PMID- 32095377 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 2167-8359 (Print) IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 8 DP - 2020 TI - HER2 and BRAF mutation in colorectal cancer patients: a retrospective study in Eastern China. PG - e8602 LID - 10.7717/peerj.8602 [doi] LID - e8602 AB - OBJECTIVE: To investigate the frequency and prognostic role of the human epidermal growth factor receptor 2 gene (HER2) and BRAF V600E gene mutation in Chinese patients with colorectal cancer (CRC). METHODS: Clinicopathological and survival information from 480 patients with stage I-III CRC were reviewed and recorded. HER2 amplification was analyzed by immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH), BRAF V600E mutation was tested by IHC and Sanger sequencing. The relationship between HER2 and BRAF V600E mutation status and clinicopathological characteristics and outcomes were determined. RESULTS: The amplification of HER2 and BRAF V600E mutation were identified in 27 of 480 (5.63%) and 19 of 480 (3.96%) CRC patients, respectively. HER2 amplification significantly correlated with greater bowel wall invasion (P = 0.041) and more advanced TNM stage (I vs. II vs. III; 0 vs 5.78% vs. 7.41%, P = 0.013). Patients suffering from tumors with poor differentiation had a higher incidence rate of BRAF V600E mutation than those with moderate/well differentiation (7.77% vs 2.92%, P = 0.04). HER2 amplification was an independent prognostic factor for worse disease-free survival (DFS) (HR = 2.53, 95% CI: 1.21-5.30, P = 0.014). CONCLUSION: The prevalence of HER2 amplification and BRAF V600E mutation in stage I-III CRC patients in Chinese was 6% and 4%, respectively, and HER2 amplification appeared to be associated with a worse DFS. More comprehensive molecular classification and survival analysis are needed to validate our findings. CI - (c) 2020 Zhang et al. FAU - Zhang, Xiangyan AU - Zhang X AD - Department of Pathology, Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Wu, Jie AU - Wu J AD - Department of Pathology, Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Wang, Lili AU - Wang L AD - Department of Pathology, Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Zhao, Han AU - Zhao H AD - Department of Pathology, Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Li, Hong AU - Li H AUID- ORCID: 0000-0003-4176-9900 AD - Department of Pathology, Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Duan, Yuhe AU - Duan Y AD - Department of Pediatrics, Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Li, Yujun AU - Li Y AD - Department of Pathology, Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Xu, Ping AU - Xu P AD - Department of Obstetrics, Laixi People's Hospital, Qingdao, China. FAU - Ran, Wenwen AU - Ran W AD - Department of Pathology, Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Xing, Xiaoming AU - Xing X AD - Department of Pathology, Affiliated Hospital of Qingdao University, Qingdao, China. LA - eng PT - Journal Article DEP - 20200212 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 PMC - PMC7023828 OTO - NOTNLM OT - BRAF mutation OT - Colorectal cancer OT - Human epidermal growth factor receptor 2 gene OT - Prognosis COIS- The authors declare that they have no competing interests. EDAT- 2020/02/26 06:00 MHDA- 2020/02/26 06:01 PMCR- 2020/02/12 CRDT- 2020/02/26 06:00 PHST- 2019/06/13 00:00 [received] PHST- 2020/01/19 00:00 [accepted] PHST- 2020/02/26 06:00 [entrez] PHST- 2020/02/26 06:00 [pubmed] PHST- 2020/02/26 06:01 [medline] PHST- 2020/02/12 00:00 [pmc-release] AID - 8602 [pii] AID - 10.7717/peerj.8602 [doi] PST - epublish SO - PeerJ. 2020 Feb 12;8:e8602. doi: 10.7717/peerj.8602. eCollection 2020.