Immunohistochemistry in the era of personalised medicine

J Clin Pathol. 2013 Jan;66(1):58-61. doi: 10.1136/jclinpath-2012-201140. Epub 2012 Sep 21.

Abstract

Background: Immunohistochemistry (IHC) plays a central role in the histopathological classification of diseases, including cancer. More recently, the importance of immunohistochemical staining is increasing. IHC usage in diagnostics is invaluable; however, the genetic and therapeutic significance of biomarker immunostaining has become equally relevant.

Content: In this article, we would like to analyse the three distinct roles of IHC and review their individual impacts on modern diagnostic pathology: (1) diagnostic IHC; (2) genetic IHC and (3) therapeutic IHC.

Summary: Thus, we will characterise the different analytical processes that are required in the three approaches to IHC usage stated above, as well as the clinical significance and overall importance in patient management. This will allow us to hypothesise on the most appropriate laboratory environment and detection methods for the future.

MeSH terms

  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents / therapeutic use
  • Biomarkers, Tumor / metabolism
  • Breast Neoplasms / diagnosis
  • Breast Neoplasms / drug therapy
  • Breast Neoplasms / metabolism
  • Carcinoma, Non-Small-Cell Lung / diagnosis
  • Carcinoma, Non-Small-Cell Lung / drug therapy
  • Carcinoma, Non-Small-Cell Lung / metabolism
  • Cetuximab
  • Female
  • Humans
  • Immunohistochemistry / methods
  • Immunohistochemistry / statistics & numerical data
  • Immunohistochemistry / trends*
  • Laboratories, Hospital
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / drug therapy
  • Lung Neoplasms / metabolism
  • Pathology, Molecular
  • Pathology, Surgical / methods*
  • Precision Medicine / methods*
  • Receptor, ErbB-2 / metabolism
  • Receptors, Steroid / metabolism

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents
  • Biomarkers, Tumor
  • Receptors, Steroid
  • Receptor, ErbB-2
  • Cetuximab