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Anaplastic Lymphoma Kinase Rearrangement in Digestive Tract Cancer: Implication for Targeted Therapy in Chinese Population

Anaplastic lymphoma kinase (ALK) rearrangements define a subgroup of lung cancer which is eligible to targeted kinase inhibition. The aim of this study is to observe the incidence rate of ALK fusion in a large cohort of Chinese digestive tract cancer patients. Tissue microarray (TMA) was constructed...

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Published in:PloS one 2015-12, Vol.10 (12), p.e0144731-e0144731
Main Authors: Ying, Jianming, Lin, Chen, Wu, Jian, Guo, Lei, Qiu, Tian, Ling, Yun, Shan, Ling, Zhou, Haitao, Zhao, Dongbing, Wang, Jian, Liang, Jianwei, Zhao, Jianjun, Jiao, Yuchen, Lu, Ning, Zhao, Hong
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creator Ying, Jianming
Lin, Chen
Wu, Jian
Guo, Lei
Qiu, Tian
Ling, Yun
Shan, Ling
Zhou, Haitao
Zhao, Dongbing
Wang, Jian
Liang, Jianwei
Zhao, Jianjun
Jiao, Yuchen
Lu, Ning
Zhao, Hong
description Anaplastic lymphoma kinase (ALK) rearrangements define a subgroup of lung cancer which is eligible to targeted kinase inhibition. The aim of this study is to observe the incidence rate of ALK fusion in a large cohort of Chinese digestive tract cancer patients. Tissue microarray (TMA) was constructed from 808 digestive tract cancer cases, including 169 esophageal squamous cell carcinoma, 182 gastric cancer and 457 colorectal cancer (CRC) cases. We tested all cases for ALK expression via a fully automated immunohistochemistry (IHC) assay. The IHC-positive cases were subjected to fluorescence in situ hybridization (FISH), real-time polymerase chain reaction (qRT-PCR), target gene enrichment and sequencing for confirmation of ALK gene rearrangement and discovery of novel fusion partner. Among the tested cases, 2 (0.44%) CRC cases showed positive both by IHC and FISH. By qRT-PCR, EML4-ALK fusion was found in one IHC-positive CRC case. In another IHC-positive CRC case, target gene enrichment and sequencing revealed ALK was fused to a novel partner, spectrin beta non-erythrocytic 1 (SPTBN1). One gastric cancer case showed partially positive IHC result, but no fusion was found by FISH and gene sequencing. The incidence rate of ALK gene fusion in Chinese CRC patients was 0.44%,but not detectable in gastric and esophageal cancers. The novel SPTBN1 -ALK fusion, together with other ALK fusion genes, may become a potential target for anti-ALK therapy.
doi_str_mv 10.1371/journal.pone.0144731
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The aim of this study is to observe the incidence rate of ALK fusion in a large cohort of Chinese digestive tract cancer patients. Tissue microarray (TMA) was constructed from 808 digestive tract cancer cases, including 169 esophageal squamous cell carcinoma, 182 gastric cancer and 457 colorectal cancer (CRC) cases. We tested all cases for ALK expression via a fully automated immunohistochemistry (IHC) assay. The IHC-positive cases were subjected to fluorescence in situ hybridization (FISH), real-time polymerase chain reaction (qRT-PCR), target gene enrichment and sequencing for confirmation of ALK gene rearrangement and discovery of novel fusion partner. Among the tested cases, 2 (0.44%) CRC cases showed positive both by IHC and FISH. By qRT-PCR, EML4-ALK fusion was found in one IHC-positive CRC case. In another IHC-positive CRC case, target gene enrichment and sequencing revealed ALK was fused to a novel partner, spectrin beta non-erythrocytic 1 (SPTBN1). 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The novel SPTBN1 -ALK fusion, together with other ALK fusion genes, may become a potential target for anti-ALK therapy.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0144731</identifier><identifier>PMID: 26678488</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abdomen ; Adult ; Aged ; ALK protein ; Analysis ; Asian Continental Ancestry Group - genetics ; Automation ; Biomarkers ; Cancer ; Cancer therapies ; Chemotherapy ; China ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - enzymology ; Colorectal Neoplasms - genetics ; Diagnosis ; Digestive tract ; DNA microarrays ; DNA, Neoplasm - genetics ; Enrichment ; Epidermal growth factor ; Esophageal Neoplasms - enzymology ; Esophageal Neoplasms - genetics ; Esophagus ; Female ; Fluorescence ; Fluorescence in situ hybridization ; Gastric cancer ; Gastrointestinal tract ; Gene fusion ; Gene Rearrangement ; Gene sequencing ; Genes ; Humans ; Immunohistochemistry ; In Situ Hybridization, Fluorescence ; Incidence ; Kinases ; Laboratories ; Lung cancer ; Lung diseases ; Lymphoma ; Lymphomas ; Male ; Medical diagnosis ; Membrane proteins ; Metastasis ; Middle Aged ; Neoplasms, Squamous Cell - enzymology ; Neoplasms, Squamous Cell - genetics ; Oncology ; Pathology ; Patients ; Physicians ; Physiological aspects ; Polymerase chain reaction ; Protein-tyrosine kinase ; Real-Time Polymerase Chain Reaction ; Receptor Protein-Tyrosine Kinases - genetics ; Spectrin ; Squamous cell carcinoma ; Stomach cancer ; Stomach Neoplasms - enzymology ; Stomach Neoplasms - genetics ; Targeted Gene Repair - methods ; Therapy ; Tissue Array Analysis ; Tumors ; Young Adult</subject><ispartof>PloS one, 2015-12, Vol.10 (12), p.e0144731-e0144731</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Ying et al. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ying, Jianming</au><au>Lin, Chen</au><au>Wu, Jian</au><au>Guo, Lei</au><au>Qiu, Tian</au><au>Ling, Yun</au><au>Shan, Ling</au><au>Zhou, Haitao</au><au>Zhao, Dongbing</au><au>Wang, Jian</au><au>Liang, Jianwei</au><au>Zhao, Jianjun</au><au>Jiao, Yuchen</au><au>Lu, Ning</au><au>Zhao, Hong</au><au>Kumar-Sinha, Chandan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anaplastic Lymphoma Kinase Rearrangement in Digestive Tract Cancer: Implication for Targeted Therapy in Chinese Population</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-12-17</date><risdate>2015</risdate><volume>10</volume><issue>12</issue><spage>e0144731</spage><epage>e0144731</epage><pages>e0144731-e0144731</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Anaplastic lymphoma kinase (ALK) rearrangements define a subgroup of lung cancer which is eligible to targeted kinase inhibition. The aim of this study is to observe the incidence rate of ALK fusion in a large cohort of Chinese digestive tract cancer patients. Tissue microarray (TMA) was constructed from 808 digestive tract cancer cases, including 169 esophageal squamous cell carcinoma, 182 gastric cancer and 457 colorectal cancer (CRC) cases. We tested all cases for ALK expression via a fully automated immunohistochemistry (IHC) assay. The IHC-positive cases were subjected to fluorescence in situ hybridization (FISH), real-time polymerase chain reaction (qRT-PCR), target gene enrichment and sequencing for confirmation of ALK gene rearrangement and discovery of novel fusion partner. Among the tested cases, 2 (0.44%) CRC cases showed positive both by IHC and FISH. By qRT-PCR, EML4-ALK fusion was found in one IHC-positive CRC case. In another IHC-positive CRC case, target gene enrichment and sequencing revealed ALK was fused to a novel partner, spectrin beta non-erythrocytic 1 (SPTBN1). One gastric cancer case showed partially positive IHC result, but no fusion was found by FISH and gene sequencing. The incidence rate of ALK gene fusion in Chinese CRC patients was 0.44%,but not detectable in gastric and esophageal cancers. The novel SPTBN1 -ALK fusion, together with other ALK fusion genes, may become a potential target for anti-ALK therapy.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26678488</pmid><doi>10.1371/journal.pone.0144731</doi><oa>free_for_read</oa></addata></record>
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1932-6203
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subjects Abdomen
Adult
Aged
ALK protein
Analysis
Asian Continental Ancestry Group - genetics
Automation
Biomarkers
Cancer
Cancer therapies
Chemotherapy
China
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - enzymology
Colorectal Neoplasms - genetics
Diagnosis
Digestive tract
DNA microarrays
DNA, Neoplasm - genetics
Enrichment
Epidermal growth factor
Esophageal Neoplasms - enzymology
Esophageal Neoplasms - genetics
Esophagus
Female
Fluorescence
Fluorescence in situ hybridization
Gastric cancer
Gastrointestinal tract
Gene fusion
Gene Rearrangement
Gene sequencing
Genes
Humans
Immunohistochemistry
In Situ Hybridization, Fluorescence
Incidence
Kinases
Laboratories
Lung cancer
Lung diseases
Lymphoma
Lymphomas
Male
Medical diagnosis
Membrane proteins
Metastasis
Middle Aged
Neoplasms, Squamous Cell - enzymology
Neoplasms, Squamous Cell - genetics
Oncology
Pathology
Patients
Physicians
Physiological aspects
Polymerase chain reaction
Protein-tyrosine kinase
Real-Time Polymerase Chain Reaction
Receptor Protein-Tyrosine Kinases - genetics
Spectrin
Squamous cell carcinoma
Stomach cancer
Stomach Neoplasms - enzymology
Stomach Neoplasms - genetics
Targeted Gene Repair - methods
Therapy
Tissue Array Analysis
Tumors
Young Adult
title Anaplastic Lymphoma Kinase Rearrangement in Digestive Tract Cancer: Implication for Targeted Therapy in Chinese Population
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