NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

High-level detection of gene amplification and chromosome aneuploidy in extracted nuclei from paraffin-embedded tissue of human cancer using FISH: a new approach for retrospective studies.

Author(s): Rossi E, Ubiali A, Balzarini P, Cadei M, Alpi F, Grigolatoi PG

Publication: Eur J Histochem, 2005, Vol. 49, Page 53-8

PubMed ID: 15823795 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of performing fluorescence in situ hybridization (FISH) on whole paraffin sections versus extracted nuclei on the determination of human epidermal growth factor receptor 2 (HER2) amplification and ploidy in carcinoma specimens.

Conclusion of Paper

There was no significant difference in the determination of amplification versus no amplification of HER2 between whole sections and extracted nuclei, but the numerical HER2/chromosome enumeration probe 17 (CEP17) ratios were significantly higher when calculated for extracted nuclei compared to whole sections. Nevertheless, discordance was observed in only one case.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of performing FISH on whole paraffin sections versus extracted nuclei on the determination of HER2 amplification and ploidy in 43 different carcinoma specimens including breast, ovary, endometrium, mesothelium, and stomach. Nuclei were extracted from a 40 uM thick section identified as wholly neoplastic.

    Summary of Findings:

    A slight increase in the polysomy percentage was observed when CEP17 FISH was performed on extracted nuclei rather than whole sections (p=0.007). 4/43 specimens showed aneuploid signals only on the extracted nuclei slides. While there was no significant difference in the determination of amplification versus no amplification of HER2 between whole sections and extracted nuclei, the numerical HER2/CEP17 ratios were significantly higher when calculated for extracted nuclei compared to whole sections (p=0.015). Nevertheless, discordance in case status was observed in only one case.

    Biospecimens
    Preservative Types
    • Formalin
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    DNA FISH
    Morphology H-and-E microscopy
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Type of slide Whole section
    Extracted nuclei
    FISH Specific Targeted nucleic acid Centromere of chromosome 8
    Centromere of chromosome 17
    HER2

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