PMID- 35265100 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220311 IS - 1664-8021 (Print) IS - 1664-8021 (Electronic) IS - 1664-8021 (Linking) VI - 12 DP - 2021 TI - HER2 Positivity Is Affected by the Papillary Structure and Has a Bidirectional Prognostic Value for Gallbladder Carcinoma. PG - 831318 LID - 10.3389/fgene.2021.831318 [doi] LID - 831318 AB - Gallbladder carcinoma (GBC) is responsible for 80%-95% of biliary tract malignancies and has a dismal prognosis. Human epidermal growth factor receptor 2 (HER2) is a promising therapeutic target of GBC. Through immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) methods, HER2 expression and gene amplification were identified on high-output tissue microarrays (TMAs) developed in 306 GBC cases to investigate its relationship with GBC and clinicopathological characteristics. Adenocarcinomas accounted for 223 (72.9%) of the cases, with 62 (27.8%) being papillary adenocarcinoma or having partial papillary structure. HER2 positivity was studied in 16.1% (36/223) of patients with adenocarcinoma and 41.9% (26/62) in adenocarcinoma with papillary structures. For 143 radically resected primary GBC cases with 24 HER2-positive tumors, survival data were valid; the median survival time was not reached, and the 5-year survival rate was 52.9%. All patients in stages 0-I survived, and the results of the HER2-positive group and the stage II HER2-negative group were similar (p = 0.354). However, in stage III, the mortality rate in the HER2-positive group was reduced (p = 0.005) and that in stage IV was higher (p = 0.005). In conclusion, HER2 positivity was significantly higher in patients with papillary GBC. The predictive value of HER2 varies by clinical stage, with no prediction in the early stages, better in stage III, and worse in stage IV. CI - Copyright (c) 2022 Chen, Xu, Shen, Luo, Jiang, Wang, Li and Hou. FAU - Chen, Lingli AU - Chen L AD - Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Xu, Lei AU - Xu L AD - Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Shen, Licheng AU - Shen L AD - Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Luo, Rongkui AU - Luo R AD - Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Jiang, Dongxian AU - Jiang D AD - Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Wang, Yueqi AU - Wang Y AD - Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Li, Wei AU - Li W AD - Department of Oncology, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Hou, Yingyong AU - Hou Y AD - Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China. LA - eng PT - Journal Article DEP - 20220204 PL - Switzerland TA - Front Genet JT - Frontiers in genetics JID - 101560621 PMC - PMC8899850 OTO - NOTNLM OT - HER2 OT - HER2 positivity OT - gallbladder carcinomas OT - papillary adenocarcinoma OT - prognosis COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/03/11 06:00 MHDA- 2022/03/11 06:01 PMCR- 2022/02/04 CRDT- 2022/03/10 05:44 PHST- 2021/12/08 00:00 [received] PHST- 2021/12/27 00:00 [accepted] PHST- 2022/03/10 05:44 [entrez] PHST- 2022/03/11 06:00 [pubmed] PHST- 2022/03/11 06:01 [medline] PHST- 2022/02/04 00:00 [pmc-release] AID - 831318 [pii] AID - 10.3389/fgene.2021.831318 [doi] PST - epublish SO - Front Genet. 2022 Feb 4;12:831318. doi: 10.3389/fgene.2021.831318. eCollection 2021.