Overexpression of c-erbB2 is a negative prognostic factor in anaplastic astrocytomas

Diagn Pathol. 2010 Mar 23:5:18. doi: 10.1186/1746-1596-5-18.

Abstract

The epidermal growth factor receptor (EGFR) family, consisting of four tyrosine kinase receptors, c-erbB1-4, seems to be influential in gliomagenesis. The aim of this study was to investigate EGFR gene amplification and expression of c-erbB1-4 receptor proteins in human anaplastic astrocytomas. Formalin-fixed and paraffin-embedded sections from 31 cases were investigated by standard immunohistochemical procedures for expression of c-erbB1-4 receptor proteins using commercial antibodies. EGFR gene amplification was studied by fluorescence in situ hybridization using paraffin-embedded tissues. Two monoclonal antibodies, NCL-EGFR-384 and NCL-EGFR, were used for EGFR detection and they displayed positive immunoreactivity in 97% and 71%, respectively. For c-erbB2 detection three monoclonal antibodies, CB11, 3B5, and 5A2, were applied and they displayed positive immunoreactivity in 45%, 100%, and 52%, respectively. Positive immunostaining for c-erbB3 and c-erbB4 was encountered in 97% and 74%, respectively. The EGFR gene was amplified in 9 out of 31 tumors (29%). After adjusting for age, Karnofsky performance status, and extent of surgical resection, Cox multiple regression analysis with overall survival as the dependent variable revealed that c-erbB2 overexpression detected by the monoclonal antibody clone CB11 was a statistically significant poor prognostic factor (P = 0.004). This study shows the convenience and feasibility of immunohistochemistry when determining the expression of receptor proteins in tissue sections of human astrocytomas. The synchronous overexpression of c-erbB1-4 proteins in anaplastic astrocytomas supports their role in the pathogenesis of these tumors. Further, c-erbB2 overexpression seems to predict aggressive behaviour.

MeSH terms

  • Adult
  • Aged
  • Antibodies, Monoclonal
  • Astrocytoma / chemistry*
  • Astrocytoma / genetics
  • Astrocytoma / mortality
  • Astrocytoma / pathology
  • Biomarkers, Tumor / analysis*
  • Biomarkers, Tumor / genetics
  • Biopsy
  • ErbB Receptors / analysis
  • ErbB Receptors / genetics
  • Feasibility Studies
  • Female
  • Gene Amplification
  • Humans
  • Immunohistochemistry
  • In Situ Hybridization, Fluorescence
  • Male
  • Middle Aged
  • Neoplasm Invasiveness
  • Predictive Value of Tests
  • Prognosis
  • Proportional Hazards Models
  • Receptor, ErbB-2 / analysis*
  • Receptor, ErbB-4
  • Retrospective Studies
  • Risk Assessment
  • Risk Factors
  • Supratentorial Neoplasms / chemistry*
  • Supratentorial Neoplasms / genetics
  • Supratentorial Neoplasms / mortality
  • Supratentorial Neoplasms / pathology
  • Survival Analysis
  • Up-Regulation

Substances

  • Antibodies, Monoclonal
  • Biomarkers, Tumor
  • EGFR protein, human
  • ERBB2 protein, human
  • ERBB4 protein, human
  • ErbB Receptors
  • Receptor, ErbB-2
  • Receptor, ErbB-4