French multicentric validation of ALK rearrangement diagnostic in 547 lung adenocarcinomas.

Fiche publication


Date publication

avril 2015

Auteurs

Membres identifiés du Cancéropôle Est :
Pr VIGNAUD Jean-Michel


Tous les auteurs :
Lantuejoul S, Rouquette I, Blons H, Le Stang N, Ilie M, Begueret H, Gregoire V, Hofman P, Gros A, Garcia S, Monhoven N, Devouassoux-Shisheboran M, Mansuet-Lupo A, Thivolet F, Antoine M, Vignaud JM, Penault-Llorca F, Galateau-Salle F, McLeer-Florin A

Résumé

Anaplastic lymphoma kinase (ALK) gene rearrangements in lung adenocarcinoma result in kinase activity targetable by crizotinib. Although fluorescence in situ hybridisation (FISH) is the reference diagnostic technique, immunohistochemistry (IHC) could be useful for pre-screening. Diagnostic yields of ALK IHC, FISH and quantitative reverse transcriptase PCR performed in 14 French pathology/molecular genetics platforms were compared. 547 lung adenocarcinoma specimens were analysed using 5A4 and D5F3 antibodies, two break-apart FISH probes and TaqMan kits. Clinicopathological data were recorded. 140 tumours were ALK rearranged (FISH with 15% of rearranged cells) and 400 were ALK FISH negative (

Référence

Eur Respir J. 2015 Apr 30. pii: ERJ-01199-2014.