PMID- 28039034 OWN - NLM STAT- MEDLINE DCOM- 20170206 LR - 20170206 IS - 1879-0038 (Electronic) IS - 0378-1119 (Linking) VI - 605 DP - 2017 Mar 20 TI - Development and evaluation of a novel RT-qPCR based test for the quantification of HER2 gene expression in breast cancer. PG - 114-122 LID - S0378-1119(16)31027-7 [pii] LID - 10.1016/j.gene.2016.12.027 [doi] AB - Accurate measurement of Human epidermal growth factor receptor (HER2) gene expression is central for breast or stomach cancer therapy orientation and prognosis. The current standards testing methods for HER2 expression are immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH). In the current study, we explored the use of quantitative real time reverse transcription-PCR (RT-qPCR) as a potential method for the accurate relative quantification of the HER2 gene using formalin fixed paraffin embedded (FFPE) breast cancer biopsy samples. The main aim of the current study is to measure the level of concordance of RT-qPCR based quantification of HER2 overexpression with both IHC and FISH. Accordingly, an endogenous control gene (ECG) is required for this relative quantification and should ideally be expressed equivalently across tested samples. Stably expressed ECGs have been selected from a panel of seven genes using GenEx V6 software which is based on geNorm and NormFinder and statistical methods. Quantification of HER2 gene expression was performed by our RT-qPCR-based test and compared to the results obtained by both IHC and FISH methods. HER2 gene quantification using RT-qPCR test was normalized using the two ECGs (RPL30 and RPL37A) that were successfully identified and selected from a panel of seven genes as the most stable and reliable ECGs. We evaluated a total of 216 FFPE tissue samples from breast cancer patients. The results obtained with RT-qPCR in the current study were compared to both IHC and FISH data collected for the same patients. In addition to an internal evaluation, an external evaluation of this assay was also performed in a recognized pathology center in Europe (Clinic Barcelona Hospital Universitari, Spain) using 116 FFPE breast cancer tissue samples. The results demonstrated a high concordance between RT-qPCR and either IHC (98%) or FISH (72%) methods. Accordantly, the overall concordance was 85%. To our knowledge, this is the first study using the specific combination of RPL30 and RPL37 as reference genes for an accurate HER2 gene quantification in FFPE biopsy samples. Although further clinical validation regarding evolution and therapeutic response using RT-qPCR for the quantification of HER2 expression are still needed, the present study constitutes definitely a factual element that the RT-qPCR based assay may constitute a valid complementary test to accurately measure HER2 expression for a better treatment orientation. CI - Copyright (c) 2017 Elsevier B.V. All rights reserved. FAU - El Hadi, Hicham AU - El Hadi H AD - Medical Biotechnology Center, Moroccan Foundation for Advanced Science Innovation and Research (MASCIR), Rue Mohamed Al JazouliMadinat Al Irfane, Rabat, Morocco; Biochemistry and Immunology Laboratory, Faculty of Science, Rabat University Mohamed V, Avenue Ibn Battouta 1014, Rabat, Morocco. Electronic address: h.elhadi@mascir.com. FAU - Abdellaoui-Maane, Imane AU - Abdellaoui-Maane I AD - Medical Biotechnology Center, Moroccan Foundation for Advanced Science Innovation and Research (MASCIR), Rue Mohamed Al JazouliMadinat Al Irfane, Rabat, Morocco; Biochemistry and Immunology Laboratory, Faculty of Science, Rabat University Mohamed V, Avenue Ibn Battouta 1014, Rabat, Morocco. Electronic address: i.abdellaoui@mascir.com. FAU - Kottwitz, Denise AU - Kottwitz D AD - Medical Biotechnology Center, Moroccan Foundation for Advanced Science Innovation and Research (MASCIR), Rue Mohamed Al JazouliMadinat Al Irfane, Rabat, Morocco. Electronic address: denisekottwitz@web.de. FAU - El Amrani, Manal AU - El Amrani M AD - Medical Biotechnology Center, Moroccan Foundation for Advanced Science Innovation and Research (MASCIR), Rue Mohamed Al JazouliMadinat Al Irfane, Rabat, Morocco. Electronic address: dahmani_manale@yahoo.fr. FAU - Bouchoutrouch, Nadia AU - Bouchoutrouch N AD - Medical Biotechnology Center, Moroccan Foundation for Advanced Science Innovation and Research (MASCIR), Rue Mohamed Al JazouliMadinat Al Irfane, Rabat, Morocco. Electronic address: n.bouchoutrouch@mascir.com. FAU - Qmichou, Zineb AU - Qmichou Z AD - Medical Biotechnology Center, Moroccan Foundation for Advanced Science Innovation and Research (MASCIR), Rue Mohamed Al JazouliMadinat Al Irfane, Rabat, Morocco. Electronic address: z.qmichou@mascir.com. FAU - Karkouri, Mehdi AU - Karkouri M AD - Pathology Department, HOPITAL IBN ROCHD, Quartier Des Hopitaux, Casablanca, Morocco. Electronic address: mehdi.karkouri@menara.ma. FAU - ElAttar, Hicham AU - ElAttar H AD - Laboratory of Pathology MlyIdriss I, Boulevard MoulayIdriss 1er Quartier Des Hopitaux, Casablanca, Morocco. FAU - Errihani, Hassan AU - Errihani H AD - National Institute of Oncology (INO), Avenue Allal El Fassi, Rabat, Morocco. FAU - Fernandez, Pedro L AU - Fernandez PL AD - Department of Anatomical Pathology, Hospital Clinic and Institut d'Investigacions Biomediques August Pi iSunyer (IDIBAPS), University of Barcelona, Spain. Electronic address: plfernan@clinic.ub.es. FAU - Bakri, Youssef AU - Bakri Y AD - Biochemistry and Immunology Laboratory, Faculty of Science, Rabat University Mohamed V, Avenue Ibn Battouta 1014, Rabat, Morocco. Electronic address: ybakri@gmail.com. FAU - Sefrioui, Hassan AU - Sefrioui H AD - Medical Biotechnology Center, Moroccan Foundation for Advanced Science Innovation and Research (MASCIR), Rue Mohamed Al JazouliMadinat Al Irfane, Rabat, Morocco. Electronic address: h.sefrioui@mascir.com. FAU - Moumen, Abdeladim AU - Moumen A AD - Medical Biotechnology Center, Moroccan Foundation for Advanced Science Innovation and Research (MASCIR), Rue Mohamed Al JazouliMadinat Al Irfane, Rabat, Morocco. Electronic address: a.moumen@mascir.com. LA - eng PT - Journal Article DEP - 20161228 PL - Netherlands TA - Gene JT - Gene JID - 7706761 RN - 0 (RPL37A protein, human) RN - 0 (Ribosomal Proteins) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Breast Neoplasms/*diagnosis/genetics/metabolism/pathology MH - Cell Line, Tumor MH - Female MH - Gene Expression MH - *Genes, Essential MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Paraffin Embedding MH - Real-Time Polymerase Chain Reaction/*standards MH - Receptor, ErbB-2/*genetics/metabolism MH - Reference Standards MH - Ribosomal Proteins/*genetics/metabolism MH - Sensitivity and Specificity MH - Tissue Fixation OTO - NOTNLM OT - Breast cancer OT - Endogenous control genes OT - HER2 expression OT - Molecular diagnosis OT - RT-qPCR EDAT- 2017/01/01 06:00 MHDA- 2017/02/07 06:00 CRDT- 2017/01/01 06:00 PHST- 2016/06/16 00:00 [received] PHST- 2016/12/08 00:00 [revised] PHST- 2016/12/23 00:00 [accepted] PHST- 2017/01/01 06:00 [pubmed] PHST- 2017/02/07 06:00 [medline] PHST- 2017/01/01 06:00 [entrez] AID - S0378-1119(16)31027-7 [pii] AID - 10.1016/j.gene.2016.12.027 [doi] PST - ppublish SO - Gene. 2017 Mar 20;605:114-122. doi: 10.1016/j.gene.2016.12.027. Epub 2016 Dec 28.