免疫组织化学作为黑色素瘤患者BRAF(V600E)突变临床检测的快速筛查方法。

Immunohistochemistry as a quick screening method for clinical detection of BRAF(V600E) mutation in melanoma patients.

作者信息

Chen Qiongrong, Xia Chunjiao, Deng Yunte, Wang Mingwei, Luo Ping, Wu Changming, Yue Junqiu, Fang Na, Wang Manxiang, Wei Shaozhong

机构信息

Department of Pathology, Hubei Cancer Hospital, Wuhan, Hubei, 430079, China.

出版信息

Tumour Biol. 2014 Jun;35(6):5727-33. doi: 10.1007/s13277-014-1759-6. Epub 2014 Feb 23.

Abstract

With the increased uses of targeted therapeutics, diagnostic detection of target mutations becomes essential for the effective clinical applications of targeted therapeutics. Currently, there are two types of methods detecting target mutations in clinics: one is based on DNA sequence and the other uses the newly developed mutation-specific antibodies recognizing mutated proteins. Each method has its own advantages and disadvantages. Here, we explored the sensitivity and specificity of a new commercially available BRAF(V600E) mutation-specific mouse monoclonal antibody. Using routine manual immunohistochemistry (IHC), we tested tumor tissues from 38 melanoma patients. For those melanoma tissues with abundant endogenous melanin, we pretreated the tumor tissues with 3 % hydrogen peroxide to remove melanin for reliable signal detection. We also performed DNA sequencing and ARMS-PCR analyses for these 38 tumor samples. Comparing to the results from DNA-based detection methods, the IHC method with this BRAF(V600E) mutation-specific antibody displayed 100 % sensitivity and 92.9 % specificity. Hence, this IHC detection is sensitive for clinic uses as a simple, fast, inexpensive, and reliable method to screen cancer patients for the BRAF(V600E) mutation and could be easily adapted for use in most hospital pathology laboratories.

摘要

随着靶向治疗应用的增加,对靶点突变进行诊断检测对于靶向治疗的有效临床应用变得至关重要。目前,临床上有两种检测靶点突变的方法:一种基于DNA序列,另一种使用新开发的识别突变蛋白的突变特异性抗体。每种方法都有其优缺点。在此,我们探讨了一种新的市售BRAF(V600E)突变特异性小鼠单克隆抗体的敏感性和特异性。使用常规手动免疫组织化学(IHC),我们检测了38例黑色素瘤患者的肿瘤组织。对于那些内源性黑色素丰富的黑色素瘤组织,我们用3%过氧化氢预处理肿瘤组织以去除黑色素,以进行可靠的信号检测。我们还对这38个肿瘤样本进行了DNA测序和ARMS-PCR分析。与基于DNA的检测方法的结果相比,使用这种BRAF(V600E)突变特异性抗体的IHC方法显示出100%的敏感性和92.9%的特异性。因此,这种IHC检测作为一种简单、快速、廉价且可靠的方法,用于筛查癌症患者的BRAF(V600E)突变,对临床应用具有敏感性,并且可以很容易地适用于大多数医院病理实验室。

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