PMID- 33423957 OWN - NLM STAT- MEDLINE DCOM- 20220114 LR - 20220114 IS - 2213-2945 (Print) IS - 2213-2953 (Linking) VI - 10 IP - 3 DP - 2021 May-Jun TI - Oncogenic gene transcripts detection by FISH on liquid-based cytology slides of 338 advanced lung cancer patients. PG - 270-277 LID - S2213-2945(20)30330-6 [pii] LID - 10.1016/j.jasc.2020.12.002 [doi] AB - INTRODUCTION: Oncogenic gene transcripts in advanced lung cancer are a strong indication for targeted therapy. Cytology specimens are often the only materials available for oncogenic fusion analysis. This prospective study is to evaluate the feasibility of anaplastic lymphoma kinase (ALK) gene rearrangements, ROS oncogene 1 (ROS-1), and c-mesenchymal-epidermal transformation (c-MET) detected by fluorescence in situ hybridization (FISH) using liquid-based cytology (LBC) slides. MATERIALS AND METHODS: Consecutive cytology specimens including fine-needle aspiration biopsy (FNAB) and serous effusions from 338 advanced lung cancer patients were collected between March 1, 2015, and July 6, 2016. The correlation between ALK, ROS-1, c-MET, and other common driver gene abnormalities and the therapeutic response to crizotinib in ALK-positive patients were also evaluated. RESULTS: ALK fusion transcripts were detected in 31 of 338 patients (9.17%). Twenty-two of the 31 ALK-positive patients were treated with crizotinib at our institution (2 were lost to follow-up), and the overall response rate was 75.0 % (15 of 20); disease control rate was 90.0% (18 of 20). FISH analyses for ROS-1 and c-MET were performed on 75 and 73 patients, respectively, and showed 3 patients positive for ROS-1 and 3 positive for c-MET. These positive cases were all ALK-negative. CONCLUSION: For patients with advanced lung cancer, LBC slides are suitable for detecting oncogenic gene transcripts, and the results can provide a reliable guideline for targeted therapy. CI - Copyright (c) 2021 American Society of Cytopathology. Published by Elsevier Inc. All rights reserved. FAU - Jia, Jia AU - Jia J AD - Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Guo, HuiQin AU - Guo H AD - Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Zhao, Huan AU - Zhao H AD - Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Zhao, LinLin AU - Zhao L AD - Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Ling, Yun AU - Ling Y AD - Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Chen, Longwen AU - Chen L AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Scottsdale, Arizona. Electronic address: chen.longwen@mayo.edu. FAU - Zhang, ZhiHui AU - Zhang Z AD - Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Electronic address: Zhangzhh9@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201216 PL - United States TA - J Am Soc Cytopathol JT - Journal of the American Society of Cytopathology JID - 101613234 RN - 0 (Protein Kinase Inhibitors) RN - 0 (Proto-Oncogene Proteins) 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 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) 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 - Biopsy, Fine-Needle MH - Crizotinib/*therapeutic use MH - Feasibility Studies MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Lung Neoplasms/*drug therapy/*genetics/pathology MH - Male MH - Middle Aged MH - *Oncogenes MH - Prospective Studies MH - Protein Kinase Inhibitors/*therapeutic use MH - Protein-Tyrosine Kinases/*genetics MH - Proto-Oncogene Proteins/*genetics MH - Proto-Oncogene Proteins c-met/*genetics MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - ALK OT - Liquid-based cytology OT - Lung cancer OT - ROS-1 OT - c-MET EDAT- 2021/01/12 06:00 MHDA- 2022/01/15 06:00 CRDT- 2021/01/11 05:27 PHST- 2020/11/09 00:00 [received] PHST- 2020/12/03 00:00 [revised] PHST- 2020/12/07 00:00 [accepted] PHST- 2021/01/12 06:00 [pubmed] PHST- 2022/01/15 06:00 [medline] PHST- 2021/01/11 05:27 [entrez] AID - S2213-2945(20)30330-6 [pii] AID - 10.1016/j.jasc.2020.12.002 [doi] PST - ppublish SO - J Am Soc Cytopathol. 2021 May-Jun;10(3):270-277. doi: 10.1016/j.jasc.2020.12.002. Epub 2020 Dec 16.