PMID- 9179063 OWN - NLM STAT- MEDLINE DCOM- 19970703 LR - 20190620 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 79 IP - 11 DP - 1997 Jun 1 TI - Prognostic significance of HER-2/neu gene amplification status by fluorescence in situ hybridization of prostate carcinoma. PG - 2162-70 AB - BACKGROUND: HER-2/neu gene amplification, established as a prognostic factor in breast carcinoma and other cancers, has not been correlated with outcome in prostate carcinomas (PCs). METHODS: HER-2/neu gene amplification was determined by automated fluorescence in situ hybridization (FISH) using a unique sequence cosmid probe on 113 formalin fixed, paraffin embedded 4-microns tissue sections and the results compared with tumor grade, DNA ploidy, HER-2/neu protein expression by immunohistochemistry (IHC), serum prostate specific antigen, pathologic stage, and postoperative disease recurrence (mean follow-up of 44 months). RESULTS: HER-2/neu gene amplification by FISH (41% of PCs) correlated with tumor grade (P = 0.001) and DNA ploidy status (P = 0.0003). HER-2/neu protein overexpression by IHC (29% of PCs) correlated with grade (P = 0.03), but not with DNA ploidy. A trend for similar HER-2/neu status in each PC by IHC and FISH did not reach statistical significance (P = 0.25). On univariate analysis, HER-2/neu amplification by FISH (P = 0.029), tumor grade (P = 0.013), and DNA ploidy (P = 0.016) correlated with postoperative disease recurrence. HER-2/neu expression by IHC did not correlate with outcome. On multivariate analysis, grade (P = 0.0001) and ploidy (P = 0.001) were independent outcome predictors; HER-2/neu amplification by FISH reached near-independent significance (P = 0.125). CONCLUSIONS: HER-2/neu gene amplification by FISH on archival PCs significantly correlates with grade and DNA ploidy status, is more sensitive than IHC in detecting HER-2/neu gene abnormalities, predicts postoperative disease recurrence, and may prove important in planning therapy for patients with prostate carcinoma. FAU - Ross, J S AU - Ross JS AD - Department of Pathology and Laboratory Medicine, Albany Medical College, New York 12208, USA. FAU - Sheehan, C E AU - Sheehan CE FAU - Hayner-Buchan, A M AU - Hayner-Buchan AM FAU - Ambros, R A AU - Ambros RA FAU - Kallakury, B V AU - Kallakury BV FAU - Kaufman, R P Jr AU - Kaufman RP Jr FAU - Fisher, H A AU - Fisher HA FAU - Rifkin, M D AU - Rifkin MD FAU - Muraca, P J AU - Muraca PJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer JT - Cancer JID - 0374236 RN - 0 (DNA, Neoplasm) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Adenocarcinoma/classification/*pathology MH - Aged MH - Aged, 80 and over MH - Breast Neoplasms/pathology MH - DNA, Neoplasm/analysis MH - Female MH - *Gene Amplification MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Ploidies MH - Prognosis MH - Prostate-Specific Antigen/blood MH - Prostatectomy MH - Prostatic Neoplasms/classification/*pathology MH - Receptor, ErbB-2/*analysis/genetics EDAT- 1997/06/01 00:00 MHDA- 2000/06/20 09:00 CRDT- 1997/06/01 00:00 PHST- 1997/06/01 00:00 [pubmed] PHST- 2000/06/20 09:00 [medline] PHST- 1997/06/01 00:00 [entrez] AID - 10.1002/(SICI)1097-0142(19970601)79:11<2162::AID-CNCR14>3.0.CO;2-U [pii] AID - 10.1002/(sici)1097-0142(19970601)79:11<2162::aid-cncr14>3.0.co;2-u [doi] PST - ppublish SO - Cancer. 1997 Jun 1;79(11):2162-70. doi: 10.1002/(sici)1097-0142(19970601)79:11<2162::aid-cncr14>3.0.co;2-u.