PMID- 28118634 OWN - NLM STAT- MEDLINE DCOM- 20170922 LR - 20181202 IS - 2296-5262 (Electronic) IS - 2296-5270 (Linking) VI - 40 IP - 1-2 DP - 2017 TI - Clinicopathological Features and Therapeutic Responses of Chinese Patients with Advanced Lung Adenocarcinoma Harboring an Anaplastic Lymphoma Kinase Rearrangement. PG - 27-33 LID - 10.1159/000454715 [doi] AB - BACKGROUND: Presence of anaplastic lymphoma kinase (ALK) rearrangement is an indication for crizotinib in the treatment of patients with advanced or metastatic lung adenocarcinoma. Here, we sought to elucidate the association between clinicopathological features and ALK rearrangement status in Chinese patients with advanced lung adenocarcinoma harboring an ALK rearrangement. PATIENTS AND METHODS: ALK rearrangement status was determined using immunohistochemistry (IHC) in tumor tissues from 120 patients with advanced lung adenocarcinoma, and further assessed by fluorescence in situ hybridization (FISH) assay. The associations between ALK rearrangement status and clinicopathological features were analyzed. RESULTS: According to IHC testing, the ALK-positive rate among the advanced lung adenocarcinoma patients was 6.67% (8/120). FISH validation found 5 patients with ALK rearrangement among the 8 IHC-positive cases. No significant difference was observed regarding age, sex, or smoking status between FISH-positive and -negative patients (p > 0.05). None of the 5 FISH-positive patients benefited from first-line chemotherapy. CONCLUSION: IHC can be used as a reliable method for ALK rearrangement screening in patients with lung adenocarcinoma, but further FISH validation is imperative. Presence of ALK rearrangement predicts a more aggressive biological behavior of the tumor and might be indicative of poor response to chemotherapy. CI - (c) 2017 S. Karger GmbH, Freiburg. FAU - Lin, Danxia AU - Lin D FAU - Zeng, De AU - Zeng D FAU - Chen, Chen AU - Chen C FAU - Wu, Xiao AU - Wu X FAU - Wang, Miaojun AU - Wang M FAU - Chen, Jiongyu AU - Chen J FAU - Lin, Hui AU - Lin H FAU - Qiu, Xihui AU - Qiu X LA - eng PT - Journal Article DEP - 20170116 PL - Switzerland TA - Oncol Res Treat JT - Oncology research and treatment JID - 101627692 RN - 0 (Pyrazoles) RN - 0 (Pyridines) RN - 53AH36668S (Crizotinib) 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 EIN - Oncol Res Treat. 2017;40(3):114. PMID: 28259889 MH - Adenocarcinoma/*drug therapy/*pathology MH - Adult MH - Aged MH - Anaplastic Lymphoma Kinase MH - *Antineoplastic Combined Chemotherapy Protocols MH - China MH - Crizotinib MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/*drug therapy/*pathology MH - Male MH - Middle Aged MH - Neoplasm Metastasis MH - Prognosis MH - Pyrazoles/therapeutic use MH - Pyridines/therapeutic use MH - Receptor Protein-Tyrosine Kinases/genetics/*metabolism MH - Risk Factors MH - Young Adult EDAT- 2017/01/25 06:00 MHDA- 2017/09/25 06:00 CRDT- 2017/01/25 06:00 PHST- 2016/07/21 00:00 [received] PHST- 2016/11/22 00:00 [accepted] PHST- 2017/01/25 06:00 [pubmed] PHST- 2017/09/25 06:00 [medline] PHST- 2017/01/25 06:00 [entrez] AID - 000454715 [pii] AID - 10.1159/000454715 [doi] PST - ppublish SO - Oncol Res Treat. 2017;40(1-2):27-33. doi: 10.1159/000454715. Epub 2017 Jan 16.