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学科主题: 临床医学
题名:
Immunohistochemical detection of mutations in the epidermal growth factor receptor gene in lung adenocarcinomas using mutation-specific antibodies
作者: Xiong, Yan1; Bai, Yun1; Leong, Nufatt2; Laughlin, Todd S.2; Rothberg, Paul G.2; Xu, Haodong2; Nong, Lin1; Zhao, Jing1; Dong, Ying1; Li, Ting1
关键词: Lung adenocarcinoma ; Epidermal growth factor receptor ; Mutation ; Immunohistochemistry
刊名: DIAGNOSTIC PATHOLOGY
发表日期: 2013-02-18
DOI: 10.1186/1746-1596-8-27
卷: 8
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Pathology
研究领域[WOS]: Pathology
关键词[WOS]: EGFR MUTATIONS ; PERSONALIZED MEDICINE ; CANCER
英文摘要:

Background: The recent development of antibodies specific for the major hotspot mutations in the epidermal growth factor receptor (EGFR), L858R and E746_A750del, may provide an opportunity to use immunohistochemistry (IHC) as a screening test for EGFR gene mutations. This study was designed to optimize the IHC protocol and the criteria for interpretation of the results using DNA sequencing as the gold-standard.

Methods: Tumor sections from fifty lung adenocarcinoma specimens from Chinese patients were immunostained using L858R and E746_A750del-specific antibodies using three different antigen retrieval solutions, and the results were evaluated using three different sets of criteria. The same specimens were used for DNA purification and analysis of EGFR gene mutations.

Results: In this study the optimal buffer for antigen retrieval was EDTA (pH 8.0), and the optimal scoring method was to call positive results when there was moderate to strong staining of membrane and/or cytoplasm in >10% of the tumor cells. Using the optimized protocol, L858R-specific IHC showed a sensitivity of 81% and a specificity of 97%, and E746_A750del-specific IHC showed a sensitivity of 59% and a specificity of 100%, both compared with direct DNA analysis. Additionally, the mutant proteins as assessed by IHC showed a more homogeneous than heterogeneous pattern of expression.

Conclusions: Our data demonstrate that mutation-specific IHC, using optimized procedures, is a reliable prescreening test for detecting EGFR mutations in lung adenocarcinoma.

语种: 英语
WOS记录号: WOS:000318244600001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/61907
Appears in Collections:北京大学第一临床医学院_病理科_期刊论文

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作者单位: 1.Peking Univ, Hosp 1, Dept Pathol, Beijing 100034, Peoples R China
2.Univ Rochester, Med Ctr, Dept Pathol & Lab Med, Rochester, NY 14642 USA

Recommended Citation:
Xiong, Yan,Bai, Yun,Leong, Nufatt,et al. Immunohistochemical detection of mutations in the epidermal growth factor receptor gene in lung adenocarcinomas using mutation-specific antibodies[J]. DIAGNOSTIC PATHOLOGY,2013,8.
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