Moskalev, Evgeny A., Frohnauer, Judith, Merkelbach-Bruse, Sabine, Schildhaus, Hans-Ulrich, Dimmler, Arno, Schubert, Thomas, Boltze, Carsten, Koenig, Helmut, Fuchs, Florian, Sirbu, Horia, Rieker, Ralf J., Agaimy, Abbas, Hartmann, Arndt and Haller, Florian (2014). Sensitive and specific detection of EML4-ALK rearrangements in non-small cell lung cancer (NSCLC) specimens by multiplex amplicon RNA massive parallel sequencing. Lung Cancer, 84 (3). S. 215 - 222. CLARE: ELSEVIER IRELAND LTD. ISSN 1872-8332

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Abstract

Objectives: Recurrent gene fusions of anaplastic lymphoma receptor tyrosine kinase (ALK) and echinoderm microtubule-associated protein-like 4 (EML4) have been recently identified in similar to 5% of non-small cell lung cancers (NSCLCs) and are targets for selective tyrosine kinase inhibitors. While fluorescent in situ hybridization (FISH) is the current gold standard for detection of EML4-ALK rearrangements, several limitations exist including high costs, time-consuming evaluation and somewhat equivocal interpretation of results. In contrast, targeted massive parallel sequencing has been introduced as a powerful method for simultaneous and sensitive detection of multiple somatic mutations even in limited biopsies, and is currently evolving as the method of choice for molecular diagnostic work-up of NSCLCs. Materials and methods: We developed a novel approach for indirect detection of EML4-ALK rearrangements based on 454 massive parallel sequencing after reverse transcription and subsequent multiplex amplification (multiplex ALK RNA-seq) which takes advantage of unbalanced expression of the 5' and 3' ALK mRNA regions. Two lung cancer cell lines and a selected series of 32 NSCLC samples including 11 cases with EML4-ALK rearrangement were analyzed with this novel approach in comparison to ALK FISH, ALK qRT-PCR and EML4-ALK RT-PCR. Results: The H2228 cell line with known EML4-ALK rearrangement showed 171 and 729 reads for 5' and 3' ALK regions, respectively, demonstrating a clearly unbalanced expression pattern. In contrast, the H1299 cell line with ALK wildtype status displayed no reads for both ALK regions. Considering a threshold of 100 reads for 3' ALK region as indirect indicator of EML4-ALK rearrangement, there was 100% concordance between the novel multiplex ALK RNA-seq approach and ALK FISH among all 32 NSCLC samples. Conclusion: Multiplex ALK RNA-seq is a sensitive and specific method for indirect detection of EML4-ALK rearrangements, and can be easily implemented in panel based molecular diagnostic work-up of NSCLCs by massive parallel sequencing. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Moskalev, Evgeny A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Frohnauer, JudithUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Merkelbach-Bruse, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schildhaus, Hans-UlrichUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dimmler, ArnoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schubert, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boltze, CarstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koenig, HelmutUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fuchs, FlorianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sirbu, HoriaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rieker, Ralf J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Agaimy, AbbasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hartmann, ArndtUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haller, FlorianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-437580
DOI: 10.1016/j.lungcan.2014.03.002
Journal or Publication Title: Lung Cancer
Volume: 84
Number: 3
Page Range: S. 215 - 222
Date: 2014
Publisher: ELSEVIER IRELAND LTD
Place of Publication: CLARE
ISSN: 1872-8332
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
IN-SITU-HYBRIDIZATION; POLYMERASE CHAIN-REACTION; ALK REARRANGEMENTS; FUSION GENE; IMMUNOHISTOCHEMISTRY; CRIZOTINIB; EGFR; ADENOCARCINOMAS; IDENTIFICATION; INHIBITIONMultiple languages
Oncology; Respiratory SystemMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/43758

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