PMID- 29029453 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240327 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 39 DP - 2017 Sep 12 TI - PTEN loss detection in prostate cancer: comparison of PTEN immunohistochemistry and PTEN FISH in a large retrospective prostatectomy cohort. PG - 65566-65576 LID - 10.18632/oncotarget.19217 [doi] AB - PTEN deletion is an established prognostic biomarker in prostate cancer. We compared PTEN immunohistochemistry (IHC) and PTEN fluorescence in situ hybridization (FISH) in the largest existing radical prostatectomy cohort with clinical follow-up data. There was high concordance between IHC and FISH: 93% (3098/3330) of tumors with intact PTEN IHC showed absence of PTEN gene deletion and 66% (720/1087) of cases with PTEN protein loss by IHC showed PTEN gene deletion by FISH. 84% (447/533) of cases with PTEN homozygous gene deletion had PTEN protein loss by IHC. PTEN loss by IHC was associated with reduced PSA recurrence-free survival (RFS) in multivariable models (HR=1.3; 95% CI: 1.16-1.47). Among cases with either PTEN deletion or absence of PTEN deletion by FISH, PTEN loss by IHC was strongly associated with reduced RFS on univariable analysis (p=0.0005 and p<0.0001 respectively). Among cases with intact PTEN by IHC, homozygous (p=0.04) but not heterozygous (p=0.10) PTEN gene deletion was weakly associated with reduced RFS. Among cases with PTEN loss by IHC, both homozygous (p=0.0044) and heterozygous (p=0.0017) PTEN gene deletion were associated with reduced RFS. These data support the utility of PTEN IHC and PTEN FISH as complementary screening tools for PTEN loss in prostate cancer. FAU - Lotan, Tamara L AU - Lotan TL AD - Pathology, Johns Hopkins School of Medicine, Baltimore, MD, USA. AD - Oncology, Johns Hopkins School of Medicine, Baltimore, MD, USA. FAU - Heumann, Asmus AU - Heumann A AD - Institute of Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Rico, Sebastian Dwertmann AU - Rico SD AD - Institute of Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Hicks, Jessica AU - Hicks J AD - Pathology, Johns Hopkins School of Medicine, Baltimore, MD, USA. FAU - Lecksell, Kristen AU - Lecksell K AD - Pathology, Johns Hopkins School of Medicine, Baltimore, MD, USA. FAU - Koop, Christina AU - Koop C AD - Institute of Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Sauter, Guido AU - Sauter G AD - Institute of Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Schlomm, Thorsten AU - Schlomm T AD - Martini-Klinik Prostate Cancer Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. AD - Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Simon, Ronald AU - Simon R AD - Institute of Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. LA - eng PT - Journal Article DEP - 20170710 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5630353 OTO - NOTNLM OT - PTEN OT - biomarker OT - fluorescence in situ hybridization OT - immunohistochemistry OT - prostatic carcinoma COIS- CONFLICTS OF INTEREST TLL has received research funding from Ventana Medical Systems. EDAT- 2017/10/17 06:00 MHDA- 2017/10/17 06:01 PMCR- 2017/09/12 CRDT- 2017/10/15 06:00 PHST- 2017/04/04 00:00 [received] PHST- 2017/04/27 00:00 [accepted] PHST- 2017/10/15 06:00 [entrez] PHST- 2017/10/17 06:00 [pubmed] PHST- 2017/10/17 06:01 [medline] PHST- 2017/09/12 00:00 [pmc-release] AID - 19217 [pii] AID - 10.18632/oncotarget.19217 [doi] PST - epublish SO - Oncotarget. 2017 Jul 10;8(39):65566-65576. doi: 10.18632/oncotarget.19217. eCollection 2017 Sep 12.