乳腺癌HER2基因扩增检测方法——显色原位杂交法的应用及优化
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A method for detection of HER2 gene amplification in breast cancer tissues: chromogenic in situ hybridization method and its modification
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    摘要:

    目的:应用显色原位杂交技术(chromogenic in situ hybridization,CISH)检测乳腺癌组织人表皮生长因子受体2(human epidermal growth factor receptor 2, HER2) 基因扩增情况,并对操作方法进行优化。方法:选择免疫组织化学(IHC)EnVision法检测结果2+及以上的60例乳腺癌组织作为研究对象,应用CISH技术检测其HER2基因扩增情况,分析二者结果的相关性;总结CISH操作经验,优化操作方法。结果:44例标本IHC检测HER2蛋白表达为3+,其中40例CISH检测呈现HER2基因高倍扩增,4例无扩增;基因扩增与蛋白表达的符合率为91%。16例IHC检测HER2表达为2+标本基因扩增与蛋白表达的符合率为50%。IHC与CISH符合率为80%(48/60),二者明显相关(P<0.01)。操作过程中应严格控制切片厚度,一般要求4~5 μm;杂交变性一定要彻底,杂交后的洗涤温度和时间也很重要,最好控制在70~75℃;要严格控制苏木精衬染时间;每次实验最好有阳性对照片,可以有效进行质量控制。结论:CISH检测乳腺癌HER2基因扩增的结果与IHC检测的蛋白表达结果符合率较高,可作为乳腺癌HER2基因检测的一项新技术;但在具体操作时,应注意严格控制切片厚度、消化及杂交后洗涤温度与时间以及苏木精衬染时间等因素。

    Abstract:

    Objective:To apply chromogenic in situ hybridization (CISH) for detection of HER2 gene amplification in breast cancer tissues and to discuss some modifications of the CISH method. Methods: HER2 gene amplification was detected by CISH in 60 breast cancer specimens with an immunohistochemical score over 2+. The correlation between the results of IHC and CISH was analyzed.Our experience in CISH manipulation was summarized and optimization to CISH was discussed. Results: CISH identified gene amplification in 91%(40/44) specimens with an IHC score of 3+ and in 50%(8/16) specimens with an IHC score of 2+.The total concordance rate between IHC and CISH was 80%(48/60, P<0.01).The thickness of sections should be controlled within 4-5 μm; the denaturation should be complete; and the post-hybridization washing temperature and time were also very important and the temperature should be controlled at 70-75℃. The dyeing time of hematoxylin should also be restrictedly controlled. Positive control should be set up in the experiment for high quality of the experiment. Conclusion: CISH has high concordance rate with IHC in examining HER2 amplification and it may be a new method for detection of HER2 gene. The thickness of the sections, the post-hybridization washing temperature and time, and the time of hematoxylin dyeing should be strictly controlled.

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  • 收稿日期:2007-03-20
  • 最后修改日期:2008-01-07
  • 录用日期:2008-01-21
  • 在线发布日期: 2008-01-21
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