PMID- 27544315 OWN - NLM STAT- MEDLINE DCOM- 20170314 LR - 20191210 IS - 1423-0291 (Electronic) IS - 1015-2008 (Linking) VI - 84 IP - 2 DP - 2017 TI - Clinical Usefulness of a One-Tube Nested Reverse Transcription Quantitative Polymerase Chain Reaction Assay for Evaluating Human Epidermal Growth Factor Receptor 2 mRNA Overexpression in Formalin-Fixed and Paraffin-Embedded Breast Cancer Tissue Samples. PG - 57-70 LID - 10.1159/000447301 [doi] AB - BACKGROUND: Currently, the two main methods used to analyze human epidermal growth factor receptor 2 (HER2) amplification or overexpression have a limited accuracy and high costs. These limitations can be overcome by the development of complementary quantitative methods. METHODS: In this study, we analyzed HER2 mRNA expression in clinical formalin-fixed and paraffin-embedded (FFPE) samples using a one-tube nested reverse transcription quantitative polymerase chain reaction (RT-qPCR) assay. We measured expression relative to 3 reference genes and compared the results to those obtained by conventional immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) assays with 226 FFPE breast cancer tissue samples. RESULTS: The one-tube nested RT-qPCR assay proved to be highly sensitive and specific based on comparisons with IHC (96.9 and 97.7%, respectively) and FISH (92.4 and 92.9%, respectively) obtained with the validation set. Comparisons with clinicopathological data revealed significant associations between HER2 overexpression and TNM stage (p < 0.01), histological type (p < 0.01), ER status (p < 0.001), PR status (p < 0.05), HER2 status (p < 0.001), and molecular subtypes (p < 0.001). CONCLUSION: Based on these findings, our one-tube nested RT-qPCR assay is a potentially useful and complementary screening tool for the detection of HER2 mRNA overexpression. CI - (c) 2016 S. Karger AG, Basel. FAU - Wang, Hye-Young AU - Wang HY AD - Optipharm M&D, Inc., Wonju Eco Environmental Technology Center, Wonju, Republic of Korea. FAU - Ahn, Sungwoo AU - Ahn S FAU - Park, Sunyoung AU - Park S FAU - Kim, SeungIl AU - Kim S FAU - Lee, Hyeyoung AU - Lee H LA - eng PT - Evaluation Study PT - Journal Article DEP - 20160820 PL - Switzerland TA - Pathobiology JT - Pathobiology : journal of immunopathology, molecular and cellular biology JID - 9007504 RN - 0 (Biomarkers, Tumor) RN - 1HG84L3525 (Formaldehyde) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Biomarkers, Tumor MH - Breast/*metabolism/pathology MH - Breast Neoplasms/*genetics/metabolism/pathology MH - Cell Line, Tumor MH - Female MH - Formaldehyde MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Paraffin Embedding MH - Real-Time Polymerase Chain Reaction MH - Receptor, ErbB-2/*genetics/metabolism MH - Sensitivity and Specificity MH - Tissue Fixation EDAT- 2016/08/22 06:00 MHDA- 2017/03/16 06:00 CRDT- 2016/08/22 06:00 PHST- 2016/03/14 00:00 [received] PHST- 2016/05/31 00:00 [accepted] PHST- 2016/08/22 06:00 [pubmed] PHST- 2017/03/16 06:00 [medline] PHST- 2016/08/22 06:00 [entrez] AID - 000447301 [pii] AID - 10.1159/000447301 [doi] PST - ppublish SO - Pathobiology. 2017;84(2):57-70. doi: 10.1159/000447301. Epub 2016 Aug 20.