PMID- 19383809 OWN - NLM STAT- MEDLINE DCOM- 20090622 LR - 20220310 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 15 IP - 9 DP - 2009 May 1 TI - KIF5B-ALK, a novel fusion oncokinase identified by an immunohistochemistry-based diagnostic system for ALK-positive lung cancer. PG - 3143-9 LID - 10.1158/1078-0432.CCR-08-3248 [doi] AB - PURPOSE: EML4-ALK is a transforming fusion tyrosine kinase, several isoforms of which have been identified in lung cancer. Immunohistochemical detection of EML4-ALK has proved difficult, however, likely as a result of low transcriptional activity conferred by the promoter-enhancer region of EML4. The sensitivity of EML4-ALK detection by immunohistochemistry should be increased adequately. EXPERIMENTAL DESIGN: We developed an intercalated antibody-enhanced polymer (iAEP) method that incorporates an intercalating antibody between the primary antibody to ALK and the dextran polymer-based detection reagents. RESULTS: Our iAEP method discriminated between tumors positive or negative for EML4-ALK in a test set of specimens. Four tumors were also found to be positive for ALK in an archive of lung adenocarcinoma (n = 130) and another 4 among fresh cases analyzed in a diagnostic laboratory. These 8 tumors were found to include 1 with EML4-ALK variant 1, 1 with variant 2, 3 with variant 3, and 2 with previously unidentified variants (designated variants 6 and 7). Inverse reverse transcription-PCR analysis revealed that the remaining tumor harbored a novel fusion in which intron 24 of KIF5B was ligated to intron 19 of ALK. Multiplex reverse transcription-PCR analysis of additional archival tumor specimens identified another case of lung adenocarcinoma positive for KIF5B-ALK. CONCLUSIONS: The iAEP method should prove suitable for immunohistochemical screening of tumors positive for ALK or ALK fusion proteins among pathologic archives. Coupling of PCR-based detection to the iAEP method should further facilitate the rapid identification of novel ALK fusion genes such as KIF5B-ALK. FAU - Takeuchi, Kengo AU - Takeuchi K AD - The Cancer Institute, Japanese Foundation for Cancer Research, Japan. kentakeuchi-tky@umin.net FAU - Choi, Young Lim AU - Choi YL FAU - Togashi, Yuki AU - Togashi Y FAU - Soda, Manabu AU - Soda M FAU - Hatano, Satoko AU - Hatano S FAU - Inamura, Kentaro AU - Inamura K FAU - Takada, Shuji AU - Takada S FAU - Ueno, Toshihide AU - Ueno T FAU - Yamashita, Yoshihiro AU - Yamashita Y FAU - Satoh, Yukitoshi AU - Satoh Y FAU - Okumura, Sakae AU - Okumura S FAU - Nakagawa, Ken AU - Nakagawa K FAU - Ishikawa, Yuichi AU - Ishikawa Y FAU - Mano, Hiroyuki AU - Mano H LA - eng SI - GENBANK/AB462411 SI - GENBANK/AB462412 SI - GENBANK/AB462413 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090421 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antibodies, Monoclonal) RN - 0 (EML4-ALK fusion protein, human) RN - 0 (KIF5B protein, human) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Polymers) RN - 0 (RNA, Messenger) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Alk protein, mouse) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - EC 3.6.4.4 (Kinesins) SB - IM MH - 3T3 Cells MH - Adenocarcinoma/*enzymology MH - Anaplastic Lymphoma Kinase MH - Animals MH - Antibodies, Monoclonal MH - Carcinoma, Non-Small-Cell Lung/*enzymology MH - Cell Transformation, Neoplastic MH - Fibroblasts/cytology/metabolism MH - Genetic Variation MH - Humans MH - Immunoenzyme Techniques MH - Kinesins/genetics/*metabolism MH - Lung Neoplasms/*enzymology MH - Mice MH - Mice, Nude MH - Molecular Sequence Data MH - Oncogene Proteins, Fusion/genetics/*metabolism MH - Polymers/chemistry MH - Prognosis MH - Protein-Tyrosine Kinases/genetics/*metabolism MH - RNA, Messenger/genetics/metabolism MH - Receptor Protein-Tyrosine Kinases MH - Reverse Transcriptase Polymerase Chain Reaction EDAT- 2009/04/23 09:00 MHDA- 2009/06/23 09:00 CRDT- 2009/04/23 09:00 PHST- 2009/04/23 09:00 [entrez] PHST- 2009/04/23 09:00 [pubmed] PHST- 2009/06/23 09:00 [medline] AID - 1078-0432.CCR-08-3248 [pii] AID - 10.1158/1078-0432.CCR-08-3248 [doi] PST - ppublish SO - Clin Cancer Res. 2009 May 1;15(9):3143-9. doi: 10.1158/1078-0432.CCR-08-3248. Epub 2009 Apr 21.