PMID- 26856369 OWN - NLM STAT- MEDLINE DCOM- 20170116 LR - 20181113 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 6 DP - 2016 Feb 9 TI - Continuous quantification of HER2 expression by microfluidic precision immunofluorescence estimates HER2 gene amplification in breast cancer. PG - 20277 LID - 10.1038/srep20277 [doi] LID - 20277 AB - Chromogenic immunohistochemistry (IHC) is omnipresent in cancer diagnosis, but has also been criticized for its technical limit in quantifying the level of protein expression on tissue sections, thus potentially masking clinically relevant data. Shifting from qualitative to quantitative, immunofluorescence (IF) has recently gained attention, yet the question of how precisely IF can quantify antigen expression remains unanswered, regarding in particular its technical limitations and applicability to multiple markers. Here we introduce microfluidic precision IF, which accurately quantifies the target expression level in a continuous scale based on microfluidic IF staining of standard tissue sections and low-complexity automated image analysis. We show that the level of HER2 protein expression, as continuously quantified using microfluidic precision IF in 25 breast cancer cases, including several cases with equivocal IHC result, can predict the number of HER2 gene copies as assessed by fluorescence in situ hybridization (FISH). Finally, we demonstrate that the working principle of this technology is not restricted to HER2 but can be extended to other biomarkers. We anticipate that our method has the potential of providing automated, fast and high-quality quantitative in situ biomarker data using low-cost immunofluorescence assays, as increasingly required in the era of individually tailored cancer therapy. FAU - Dupouy, Diego G AU - Dupouy DG AD - Laboratory of Microsystems, Ecole Polytechnique Federale de Lausanne, CH-1015, Switzerland. FAU - Ciftlik, Ata Tuna AU - Ciftlik AT AD - Laboratory of Microsystems, Ecole Polytechnique Federale de Lausanne, CH-1015, Switzerland. AD - Lunaphore Technologies SA, EPFL Innovation Park-Building C, CH-1015, Lausanne, Switzerland. FAU - Fiche, Maryse AU - Fiche M AD - Institute of Pathology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, CH-1011 Lausanne, Switzerland. FAU - Heintze, Deborah AU - Heintze D AD - Laboratory of Microsystems, Ecole Polytechnique Federale de Lausanne, CH-1015, Switzerland. AD - Lunaphore Technologies SA, EPFL Innovation Park-Building C, CH-1015, Lausanne, Switzerland. FAU - Bisig, Bettina AU - Bisig B AD - Institute of Pathology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, CH-1011 Lausanne, Switzerland. FAU - de Leval, Laurence AU - de Leval L AD - Institute of Pathology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, CH-1011 Lausanne, Switzerland. FAU - Gijs, Martin A M AU - Gijs MA AD - Laboratory of Microsystems, Ecole Polytechnique Federale de Lausanne, CH-1015, Switzerland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160209 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Biomarkers, Tumor/*genetics/metabolism MH - Breast Neoplasms/*genetics/metabolism MH - Female MH - Fluorescent Antibody Technique MH - *Gene Amplification MH - Humans MH - In Situ Hybridization, Fluorescence MH - Microfluidics/*instrumentation/*methods MH - Pilot Projects MH - Receptor, ErbB-2/*genetics/metabolism PMC - PMC4746572 COIS- A.T.C. and D.H., at the submission of the paper, are employed at Lunaphore Technologies SA, which is commercializing the MTP-based technology. Some of the authors have equity interest in Lunaphore Technologies SA. EDAT- 2016/02/10 06:00 MHDA- 2017/01/17 06:00 PMCR- 2016/02/09 CRDT- 2016/02/10 06:00 PHST- 2015/08/14 00:00 [received] PHST- 2015/12/23 00:00 [accepted] PHST- 2016/02/10 06:00 [entrez] PHST- 2016/02/10 06:00 [pubmed] PHST- 2017/01/17 06:00 [medline] PHST- 2016/02/09 00:00 [pmc-release] AID - srep20277 [pii] AID - 10.1038/srep20277 [doi] PST - epublish SO - Sci Rep. 2016 Feb 9;6:20277. doi: 10.1038/srep20277.