Comparation of immunohistochemistry and fluorescence in situ hybridization for detection of Her-2 expression in gastric cancer
Yanfeng Xi, Jing Li, Yunfeng Bo, Yuanyuan Zhao, Wei Bai
Abstract
Yanfeng Xi, Jing Li, Yunfeng Bo, Yuanyuan Zhao, Wei Bai
Abstract
Objective To investigate the association of Her-2 protein expression and gene expression in gastric cancer by different methods,and to explore the effective approaches of Her-2 in gastric cancer detection.Methods Immunohistochemistry (IHC) was used to mark Her-2 protein in 68 cases of gastric cancer,and fluorescence in situ hybridization(FISH)wasused to detect the Her-2 gene amplification.Results Among 68 cases,IHC Her-2 protein in 12 cases(17.65 %)was positive expression,including ++ 3 cases ++ 9 cases,+ 7 cases and-49 cases.By FISH,Her-2 gene in 11 cases(16.17 %)was overexpression.Corresponding to the IHC results,FISH results was 3 cases(100 %),8 cases(88.89 %),0 cases,0 cases,respectively.Conclusion Her-2 protein expression and gene overexpression occur in gastric cancer.Her-2 protein expression in gastric cancer shows significant heterogeneity.Her-2 gene overexpression and Her-2 protein expression is correlated (P<0.05).The differences of Her-2 expression in gastric cancer by IHC and FISH mostly occur in IHC++ groupe.Suggestion of Her-2 gene test should be given for patients with IHC++ who will be undertaken Her-2 gene therapy. Key words: Stomach neoplasms; Genes,erbB-2; In situ hybridization,fluorescence; Immunohistochemistry
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Objective To investigate the association of Her-2 protein expression and gene expression in gastric cancer by different methods,and to explore the effective approaches of Her-2 in gastric cancer detection.Methods Immunohistochemistry (IHC) was used to mark Her-2 protein in 68 cases of gastric cancer,and fluorescence in situ hybridization(FISH)wasused to detect the Her-2 gene amplification.Results Among 68 cases,IHC Her-2 protein in 12 cases(17.65 %)was positive expression,including ++ 3 cases ++ 9 cases,+ 7 cases and-49 cases.By FISH,Her-2 gene in 11 cases(16.17 %)was overexpression.Corresponding to the IHC results,FISH results was 3 cases(100 %),8 cases(88.89 %),0 cases,0 cases,respectively.Conclusion Her-2 protein expression and gene overexpression occur in gastric cancer.Her-2 protein expression in gastric cancer shows significant heterogeneity.Her-2 gene overexpression and Her-2 protein expression is correlated (P<0.05).The differences of Her-2 expression in gastric cancer by IHC and FISH mostly occur in IHC++ groupe.Suggestion of Her-2 gene test should be given for patients with IHC++ who will be undertaken Her-2 gene therapy. Key words: Stomach neoplasms; Genes,erbB-2; In situ hybridization,fluorescence; Immunohistochemistry
Key concepts: Immunohistochemistry, Fluorescence in situ hybridization, Cancer, In situ hybridization, Gene duplication, Gene, Gene expression, Biology