| Online-Ressource |
Verfasst von: | Laffert, Maximilian von [VerfasserIn]  |
| Warth, Arne [VerfasserIn]  |
| Penzel, Roland [VerfasserIn]  |
| Schirmacher, Peter [VerfasserIn]  |
| Jonigk, Danny [VerfasserIn]  |
| Kreipe, Hans [VerfasserIn]  |
| Schildhaus, Hans-Ulrich [VerfasserIn]  |
| Merkelbach-Bruse, Sabine [VerfasserIn]  |
| Büttner, Reinhard [VerfasserIn]  |
| Reu, Simone [VerfasserIn]  |
| Kerler, Rosi [VerfasserIn]  |
| Jung, Andreas [VerfasserIn]  |
| Kirchner, Thomas [VerfasserIn]  |
| Wölfel, Cornelius [VerfasserIn]  |
| Petersen, Iver [VerfasserIn]  |
| Rodriguez, Regulo [VerfasserIn]  |
| Jochum, Wolfram [VerfasserIn]  |
| Bartsch, Holger [VerfasserIn]  |
| Fisseler-Eckhoff, Annette [VerfasserIn]  |
| Berg, Erika [VerfasserIn]  |
| Lenze, Dido [VerfasserIn]  |
| Dietel, Manfred [VerfasserIn]  |
| Hummel, Michael [VerfasserIn]  |
Titel: | Anaplastic lymphoma kinase (ALK) gene rearrangement in non-small cell lung cancer (NSCLC) |
Titelzusatz: | results of a multi-centre ALK-testing |
Verf.angabe: | Maximilian v. Laffert, Arne Warth, Roland Penzel, Peter Schirmacher, Danny Jonigk, Hans Kreipe, Hans-Ulrich Schildhaus, Sabine Merkelbach-Bruse, Reinhard Büttner, Simone Reu, Rosi Kerler, Andreas Jung, Thomas Kirchner, Cornelius Wölfel, Iver Petersen, Regulo Rodriguez, Wolfram Jochum, Holger Bartsch, Annette Fisseler-Eckhoff, Erika Berg, Dido Lenze, Manfred Dietel, Michael Hummel |
E-Jahr: | 2013 |
Jahr: | 10 May 2013 |
Umfang: | 7 S. |
Fussnoten: | Gesehen am 21.09.2021 |
Titel Quelle: | Enthalten in: Lung cancer |
Ort Quelle: | Amsterdam [u.a.] : Elsevier, 1985 |
Jahr Quelle: | 2013 |
Band/Heft Quelle: | 81(2013), 2 vom: Aug., Seite 200-206 |
ISSN Quelle: | 1872-8332 |
Abstract: | Background - The reliable identification of non-small cell lung cancers (NSCLC) with chromosomal breaks in the gene of the anaplastic lymphoma kinase (ALK) is crucial for the induction of therapy with ALK-inhibitors. In order to ensure a reliable detection of ALK-breaks by means of fluorescence in situ hybridization (FISH) testing, round robin tests are essential. In preparation of a nation (German)-wide round robin test we initiated a pre-testing phase involving 8 experts in FISH-diagnostics to identify NSCLC cases (n=10) with a pre-tested ALK-status. In addition, ALK immunohistochemistry (IHC) was performed to assess ALK protein expression. - Material and methods - Sections derived from a tissue microarray, each consisting of 3 cores from 10 NSCLC cases, were independently tested for ALK protein expression by IHC and genomic ALK-breaks by FISH involving 8 institutes of pathology. Based on a pre-screening, 5 cases were identified to be clearly ALK-break negative, whereas the remaining 5 cases were ALK-break positive including one case with low percentage (20%) of positive cells. The latter had been additionally tested by RT-PCR. - Results - The 5 unequivocal ALK-break negative NSCLC were almost consistently scored negative by means of FISH and IHC by all 8 experts. Interestingly, 4 of the 5 cases with pre-defined ALK-breaks revealed homogenous FISH results whereas IHC for the detection of ALK protein expression showed heterogeneous results. The remaining case (low number of ALK-break positive cells) was scored negative by 3 experts and positive by the other 5. RT-PCR revealed the expression of an EML4-ALK fusion gene variant 1. - Conclusion - ALK-break negative NSCLC cases revealed concordant homogeneous results by means of FISH and IHC (score 0-1) by all 8 experts. Discordant FISH results were raised in one ALK-break positive case with a low number of affected tumor cells. The remaining 4 ALK-break positive cases revealed concordant FISH data whereas the ALK-IHC revealed very diverse results. The cases with concordant FISH results provide an excellent basis for round robin ALK-FISH testing. As long as standardized ALK-IHC protocols are missing, ALK protein expression cannot by regarded as the method of choice for identification of patients eligible for treatment with ALK inhibitors. |
DOI: | doi:10.1016/j.lungcan.2013.04.015 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1016/j.lungcan.2013.04.015 |
| Volltext: https://www.sciencedirect.com/science/article/pii/S0169500213001657 |
| DOI: https://doi.org/10.1016/j.lungcan.2013.04.015 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Anaplastic lymphoma kinase (ALK) gene rearrangement |
| Fluorescence in situ hybridization (FISH) |
| Immunohistochemistry (IHC) |
| Non-small cell lung cancer (NSCLC) |
| Round robin test |
K10plus-PPN: | 1771289201 |
Verknüpfungen: | → Zeitschrift |
Anaplastic lymphoma kinase (ALK) gene rearrangement in non-small cell lung cancer (NSCLC) / Laffert, Maximilian von [VerfasserIn]; 10 May 2013 (Online-Ressource)