke Da Xue Xue Bao JT - Nan fang yi ke da xue xue bao = Journal of Southern Medical University JID - 101266132 RN - 0 (Antibodies) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adenocarcinoma/genetics MH - Anaplastic Lymphoma Kinase MH - Antibodies MH - Carcinoma, Non-Small-Cell Lung/*genetics MH - *Gene Fusion MH - Humans MH - *Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/*genetics MH - Receptor Protein-Tyrosine Kinases/genetics/*immunology EDAT- 2015/11/10 06:00 MHDA- 2016/01/26 06:00 CRDT- 2015/11/09 06:00 PHST- 2015/11/09 06:00 [entrez] PHST- 2015/11/10 06:00 [pubmed] PHST- 2016/01/26 06:00 [medline] PST - ppublish SO - Nan Fang Yi Ke Da Xue Xue Bao. 2015 Oct;35(10):1440-5.