PMID- 31651105 OWN - NLM STAT- MEDLINE DCOM- 20200916 LR - 20221207 IS - 2045-7634 (Electronic) IS - 2045-7634 (Linking) VI - 8 IP - 18 DP - 2019 Dec TI - Targeted RNA-sequencing assays: a step forward compared to FISH and IHC techniques? PG - 7556-7566 LID - 10.1002/cam4.2599 [doi] AB - INTRODUCTION: ALK and ROS1 rearrangements are molecular targets of several tyrosine kinase inhibitors. RNA-sequencing approaches are regarded as the new standard for fusion gene detection, representing an alternative to standard immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) techniques. PATIENTS AND METHODS: We aimed to compare two recent amplicon-based RNA-sequencing techniques: FusionPlex((R)) Alk Ret Ros1 v2 Kit (Archer((R)) ) with FHS-003Z-12-Human Lung Cancer Panel (Qiagen((R)) ) and assessed the accuracy of the data for therapy management. Thirty-seven formalin-fixed paraffin-embedded non-small cell carcinoma (NSCC) lesions initially explored by IHC and FISH were selected for RNA-sequencing analysis. RESULTS: Qiagen((R)) and Archer((R)) kits produced similar results and correctly identified 85.1% (23/27) and 81.5% (22/27) of IHC/FISH ALK- and ROS1-positive samples, respectively, and 100% (6/6) of the negative samples. With regard to the ambiguous IHC-positive/FISH-negative cases, RNA-sequencing confirmed 75% (3/4) of the FISH conclusion. Although not statistically significant, patients with common EML4-ALK variants presented shorter overall survival and progression-free survival compared with patients harboring rare variants. CONCLUSION: Our findings assessed the implementation of RNA-sequencing approaches to explore ALK and ROS1 rearrangements from formalin-fixed paraffin-embedded samples. We highlighted the similarities between Qiagen((R)) and Archer((R)) kits in terms of handling time, cost, and outcomes. We confirmed the feasibility of molecular testing in routine organization and its possible use not only as an alternative for standard IHC and FISH techniques, but as a supplementary technique helping to classify discrepant cases. CI - (c) 2019 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - Tachon, Gaelle AU - Tachon G AUID- ORCID: 0000-0002-0391-7143 AD - Laboratoire de Neurosciences Experimentales et Cliniques, Inserm U1084, Poitiers, France. AD - Universite de Poitiers, Poitiers, France. AD - Laboratoire de Cancerologie Biologique, CHU de Poitiers, Poitiers, France. FAU - Cortes, Ulrich AU - Cortes U AD - Laboratoire de Cancerologie Biologique, CHU de Poitiers, Poitiers, France. FAU - Richard, Sophie AU - Richard S AD - Universite de Poitiers, Poitiers, France. AD - Service d'Anatomo-Cytopathologie, CHU de Poitiers, Poitiers, France. FAU - Martin, Sebastien AU - Martin S AD - Laboratoire de Cancerologie Biologique, CHU de Poitiers, Poitiers, France. FAU - Milin, Serge AU - Milin S AD - Service d'Anatomo-Cytopathologie, CHU de Poitiers, Poitiers, France. FAU - Evrard, Camille AU - Evrard C AD - Service d'Oncologie, CHU de Poitiers, Poitiers, France. FAU - Lamour, Corinne AU - Lamour C AD - Service d'Oncologie, CHU de Poitiers, Poitiers, France. FAU - Karayan-Tapon, Lucie AU - Karayan-Tapon L AD - Laboratoire de Neurosciences Experimentales et Cliniques, Inserm U1084, Poitiers, France. AD - Universite de Poitiers, Poitiers, France. AD - Laboratoire de Cancerologie Biologique, CHU de Poitiers, Poitiers, France. LA - eng GR - Institut National Du Cancer/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191025 PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - 0 (Biomarkers, Tumor) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (ROS1 protein, human) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Anaplastic Lymphoma Kinase/genetics MH - Biomarkers, Tumor MH - Biopsy MH - Carcinoma, Non-Small-Cell Lung/genetics MH - Female MH - High-Throughput Nucleotide Sequencing MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/genetics MH - Male MH - Middle Aged MH - Oncogene Proteins, Fusion MH - Protein-Tyrosine Kinases/genetics MH - Proto-Oncogene Proteins/genetics MH - Sequence Analysis, RNA/*methods/standards MH - Exome Sequencing PMC - PMC6912030 OTO - NOTNLM OT - cancer genetics OT - lung cancer OT - medical genetics OT - next-generation sequencing COIS- None declared. EDAT- 2019/10/28 06:00 MHDA- 2020/09/17 06:00 PMCR- 2019/10/25 CRDT- 2019/10/26 06:00 PHST- 2019/06/21 00:00 [received] PHST- 2019/09/20 00:00 [revised] PHST- 2019/09/28 00:00 [accepted] PHST- 2019/10/28 06:00 [pubmed] PHST- 2020/09/17 06:00 [medline] PHST- 2019/10/26 06:00 [entrez] PHST- 2019/10/25 00:00 [pmc-release] AID - CAM42599 [pii] AID - 10.1002/cam4.2599 [doi] PST - ppublish SO - Cancer Med. 2019 Dec;8(18):7556-7566. doi: 10.1002/cam4.2599. Epub 2019 Oct 25.