Oops, you're using an old version of your browser so some of the features on this page may not be displaying properly.

MINIMAL Requirements: Google Chrome 24+Mozilla Firefox 20+Internet Explorer 11Opera 15–18Apple Safari 7SeaMonkey 2.15-2.23

The routine detection of ROS1 fusion rearrangement in non-small cell lung cancer

Date

19 Dec 2015

Session

Poster presentation 1

Presenters

Jieyu Wu

Citation

Annals of Oncology (2015) 26 (suppl_9): 8-15. 10.1093/annonc/mdv518

Authors

J. Wu, Y. Lin, X. He, P. He, X. Fu, X. Gu

Author affiliations

  • Department Of Pathology, The 1st Affiliated Hospital of Guangzhou Medical University, 510120 - Guangzhou/CN
More

Resources

Abstract 898

Aim/Background

To compare immunohistochemistry (IHC), fluorescent in situ hybridization (FISH) and quantitative real-time polymerase chain reaction (qRT-PCR) in their ability to detect ROS proto-oncogene 1(ROS1) fusion rearrangement in non-small cell lung cancer (NSCLC), and discuss the clinical characteristics and histopathology of the patients with ROS1 rearrangement.

Methods

Patients with previously diagnosed NSCLC were included in the study during November 2013 to December 2014 in the First Affiliated Hospital of Guangzhou Medical University. IHC was conducted using the D4D6 monoclonal antibody (mAb) in an automatic IHC instrument, and FISH was conducted on tissue microarrays (TMAs). qRT-PCR was conducted as interpretation, and the positive cases of FISH and qRT-PCR had received direct sequencing.

Results

Two hundred and thirteen cases were included in this study. A total of 7 patients harbored an ROS1 rearrangement. The concordant rate of FISH and qRT-PCR was 100%, and FISH and IHC were 100% concordance when IHC showed a diffusely moderate to strong cytoplasmic expression pattern (H-score ≥ 150 or extent and intensity reached 2+). The cases with no or faint IHC expression were negative by FISH and qRT-PCR analysis. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of IHC were 100%, 95.1%, 41.2% and 100%, respectively. The patients with ROS1 rearrangement tended to be females (P = 0.046).

H-score and extent and intensity of IHC

H-score FISH + FISH- Sensitivity Specificity
≥ 50 7 5 100% 50.0%
≥100 7 1 100% 90.0%
≥150 7 0 100% 100%
≥200 6 0 85.7% 100%
≥250 2 0 28.6% 100%
Extent & intensity
1 + 7 10 100% 95.1%
2 + 7 0 100% 100%
3 + 2 0 28.6% 100%

Conclusions

Because of the high sensitivity and specificity of IHC using the D4D6 mAb, IHC can be a reliable and effective method for preliminary screening of ROS1 rearrangements in patients with NSCLC, and the positive criteria should be set at 150 of H-score or 2+ of extent and intensity method. FISH and qRT-PCR should be used to confirm those cases with no or faint stain in IHC. Female patients with adenocarcinoma should receive testing for ROS1 rearrangements because this feature can be found in patients of NSCLC with ROS1 rearrangement.

Clinical trial identification

Disclosure

All authors have declared no conflicts of interest.

Resources from the same session

This site uses cookies. Some of these cookies are essential, while others help us improve your experience by providing insights into how the site is being used.

For more detailed information on the cookies we use, please check our Privacy Policy.

Customise settings