PMID- 26581548 OWN - NLM STAT- MEDLINE DCOM- 20170307 LR - 20240213 IS - 1436-3305 (Electronic) IS - 1436-3291 (Print) IS - 1436-3291 (Linking) VI - 19 IP - 4 DP - 2016 Oct TI - Mass-spectrometry-based quantitation of Her2 in gastroesophageal tumor tissue: comparison to IHC and FISH. PG - 1066-1079 LID - 10.1007/s10120-015-0566-0 [doi] AB - BACKGROUND: Trastuzumab has shown a survival benefit in cases of Her2-positive gastroesophageal cancer (GEC). Immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) currently determine eligibility for trastuzumab-based therapy. However, these low-throughput assays often produce discordant or equivocal results. METHODS: We developed a targeted proteomic assay based on selected reaction monitoring mass spectrometry (SRM-MS) and quantified levels (amol/mug) of Her2-SRM protein in cell lines (n = 27) and GEC tissues (n = 139). We compared Her2-SRM protein expression with IHC/FISH, seeking to determine optimal SRM protein expression cutoffs in order to identify HER2 gene amplification. RESULTS: After demonstrating assay development, precision, and stability, Her2-SRM protein measurement was observed to be highly concordant with the HER2/CEP17 ratio, particularly in a multivariate regression model adjusted for SRM expression of the covariates Met, Egfr, Her3, and HER2 heterogeneity, as well as their interactions (cell lines r (2) = 0.9842; FFPE r (2) = 0.7643). In GEC tissues, Her2-SRM protein was detected at any level in 71.2 % of cases. ROC curves demonstrated that Her2-SRM protein levels have a high specificity (100 %) at an upper-level cutoff of >750 amol/microg and sensitivity of 75 % at a lower-level cutoff of <450 amol/mug for identifying HER2 FISH-amplified tumors. An "equivocal zone" of 450-750 amol/microg of Her2-SRM protein was analogous to IHC2+ but represented fewer cases (9-16 % of cases versus 36-41 %). CONCLUSIONS: Compared to IHC, targeted SRM-Her2 proteomics provided more objective and quantitative Her2 expression with excellent HER2/CEP17 FISH correlation and fewer equivocal cases. Along with its multiplex capability for other relevant oncoproteins, these results demonstrate a refined HER2 protein expression assay for clinical application. FAU - Catenacci, Daniel V T AU - Catenacci DVT AD - Department of Medicine, Section of Hematology/Oncology, University of Chicago Medical Center, Chicago, IL, 60637, USA. dcatenac@medicine.bsd.uchicago.edu. FAU - Liao, Wei-Li AU - Liao WL AD - OncoPlex Diagnostics Inc., Rockville, MD, USA. AD - NantOmics, LLC, Culver City, CA, USA. FAU - Zhao, Lei AU - Zhao L AD - Department of Pathology, University of Chicago, Chicago, IL, USA. FAU - Whitcomb, Emma AU - Whitcomb E AD - Department of Pathology, University of Chicago, Chicago, IL, USA. FAU - Henderson, Les AU - Henderson L AD - Department of Medicine, Section of Hematology/Oncology, University of Chicago Medical Center, Chicago, IL, 60637, USA. FAU - O'Day, Emily AU - O'Day E AD - Department of Medicine, Section of Hematology/Oncology, University of Chicago Medical Center, Chicago, IL, 60637, USA. FAU - Xu, Peng AU - Xu P AD - Department of Medicine, Section of Hematology/Oncology, University of Chicago Medical Center, Chicago, IL, 60637, USA. FAU - Thyparambil, Sheeno AU - Thyparambil S AD - OncoPlex Diagnostics Inc., Rockville, MD, USA. AD - NantOmics, LLC, Culver City, CA, USA. FAU - Krizman, David AU - Krizman D AD - OncoPlex Diagnostics Inc., Rockville, MD, USA. AD - NantOmics, LLC, Culver City, CA, USA. FAU - Bengali, Kathleen AU - Bengali K AD - OncoPlex Diagnostics Inc., Rockville, MD, USA. AD - NantOmics, LLC, Culver City, CA, USA. FAU - Uzzell, Jamar AU - Uzzell J AD - OncoPlex Diagnostics Inc., Rockville, MD, USA. FAU - Darfler, Marlene AU - Darfler M AD - OncoPlex Diagnostics Inc., Rockville, MD, USA. AD - NantOmics, LLC, Culver City, CA, USA. FAU - Cecchi, Fabiola AU - Cecchi F AD - OncoPlex Diagnostics Inc., Rockville, MD, USA. AD - NantOmics, LLC, Culver City, CA, USA. FAU - Blackler, Adele AU - Blackler A AD - OncoPlex Diagnostics Inc., Rockville, MD, USA. AD - NantOmics, LLC, Culver City, CA, USA. FAU - Bang, Yung-Jue AU - Bang YJ AD - Seoul National University College of Medicine, Seoul, Korea. FAU - Hart, John AU - Hart J AD - Department of Pathology, University of Chicago, Chicago, IL, USA. FAU - Xiao, Shu-Yuan AU - Xiao SY AD - Department of Pathology, University of Chicago, Chicago, IL, USA. FAU - Lee, Sang Mee AU - Lee SM AD - Department of Public Health Studies, University of Chicago, Chicago, IL, USA. FAU - Burrows, Jon AU - Burrows J AD - OncoPlex Diagnostics Inc., Rockville, MD, USA. FAU - Hembrough, Todd AU - Hembrough T AD - OncoPlex Diagnostics Inc., Rockville, MD, USA. AD - NantOmics, LLC, Culver City, CA, USA. LA - eng GR - K12 CA139160/CA/NCI NIH HHS/United States GR - K23 CA178203/CA/NCI NIH HHS/United States GR - P30 CA014599/CA/NCI NIH HHS/United States PT - Comparative Study PT - Journal Article DEP - 20151118 PL - Japan TA - Gastric Cancer JT - Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association JID - 100886238 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 - Biomarkers, Tumor/genetics/metabolism MH - Gene Amplification MH - Humans MH - Immunoenzyme Techniques MH - In Situ Hybridization, Fluorescence/*methods MH - Proteomics/*methods MH - Receptor, ErbB-2/*genetics/*metabolism MH - Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/*methods MH - Stomach Neoplasms/*genetics/*metabolism/pathology PMC - PMC4871781 MID - NIHMS739526 OTO - NOTNLM OT - Clinical biomarker assay OT - Companion diagnostic OT - Esophageal OT - Gastric OT - Gastroesophageal adenocarcinoma OT - HER2 (ERBB2) amplification OT - Her2 expression OT - Multiplex protein expression analysis in FFPE tissue OT - SRM-MS OT - Selected reaction monitoring mass spectrometry OT - Stomach cancer EDAT- 2015/11/20 06:00 MHDA- 2017/03/08 06:00 PMCR- 2017/10/01 CRDT- 2015/11/20 06:00 PHST- 2015/05/11 00:00 [received] PHST- 2015/10/31 00:00 [accepted] PHST- 2015/11/20 06:00 [entrez] PHST- 2015/11/20 06:00 [pubmed] PHST- 2017/03/08 06:00 [medline] PHST- 2017/10/01 00:00 [pmc-release] AID - 10.1007/s10120-015-0566-0 [pii] AID - 10.1007/s10120-015-0566-0 [doi] PST - ppublish SO - Gastric Cancer. 2016 Oct;19(4):1066-1079. doi: 10.1007/s10120-015-0566-0. Epub 2015 Nov 18.