PMID- 33552261 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210210 IS - 1792-1074 (Print) IS - 1792-1082 (Electronic) IS - 1792-1074 (Linking) VI - 21 IP - 2 DP - 2021 Feb TI - Impact of chromosome 17 centromere copy number increase on patient survival and human epidermal growth factor receptor 2 expression in gastric adenocarcinoma. PG - 142 LID - 10.3892/ol.2020.12403 [doi] LID - 142 AB - The accurate evaluation of human epidermal growth factor receptor 2 (HER2) status is essential for the appropriate use of targeted therapies. An increased number of chromosome 17 centromere enumeration probe (CEP17) signals may underrate fluorescence in situ hybridization (FISH) outcomes, resulting in false-negative or a false-equivocal HER2 status assessment. The aim of the present study was to assess the frequency of CEP17 copy number increase (CNI), its effects on HER2 protein expression (and the subsequent effects on tumor cells), and the survival outcomes of patients with gastric cancer. Archival primary tumor samples from 244 patients that underwent gastric resection for adenocarcinoma were retrieved for both HER2 protein expression analysis (using immunochemistry) and HER2 gene amplification (using FISH). The associations between HER2 status, CEP17 CNI and multiple clinicopathological parameters (including survival outcome), were assessed. The relationship between CEP17 CNI and HER2 protein upregulation was also investigated. CEP17 CNI was detected in 17.2% of cases, and a strong association between CEP17 CNI and HER2 upregulation was revealed. The impact of CEP17 CNI on survival did not reach statistical significance. Consequently, CEP17 CNI was discovered to be strongly associated with HER2 upregulation in tumor cells, which may characterize a critical issue in HER2 testing. Therefore, the eligibility for HER2-targeted agents in CEP17 CNI-positive patients warrants further recognition. CI - Copyright: (c) Ciesielski et al. FAU - Ciesielski, Maciej AU - Ciesielski M AD - Department of Oncological Surgery, Gdynia Centre of Oncology, Pomeranian Hospitals, Gdynia, Pomeranian Voivodship 81-519, Poland. AD - Division of Propedeutics of Oncology, Medical University of Gdansk, Gdansk, Pomeranian Voivodship 80-210, Poland. FAU - Szajewski, Mariusz AU - Szajewski M AD - Department of Oncological Surgery, Gdynia Centre of Oncology, Pomeranian Hospitals, Gdynia, Pomeranian Voivodship 81-519, Poland. AD - Division of Propedeutics of Oncology, Medical University of Gdansk, Gdansk, Pomeranian Voivodship 80-210, Poland. FAU - Walczak, Jakub AU - Walczak J AD - Department of Oncological Surgery, Gdynia Centre of Oncology, Pomeranian Hospitals, Gdynia, Pomeranian Voivodship 81-519, Poland. FAU - Peksa, Rafal AU - Peksa R AD - Department of Pathomorphology, Medical University of Gdansk, Gdansk, Pomeranian Voivodship 80-210, Poland. FAU - Lenckowski, Radoslaw AU - Lenckowski R AD - Department of Pathomorphology, Gdynia Centre of Oncology, Pomeranian Hospitals, Gdynia, Pomeranian Voivodship 81-519, Poland. FAU - Supel, Malgorzata AU - Supel M AD - Department of Pathomorphology, Gdynia Centre of Oncology, Pomeranian Hospitals, Gdynia, Pomeranian Voivodship 81-519, Poland. FAU - Zielinski, Jacek AU - Zielinski J AD - Department of Oncological Surgery, Medical University of Gdansk, Gdansk, Pomeranian Voivodship 80-210, Poland. FAU - Kruszewski, Wieslaw Janusz AU - Kruszewski WJ AD - Department of Oncological Surgery, Gdynia Centre of Oncology, Pomeranian Hospitals, Gdynia, Pomeranian Voivodship 81-519, Poland. AD - Division of Propedeutics of Oncology, Medical University of Gdansk, Gdansk, Pomeranian Voivodship 80-210, Poland. LA - eng PT - Journal Article DEP - 20201221 PL - Greece TA - Oncol Lett JT - Oncology letters JID - 101531236 PMC - PMC7798021 OTO - NOTNLM OT - erbB-2 OT - fluorescence in situ hybridization OT - genes OT - human chromosome pair 17 OT - stomach neoplasm EDAT- 2021/02/09 06:00 MHDA- 2021/02/09 06:01 PMCR- 2020/12/21 CRDT- 2021/02/08 05:36 PHST- 2020/05/19 00:00 [received] PHST- 2020/11/16 00:00 [accepted] PHST- 2021/02/08 05:36 [entrez] PHST- 2021/02/09 06:00 [pubmed] PHST- 2021/02/09 06:01 [medline] PHST- 2020/12/21 00:00 [pmc-release] AID - OL-0-0-12403 [pii] AID - 10.3892/ol.2020.12403 [doi] PST - ppublish SO - Oncol Lett. 2021 Feb;21(2):142. doi: 10.3892/ol.2020.12403. Epub 2020 Dec 21.