Laakso M, Tanner M, Isola J
Department of Pathology, Seinäjoki Central Hospital, Hanneksenrinne 7, 60220 Seinäjoki, Finland.
J Pathol. 2006 Sep;210(1):3-9. doi: 10.1002/path.2022.
Chromogenic in situ hybridization (CISH), which uses an enzymatic reaction to detect the hybridized DNA probe, is a new alternative to fluorescence in situ hybridization (FISH) for the assessment of HER-2 oncogene amplification status in breast cancer. The main advantage of CISH over FISH is the use of bright-field microscopy, which is rapid and allows the histopathological evaluation of tumour tissue sections. The main disadvantage of CISH has been the use of a single probe, thereby making it necessary to hybridize the control probe (chromosome 17 centromere) on an adjacent tissue section. The present paper presents an efficient protocol for dual-colour CISH (dc-CISH) based on the co-hybridization of probes to the HER-2 oncogene and chromosome 17 centromere. The probes were detected sequentially with antibodies to digoxigenin and biotin and with secondary antibody polymers labelled with horseradish peroxidase and alkaline phosphatase. The peroxidase reaction was visualized with tetramethyl benzidine (green reaction product) and the alkaline phosphatase reaction with New Fuchsin (red reaction product). The accuracy of the method was verified by comparing the results for four cell lines and 40 tumour samples with those obtained using FISH (Vysis Inc.). The results of FISH and dc-CISH showed high concordance (91%, Kappa coefficient = 0.82). It is concluded that dual-colour CISH, which is a new alternative to FISH enables the assessment of copy number ratio (HER-2/17 centromere) in conjunction with proper histopathological evaluation and the ease of bright-field microscopy.
显色原位杂交(CISH)利用酶促反应检测杂交的DNA探针,是评估乳腺癌中HER-2癌基因扩增状态的一种新的荧光原位杂交(FISH)替代方法。与FISH相比,CISH的主要优势在于使用明场显微镜,其速度快且能对肿瘤组织切片进行组织病理学评估。CISH的主要缺点是使用单一探针,因此需要在相邻组织切片上杂交对照探针(17号染色体着丝粒)。本文介绍了一种基于将探针共同杂交至HER-2癌基因和17号染色体着丝粒的双色CISH(dc-CISH)高效方案。依次用抗地高辛和生物素的抗体以及用辣根过氧化物酶和碱性磷酸酶标记的二抗聚合物检测探针。过氧化物酶反应通过四甲基联苯胺显色(绿色反应产物),碱性磷酸酶反应通过新福林显色(红色反应产物)。通过将四种细胞系和40个肿瘤样本的结果与使用FISH(Vysis公司)获得的结果进行比较,验证了该方法的准确性。FISH和dc-CISH的结果显示出高度一致性(91%,卡帕系数=0.82)。得出结论,双色CISH作为FISH的一种新替代方法,能够结合适当的组织病理学评估以及明场显微镜的便利性来评估拷贝数比值(HER-2/17号染色体着丝粒)。
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