一种用于ALK免疫组化检测质量控制的新型自动化免疫组化染色系统。

IF 2.3 4区 医学 Q3 ONCOLOGY
Pathology & Oncology Research Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI:10.3389/pore.2025.1611964
Chunxiao Hou, Xueru Song, Hongwei Chen, Chengdong Chang, Jinfeng Lu, Cheng Li, Haiyan Qu, Rui Guo, Jingyi Xu, Liming Xu
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引用次数: 0

摘要

在肺腺癌的治疗中,免疫组织化学(IHC)筛选间变性淋巴瘤激酶(ALK)重排的阳性和阴性对照的建立是必不可少的。然而,患者组织的阳性控制是罕见的,并伴随着伦理问题。通过与VENTANA系统上建立的D5F3抗体进行比较,研究了一种新的ALK免疫组化质量控制管理自动化解决方案,对87例已知ALK状态的肺腺癌标本进行荧光原位杂交分析。在LYNX480 PLUS平台上,BP6165浓缩抗体在87个活检标本中表现出良好的敏感性和特异性(分别为98.30%和100%)。自动应用的液态ALK控件(clf)显示出比手动应用的更规则的圆形形状和更好的细胞分布。此外,在不同的抗体浓度和抗原检索条件下,新的对照可以显示与组织对照相同的模式变化。ALK免疫组化质量控制管理的自动化解决方案为日常病理实践中免疫组化检测提供了一种方便的解决方案,而无需消耗稀缺的组织。使用LYNX480 PLUS平台上的BP6165浓缩抗体检测ALK重排的标准化方案的可用性将扩大实验室的数量,这些实验室可以可靠和一致地确定肺腺癌患者接受ALK酪氨酸激酶抑制剂治疗的资格。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A novel automated IHC staining system for quality control application in ALK immunohistochemistry testing.

The establishment of positive and negative controls in immunohistochemistry (IHC) screening for anaplastic lymphoma kinase (ALK) rearrangements is essential in the treatment of lung adenocarcinoma. However, positive control of patient tissue is rare and comes with ethical issues. A novel automated solution for ALK IHC quality control management was investigated by comparison with the established D5F3 antibody on the VENTANA system in 87 lung adenocarcinoma specimens with known ALK status re-analyzed by fluorescence in situ hybridization. The BP6165 concentrated antibody on the LYNX480 PLUS platform demonstrated excellent sensitivity and specificity (98.30% and 100%, respectively) in 87 biopsy specimens. The ALK controls in liquid form (CLFs) applied in an automated way showed a more regular circular shape and better cell distribution than those applied manually. In addition, the novel controls can show changes in the same pattern as tissue controls under different antibody concentrations and antigen retrieval conditions. The automated solution for ALK IHC quality control management provides a convenient solution without the consumption of scarce tissue for IHC testing in day-to-day pathology practice. The availability of standardized protocols for the detection of ALK rearrangements using the BP6165 concentrated antibody on the LYNX480 PLUS platform will expand the number of laboratories that can reliably and consistently determine the eligibility of patients with lung adenocarcinoma for treatment with ALK tyrosine kinase inhibitors.

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来源期刊
CiteScore
6.30
自引率
0.00%
发文量
134
审稿时长
4-8 weeks
期刊介绍: Pathology & Oncology Research (POR) is an interdisciplinary Journal at the interface of pathology and oncology including the preclinical and translational research, diagnostics and therapy. Furthermore, POR is an international forum for the rapid communication of reviews, original research, critical and topical reports with excellence and novelty. Published quarterly, POR is dedicated to keeping scientists informed of developments on the selected biomedical fields bridging the gap between basic research and clinical medicine. It is a special aim for POR to promote pathological and oncological publishing activity of colleagues in the Central and East European region. The journal will be of interest to pathologists, and a broad range of experimental and clinical oncologists, and related experts. POR is supported by an acknowledged international advisory board and the Arányi Fundation for modern pathology.
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