PMID- 28970558 OWN - NLM STAT- MEDLINE DCOM- 20190716 LR - 20190716 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 7 IP - 1 DP - 2017 Oct 2 TI - Detection of known and novel ALK fusion transcripts in lung cancer patients using next-generation sequencing approaches. PG - 12510 LID - 10.1038/s41598-017-12679-8 [doi] LID - 12510 AB - Rearrangements of the anaplastic lymphoma kinase (ALK) gene in non-small cell lung cancer (NSCLC) represent a novel molecular target in a small subset of tumors. Although ALK rearrangements are usually assessed by immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH), molecular approaches have recently emerged as relevant alternatives in routine laboratories. Here, we evaluated the use of two different amplicon-based next-generation sequencing (NGS) methods (AmpliSeq and Archer((R))FusionPlex((R))) to detect ALK rearrangements, and compared these with IHC and FISH. A total of 1128 NSCLC specimens were screened using conventional analyses, and a subset of 37 (15 ALK-positive, and 22 ALK-negative) samples were selected for NGS assays. Although AmpliSeq correctly detected 25/37 (67.6%) samples, 1/37 (2.7%) and 11/37 (29.7%) specimens were discordant and uncertain, respectively, requiring further validation. In contrast, Archer((R))FusionPlex((R)) accurately classified all samples and allowed the correct identification of one rare DCTN1-ALK fusion, one novel CLIP1-ALK fusion, and one novel GCC2-ALK transcript. Of particular interest, two out of three patients harboring these singular rearrangements were treated with and sensitive to crizotinib. These data show that Archer((R))FusionPlex((R)) may provide an effective and accurate alternative to FISH testing for the detection of known and novel ALK rearrangements in clinical diagnostic settings. FAU - Vendrell, Julie A AU - Vendrell JA AD - CHU Montpellier, Arnaud de Villeneuve Hospital, Department of Pathology, Montpellier, Universite de Montpellier, Montpellier, France. FAU - Taviaux, Sylvie AU - Taviaux S AD - CHU Montpellier, Arnaud de Villeneuve Hospital, Department of Pathology, Montpellier, Universite de Montpellier, Montpellier, France. FAU - Beganton, Benoit AU - Beganton B AD - Institut de Recherche en Cancerologie de Montpellier (IRCM), INSERM U1194, Universite de Montpellier, Institut du Cancer de Montpellier (ICM), Montpellier, France. FAU - Godreuil, Sylvain AU - Godreuil S AD - CHU Montpellier, Arnaud de Villeneuve Hospital, Department of Bacteriology, Universite de Montpellier, Montpellier, France. FAU - Audran, Patricia AU - Audran P AD - Institut du Cancer de Montpellier (ICM), Department of Biopathology, Montpellier, France. FAU - Grand, David AU - Grand D AD - Department of Pathology, Institut Universitaire du Cancer Toulouse Oncopole, CHU de Toulouse, Toulouse, France. FAU - Clermont, Estelle AU - Clermont E AD - Department of Pathology, Institut Universitaire du Cancer Toulouse Oncopole, CHU de Toulouse, Toulouse, France. FAU - Serre, Isabelle AU - Serre I AD - CHU Montpellier, Arnaud de Villeneuve Hospital, Department of Pathology, Montpellier, Universite de Montpellier, Montpellier, France. FAU - Szablewski, Vanessa AU - Szablewski V AD - CHU Montpellier, Arnaud de Villeneuve Hospital, Department of Pathology, Montpellier, Universite de Montpellier, Montpellier, France. FAU - Coopman, Peter AU - Coopman P AD - Institut de Recherche en Cancerologie de Montpellier (IRCM), INSERM U1194, Universite de Montpellier, Institut du Cancer de Montpellier (ICM), Montpellier, France. FAU - Mazieres, Julien AU - Mazieres J AD - Thoracic Oncology Department, Larrey Hospital, University Hospital of Toulouse, Toulouse, France. FAU - Costes, Valerie AU - Costes V AD - CHU Montpellier, Arnaud de Villeneuve Hospital, Department of Pathology, Montpellier, Universite de Montpellier, Montpellier, France. FAU - Pujol, Jean-Louis AU - Pujol JL AD - CHU Montpellier, Arnaud de Villeneuve Hospital, Department of Thoracic Oncology, Universite de Montpellier, Montpellier, France. FAU - Brousset, Pierre AU - Brousset P AD - Department of Pathology, Institut Universitaire du Cancer Toulouse Oncopole, CHU de Toulouse, Toulouse, France. AD - Laboratoire d'excellence Labex TOUCAN, Toulouse, France. FAU - Rouquette, Isabelle AU - Rouquette I AD - Department of Pathology, Institut Universitaire du Cancer Toulouse Oncopole, CHU de Toulouse, Toulouse, France. FAU - Solassol, Jerome AU - Solassol J AD - CHU Montpellier, Arnaud de Villeneuve Hospital, Department of Pathology, Montpellier, Universite de Montpellier, Montpellier, France. j-solassol@chu-montpellier.fr. AD - Institut de Recherche en Cancerologie de Montpellier (IRCM), INSERM U1194, Universite de Montpellier, Institut du Cancer de Montpellier (ICM), Montpellier, France. j-solassol@chu-montpellier.fr. LA - eng PT - Journal Article DEP - 20171002 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Antineoplastic Agents) RN - 0 (DCTN1 protein, human) RN - 0 (Dynactin Complex) RN - 0 (EML4-ALK fusion protein, human) RN - 0 (GCC2 protein, human) RN - 0 (Golgi Matrix Proteins) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (RNA, Messenger) RN - 53AH36668S (Crizotinib) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) SB - IM MH - Adenocarcinoma of Lung/drug therapy/*genetics/metabolism/surgery MH - Aged MH - Anaplastic Lymphoma Kinase/*genetics/metabolism MH - Antineoplastic Agents/therapeutic use MH - Carcinoma, Non-Small-Cell Lung/drug therapy/*genetics/metabolism/surgery MH - Case-Control Studies MH - Crizotinib/therapeutic use MH - Dynactin Complex/genetics/metabolism MH - Female MH - Gene Expression MH - Golgi Matrix Proteins/genetics/metabolism MH - High-Throughput Nucleotide Sequencing/instrumentation/*methods MH - Humans MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/drug therapy/*genetics/metabolism/surgery MH - Male MH - Microtubule-Associated Proteins/genetics/metabolism MH - Middle Aged MH - Neoplasm Staging MH - Oncogene Proteins, Fusion/*genetics/metabolism MH - RNA, Messenger/genetics/metabolism PMC - PMC5624911 COIS- The authors declare that they have no competing interests. EDAT- 2017/10/04 06:00 MHDA- 2019/07/17 06:00 PMCR- 2017/10/02 CRDT- 2017/10/04 06:00 PHST- 2017/06/09 00:00 [received] PHST- 2017/09/04 00:00 [accepted] PHST- 2017/10/04 06:00 [entrez] PHST- 2017/10/04 06:00 [pubmed] PHST- 2019/07/17 06:00 [medline] PHST- 2017/10/02 00:00 [pmc-release] AID - 10.1038/s41598-017-12679-8 [pii] AID - 12679 [pii] AID - 10.1038/s41598-017-12679-8 [doi] PST - epublish SO - Sci Rep. 2017 Oct 2;7(1):12510. doi: 10.1038/s41598-017-12679-8.