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Updated: Aug 14, 2026

Isolating Human Peripheral Blood Mononuclear Cells and CD4+ T cells from Sézary Syndrome Patients for Transcriptomic Profiling
Published on: October 14, 2021
Additional Her 2/neu gene copies in patients with Sézary syndrome
Jochen Utikal1, Nina Poenitz, Alexei Gratchev
1Department of Dermatology, Venerology and Allergology, University Medical Center Mannheim, Ruprecht-Karl University Heidelberg, Mannheim, Germany. Jochen.Utikal@haut.ma.uni-heidelberg.de
Background:
Her 2/neu gene amplification has been reported in several types of cancer. Monoclonal antibodies against the Her 2/neu receptor are used as a treatment in e.g. metastatic breast cancer.
Aim:
The aim of this study was to determine the frequency of additional Her 2/neu gene copies in relations to the number of chromosome 17 centromeres of patients with Sézary syndrome.
Methods:
Fluorescence in situ hybridization (FISH) with probes specific for the Her 2/neu gene locus and the centromere of chromosome 17 was performed on nuclei from peripheral blood cells of 9 patients with Sézary syndrome. For analysis of Her 2/neu protein expression immunostaining was performed. In addition, FISH was used to analyze distribution of typical lymphocytes on cryo-cut sections of affected skin of two patients.
Results:
7/9 cases showed additional Her 2/neu gene copies in relation to the number of chromosome 17 centromeres. 4/5 cases with additional Her 2/neu gene copies in which immunostaining was performed expressed Her 2/neu protein. On cryo-cut sections atypical lymphocytes with additional Her 2/neu gene copies were detected in the dermis as well as in the epidermis of affected skin.
Discussion:
These data suggest that Her 2/neu might be involved in the pathogenesis of Sézary syndrome and that Her 2/neu might be a promising target for antitumor therapy in a subgroup of patients.
Insights
Her 2/neu gene amplification was investigated in Sézary syndrome. The study found additional Her 2/neu gene copies in most patients, suggesting it may be a therapeutic target.
Area of Science:
- Oncology
- Genetics
- Dermatology
Background:
- Her 2/neu gene amplification is implicated in various cancers.
- Monoclonal antibodies targeting Her 2/neu are utilized in treating metastatic breast cancer.
Purpose of the Study:
- To ascertain the frequency of additional Her 2/neu gene copies relative to chromosome 17 centromeres in Sézary syndrome patients.
- To explore the potential role of Her 2/neu in Sézary syndrome pathogenesis.
Main Methods:
- Fluorescence in situ hybridization (FISH) was employed to analyze Her 2/neu gene locus and chromosome 17 centromeres in peripheral blood cells.
- Immunostaining assessed Her 2/neu protein expression.
- FISH was also used to examine lymphocyte distribution in skin sections.
Main Results:
- Seven out of nine Sézary syndrome patients exhibited additional Her 2/neu gene copies.
- Her 2/neu protein expression was observed in 4/5 cases with additional gene copies.
- Atypical lymphocytes with amplified Her 2/neu were identified in the skin of affected patients.
Conclusions:
- Her 2/neu gene amplification appears to be involved in Sézary syndrome.
- Her 2/neu represents a potential therapeutic target for a subset of Sézary syndrome patients.
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