Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2008-1-14
pubmed:abstractText
Uterine serous papillary carcinoma (USPC) is a rare and highly malignant form of endometrial cancer (EC) characterized by early metastasis, chemoresistance, and high mortality rate. Little is known about USPC tumorigenesis even if recently a HER-2/neu role has been suggested in its development and progression. The aim of the present study was to evaluate HER-2 expression by immunohistochemistry (IHC) in 12 USPC formalin-fixed, paraffin-embedded (FFPE) samples. Moreover, we looked at the correlation between HER-2 protein expression and HER-2/neu gene amplification by fluorescence in situ hybridization (FISH), other than HER-2/neu messenger RNA expression by quantitative real-time reverse transcription (RT)-polymerase chain reaction (PCR). Finally, these results have been compared with commonly evaluated clinical features in EC patients, in order to define the potential prognostic value of HER-2/neu overexpression in USPCs. A high expression of HER-2 protein by IHC was noted in 2 of 12 patients (16.6%), and the same cases showed specific HER-2/neu gene amplification by FISH. All the samples investigated displayed a perfect concordance between IHC and FISH data. Five (41.6%) of 12 tumors demonstrated polysomy of chromosome 17 and, focusing on the 2 USPCs that showed HER-2/neu overexpression, one of them (50%) was polysomic for chromosome 17. All the other USPC cases (58.4%) showed to be disomic for chromosome 17. Quantitative RT real-time PCR performed on complementary DNA obtained from all FFPE USPC samples showed a complete correlation with FISH and IHC data. Moreover, HER-2/neu overexpression was associated with a poorer overall survival and a very low relapse-free survival time, thus being considered a candidate marker of worse overall prognosis in USPC. The use of trastuzumab (Herceptin), a monoclonal antibody directed against HER-2/neu, for the therapy of patients with HER-2/neu-positive USPCs should be further investigated in clinical trials.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1525-1438
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
14-21
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:17451461-Aged, pubmed-meshheading:17451461-Aged, 80 and over, pubmed-meshheading:17451461-Cystadenocarcinoma, Papillary, pubmed-meshheading:17451461-Female, pubmed-meshheading:17451461-Gene Amplification, pubmed-meshheading:17451461-Humans, pubmed-meshheading:17451461-Immunoenzyme Techniques, pubmed-meshheading:17451461-In Situ Hybridization, Fluorescence, pubmed-meshheading:17451461-Lymph Nodes, pubmed-meshheading:17451461-Middle Aged, pubmed-meshheading:17451461-Neoplasm Invasiveness, pubmed-meshheading:17451461-Paraffin Embedding, pubmed-meshheading:17451461-Prognosis, pubmed-meshheading:17451461-Receptor, erbB-2, pubmed-meshheading:17451461-Reverse Transcriptase Polymerase Chain Reaction, pubmed-meshheading:17451461-Survival Rate, pubmed-meshheading:17451461-Uterine Neoplasms
pubmed:articleTitle
HER-2/neu overexpression and amplification in uterine serous papillary carcinoma: comparative analysis of immunohistochemistry, real-time reverse transcription-polymerase chain reaction, and fluorescence in situ hybridization.
pubmed:affiliation
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Brescia, Brescia, Italy. fodicino@tiscali.it
pubmed:publicationType
Journal Article, Comparative Study