A. Piffanelli et al., DETERMINATION OF ERBB2 PROTEIN IN BREAST-CANCER TISSUES BY DIFFERENT METHODS - RELATIONSHIPS WITH OTHER BIOLOGICAL PARAMETERS, Breast cancer research and treatment, 37(3), 1996, pp. 267-276
Four different methods to measure in parallel the erbB2 protein expres
sion (p185(neu)) were evaluated in order to: a) compare two enzyme imm
unoassays with the immunohistochemical assays (IHC) and western blotti
ng (WE) and b) extrapolate eventual relationships between erbB2 and bi
ological parameters. Tissue samples from 248 patients with primary bre
ast cancer were consecutively assayed. We used two different cut-off l
evels for WE, ELISA, and EIA, defined as follows: 1) the highest level
of expression of non malignant tissue was chosen as the discriminant
threshold between 'low' and 'elevated' samples: 2) the elevated group
was further subdivided into two subgroups: 'intermediate' and 'high',
according to their median value. According to the first cut-off, the r
esults were considered 'elevated' in about 52% of cases with the three
biochemical methods, while using the second cut-off the percentage lo
wered to about 26%. Considering this cut-off, the concordance rates be
tween the paired biochemical methods ranged between: 78.4% (WE vs EIA)
, 93% (ELISA vs EIA), and 82.6% (ELISA vs WE). The comparison between
biochemical and immunohistochemical methods gave these concordance rat
es: 82% (WE vs IHC), 90.5% (ELISA vs IHC), and 85.5% (EIA vs. IHC). Ac
cording to the first cut off level, 27.5% of tumor samples showed IHC
detectable p185 levels, in agreement with other immunohistochemical st
udies. The relationship between high erbB2 and estrogen and progestero
ne receptors showed an inverse association. No relationship was found
between erbB2 and axillary lymph node positivity or tumor size. In sho
rt, the results of the four methods seem generally well correlated; ne
vertheless, it appears that different methodological approaches of mea
suring p185(neu) are not completely equivalent, and there is a need fo
r an authoritative standardization and quality control for clinical ap
plications.