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Human Epidermal Receptor-2 Expression in Prostate Cancer

Benjamin F. Calvo, Aaron M. Levine, Mavie Marcos, Qu F. Collins, Mary V. Iacocca, Laura S. Caskey, Christopher W. Gregory, Yuhua Lin, Young E. Whang, H. Shelton Earp and James L. Mohler
Benjamin F. Calvo
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Aaron M. Levine
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Mavie Marcos
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Qu F. Collins
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Mary V. Iacocca
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Laura S. Caskey
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Christopher W. Gregory
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Yuhua Lin
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Young E. Whang
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H. Shelton Earp
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James L. Mohler
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DOI:  Published March 2003
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  • Fig. 1.
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    Fig. 1.

    Examples of HER-2 IHC staining of formalin-fixed, paraffin-embedded AD-CaP demonstrate visual scores of (A) 0, (B) 1+, (C) 2+, and (D) 3+ (reduced from magnification ×400).

  • Fig. 2.
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    Fig. 2.

    Quantitative RT-PCR. A, three-fold dilutions of HER-2 sRNA standard demonstrate dynamic range from 1,000 to 926,000 copies. B, linear regression demonstrates excellent linear fit (r = 0.99) for standard curve generated by 3-fold dilutions of HER-2 sRNA (•) standard. Also shown is distribution of tumor sample measurements (\#9676;) well within the range of the assay.

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    Fig. 3.

    Ratios of HER-2 copy number for AD-CaP versus patient matched benign prostate. No ratio is above 2 in contrast to experience with breast carcinomas, where HER-2 overexpression by IHC correlates with mRNA tumor/normal ratios of at least 4. Note that half of the matched prostate sets had ratios <1.

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    Fig. 4.

    FISH with CEP 17 (A, C, and E) and HER-2 probe (B, D, and F). For both probes, the negative controls are A and B, positive controls (E and F), and AI-CaP (C and D). The CaP specimen (HER-2/CEP 17 ratio = 1.40) demonstrated an intermediate ratio compared with an unamplified HER-2 (HER-2/CEP 17 ratio = 1.10) and weakly amplified HER-2 (HER-2/CEP 17 ratio = 1.78) controls.

Tables

  • Figures
  • Table 1

    Visual scoring of HER-2 immunostaining in AD-CaP versus AI-CaP

    No. of patients01+2+3+
    AD-CaP50241781
    AI-CaP2524100
  • Table 2

    Visual scoring of HER-2/neu immunostaining in AD-CaP classified by Gleason grade, pathologic stage, and race

    No. of patients01+2+3+
    Gleason sum
     5–6179440
     72491230
     8–1096111
    Pathologic stage
     pT22410851
     pT32211830
     Node positive43100
    Race
     Caucasian American2513930
     African American2511851
  • Table 3

    HER-2 mRNA copies in benign, AD-CaP, and AI-CaP specimens

    Tissue TypenRangeMean ± SD
    Benign1514,062 –30,57423,957 ± 4,936
    AD-CaPa1913,502 –39,85622,080 ± 7,971
    AI-CaPb144,505 –22,07315,496 ± 5,707
    • a P < 0.01, benign versus AD-CaP.

    • b P < 0.05, AD-CaP versus AI-CaP.

  • Table 4

    HER-2: CEP 17 ratios in AD-CaP and AI-CaP specimens from Caucasian (CA) and African (AA) Americans

    SpecimenHER-2: CEP 17 ratios
    AD-CaP/CA1.07, 1.17, 1.31, 1.31, 1.48, 1.61, 1.63, 1.73, 1.78, 1.81
    AD-CaP/AA1.16, 1.19, 1.23, 1.25, 1.44, 1.44, 1.47, 1.51, 1.53, 1.56
    AI-CaP/CA1.02, 1.09, 1.26, 1.32, 1.37, 1.42, 1.49, 1.52, 1.62, 1.87
    AI-CaP/AA1.16, 1.16, 1.17, 1.17, 1.32, 1.34, 1.40, 1.48, 1.64
  • Table 5

    Review of HER-2 expression studies

    AuthorTypeSourcePreservationMethodsAntibodyOverexpression definition% OverexpressionAmplification definitionAmplification
    Oxley 2001 (42)AD-CaP 108 AI-CaP 9RPaFormalin-paraffinFISHNANANA5 or more signals in >20% of nuclei1.75%
    Liu 2001 (41)AD-CaP 30RPFormalin-paraffinIHC FISHDako Hercept CB11 (1:50) Novocastra0–3% depending on which antibody was used3 or more signals/ nucleus53% (>3 spots/nucleus)
    Shi 2001 (43)AD-CaP 61 AI-CaP 20RP TURPFormalin-paraffinIHCDako (1:600) (hercept polyclonal)>50% cells with staining stronger than normal cells29% of AD-CaP 50% of treated CaP 85% of AI-CaPNANA
    Skacel 2001 (44)AD-CaP 39RPFormalin-paraffinFISHNANANA3–5 signals/nucleus26%
    Osman 2001 (45)AD-CaP 83 AI-CaP 20RP Mets.Formalin-paraffinIHC FISHDako 485Weak to moderate membrane staining in >10% of cells (2+)38%>4 signals in ≥40% of nuclei3% (2 of 66)
    Reese 2001 (47)AI-CaP 39TURP BiopsyFormalin-paraffinIHC FISHTAB250 1:200 monoclonal1+ weak 2+ moderate 3+ intense10% (4 cases with 2+ or 3+ staining)HER-2/centromere 17 ratio ≥1.51 specimen
    Signoretti 2000 (46)AD-CaP 101 AI-CaP 18RP 69Formalin-paraffinIHC In situ hybri. FISHDako 485 (1:200)Immunostaining > adjacent basal cells25% of AD-CaP 59% of AI-CaP>4 signals/nucleus0%
    Haussler 1999 (54)Adenosis 48 BPH 20 PIN 30 AD-CaP 38RP TURPFormalin-paraffinIHC Dako9G6 (1:600) monoclonalNone, weak, moderate, and strong0% of CaP 60% of PINNANA
    Morote 1999 (55)AI-CaP 70BiopsyFormalin-paraffinIHCCB-11 (1:40) monoclonalPositive >1% of cells stained64%NANA
    Mydlo 1998 (39)AD-CaP 14 AI-CaP 3RP 8 TURP 9Formalin-paraffinIHC (CAS-200)9G6 (1:2000) monoclonalCAS reading >0.06 pg/cell3 of 17 revealed >20% of cells stainedNANA
    Ross 1997 (38)AD-CaP 113RPFormalin-paraffinIHC (Dako) FISHDako 485 (1:40)Average combined membranous and cytoplasmic stain >329% (intense cytoplasmic or diffuse membranous)5 or more signals in >20% of nuclei41%
    Kuhn 1993 (33)AD-CaP 53RPFormalin-paraffinIHCpAb-1 (1:20) polyclonalDefinite positive membranous staining34%NANA
    Mellon 1992 (37)AD-CaP 29 BPH 34TURPFrozenIHCNCL-CB11 (1:40) (Novocastra)Grade 2 focal staining (1 = weak to moderate; 2 = strong)21% of CaPNANA
    Zhau 1992 (34)AD-CaP 16 BPH 6NSFrozenIHC WesternAb-3 (5 ug/ml)80% by IHC 68% by WesternSouthern blots0% (0 of 10)
    Gu 1996 (32)AD-CaP 39 BPH 10RPFormalin-paraffinIHCAb-3 (1 ug/ml)1, 10–20% cells 2, 20–50% cells 3, 50% cells100% of CaP were 1–3 20% of BPHNANA
    Visakorpi 1992 (57)AD-CaP 147 BPH 17Biopsy 101 TURP 46Formalin-paraffinIHCMab-1NS0%NANA
    Veltri 1994 (40)AD-CaP 124RPFormalin-paraffinIHCAb-3Focal, diffuse, or none78%NANA
    Sandavisan 1993 (31)AD-CaP 25 BPH 15RP TURPFrozenIHCTA-1 (0.5 ug/ml) monoclonal1+ <5% 2+ <90% 3+ >90%36% had 3+NANA
    • a ABC, avidin-biotin peroxidase; IAP, immunoalkaline phosphatase; PIN, prostatic epithelial neoplasia; TURP, Transurethral resection of prostate; RP, radical prostatectomy; Mets, metastases; NA, not applicable; NS, not specified.

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Clinical Cancer Research: 9 (3)
March 2003
Volume 9, Issue 3
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Human Epidermal Receptor-2 Expression in Prostate Cancer
Benjamin F. Calvo, Aaron M. Levine, Mavie Marcos, Qu F. Collins, Mary V. Iacocca, Laura S. Caskey, Christopher W. Gregory, Yuhua Lin, Young E. Whang, H. Shelton Earp and James L. Mohler
Clin Cancer Res March 1 2003 (9) (3) 1087-1097;

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Human Epidermal Receptor-2 Expression in Prostate Cancer
Benjamin F. Calvo, Aaron M. Levine, Mavie Marcos, Qu F. Collins, Mary V. Iacocca, Laura S. Caskey, Christopher W. Gregory, Yuhua Lin, Young E. Whang, H. Shelton Earp and James L. Mohler
Clin Cancer Res March 1 2003 (9) (3) 1087-1097;
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