Correlation between immunohistochemistry and RICTOR fluorescence in situ hybridization amplification in small cell

Ildiko Krencz1, Anna Sebestyen1, Judit Papay1

  • 11st Department of Pathology and Experimental Cancer Research, Semmelweis University, Budapest, Hungary H-1085.

Human Pathology
|August 28, 2019
PubMed

Insights

Immunohistochemistry (IHC) for Rictor protein is a reliable and cost-effective method to identify small cell lung cancer (SCLC) patients with RICTOR gene amplification, aiding in selecting candidates for targeted therapies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Small cell lung carcinoma (SCLC) is a challenging cancer with limited targeted therapy options.
  • The RICTOR gene, encoding a component of mTOR complex 2, is frequently amplified in SCLC and represents a potential therapeutic target.

Purpose of the Study:

  • To compare immunohistochemical (IHC) expression of Rictor and phospho-Akt with RICTOR gene amplification in SCLC.
  • To evaluate Rictor IHC as a potential surrogate for RICTOR amplification detection.

Main Methods:

  • 100 SCLC samples underwent RICTOR fluorescence in situ hybridization (FISH) and Rictor/phospho-Akt IHC staining.
  • FISH was used as the gold standard for RICTOR amplification detection.

Main Results:

  • RICTOR amplification was found in 15% of SCLC samples.
  • Rictor IHC showed high sensitivity (93%) and specificity (73%) for detecting RICTOR amplification.
  • High Rictor or phospho-Akt expression correlated with decreased overall survival, but RICTOR amplification did not correlate with clinical outcome.

Conclusions:

  • Rictor IHC expression strongly correlates with RICTOR amplification in SCLC.
  • Rictor IHC serves as a cost-effective method for patient selection for RICTOR FISH and potential mTORC1/2 inhibitor therapy.

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