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Article

ALK ambiguous-positive non-small cell lung cancers are tumors challenged by diagnostic and therapeutic issues

  • Authors:
    • Arnaud Uguen
    • Sophie Andrieu‑Key
    • Florence Vergne
    • Renaud Descourt
    • Gilles Quéré
    • Isabelle Quintin‑Roué
    • Stéphane Key
    • Paul Guéguen
    • Matthieu Talagas
    • Marc De Braekeleer
    • Pascale Marcorelles
  • View Affiliations / Copyright

    Affiliations: INSERM, U1078, F‑29200 Brest, France, Department of Pathology, Brest University Hospital, F‑29609 Brest, France, Department of Oncology, CHRU Brest, F‑29220 Brest, France
  • Pages: 1427-1434
    |
    Published online on: July 21, 2016
       https://doi.org/10.3892/or.2016.4962
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Abstract

Searching for ALK rearrangements using the approved fluorescent in situ hybridization (FISH) test and complementary immunohistochemistry (IHC) has become the rule to treat patients with advanced non‑small cell lung cancer (NSCLC) with anti‑ALK targeted therapy. The concordance between the two techniques is reported to be strong but imperfect. We report our experience with cases of ALK‑rearranged lung adenocarcinomas pointing out particularly ambiguous cases. FISH and IHC data on ALK but also c‑MET IHC as well as EGFR and KRAS mutation screening are considered, together with response to crizotinib treatment. We classified the 55 FISH ALK‑rearranged tumors into two groups according to the FISH and IHC results: a concordant FISH+IHC+ group (31 tumors) and an ambiguous group (24 tumors). These tumors were considered as ‘ambiguous’ ALK‑positive due to negative (21 tumors) or non‑contributive (3 tumors) IHC. In addition, the percentage of FISH-positive nuclei was between 15 and 20% in 17 tumors belonging to one or the other group (now called borderline tumors). We discuss the accuracy of the different tests with intent to determine whether ambiguous and borderline tumors are real positive ALK‑rearranged tumors. To conclude, ambiguous ALK‑positive lung cancers are challenging tumors with diagnosis and therapeutic issues that can justify parallel FISH, IHC and molecular screening strategy.
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1 

Kwak EL, Bang YJ, Camidge DR, Shaw AT, Solomon B, Maki RG, Ou SH, Dezube BJ, Jänne PA, Costa DB, et al: Anaplastic lymphoma kinase inhibition in non-small-cell lung cancer. N Engl J Med. 363:1693–1703. 2010. View Article : Google Scholar : PubMed/NCBI

2 

Soda M, Choi YL, Enomoto M, Takada S, Yamashita Y, Ishikawa S, Fujiwara S, Watanabe H, Kurashina K, Hatanaka H, et al: Identification of the transforming EML4-ALK fusion gene in non-small-cell lung cancer. Nature. 448:561–566. 2007. View Article : Google Scholar : PubMed/NCBI

3 

Lindeman NI, Cagle PT, Beasley MB, Chitale DA, Dacic S, Giaccone G, Jenkins RB, Kwiatkowski DJ, Saldivar JS, Squire J, et al: Molecular testing guideline for selection of lung cancer patients for EGFR and ALK tyrosine kinase inhibitors: Guideline from the College of American Pathologists, International Association for the Study of Lung Cancer, and Association for Molecular Pathology. Arch Pathol Lab Med. 137:828–860. 2013. View Article : Google Scholar : PubMed/NCBI

4 

Thunnissen E, Bubendorf L, Dietel M, Elmberger G, Kerr K, Lopez-Rios F, Moch H, Olszewski W, Pauwels P, Penault-Llorca F, et al: EML4-ALK testing in non-small cell carcinomas of the lung: A review with recommendations. Virchows Arch. 461:245–257. 2012. View Article : Google Scholar : PubMed/NCBI

5 

Alì G, Proietti A, Pelliccioni S, Niccoli C, Lupi C, Sensi E, Giannini R, Borrelli N, Menghi M, Chella A, et al: ALK rearrangement in a large series of consecutive non-small cell lung cancers: Comparison between a new immunohistochemical approach and fluorescence in situ hybridization for the screening of patients eligible for crizotinib treatment. Arch Pathol Lab Med. 138:1449–1458. 2014. View Article : Google Scholar : PubMed/NCBI

6 

Cabillic F, Gros A, Dugay F, Begueret H, Mesturoux L, Chiforeanu DC, Dufrenot L, Jauffret V, Dachary D, Corre R, et al: Parallel FISH and immunohistochemical studies of ALK status in 3244 non-small-cell lung cancers reveal major discordances. J Thorac Oncol. 9:295–306. 2014. View Article : Google Scholar : PubMed/NCBI

7 

Conklin CM, Craddock KJ, Have C, Laskin J, Couture C and Ionescu DN: Immunohistochemistry is a reliable screening tool for identification of ALK rearrangement in non-small-cell lung carcinoma and is antibody dependent. J Thorac Oncol. 8:45–51. 2013. View Article : Google Scholar

8 

Hofman P, Ilie M, Hofman V, Roux S, Valent A, Bernheim A, Alifano M, Leroy-Ladurie F, Vaylet F, Rouquette I, et al: Immunohistochemistry to identify EGFR mutations or ALK rearrangements in patients with lung adenocarcinoma. Ann Oncol. 23:1738–1743. 2012. View Article : Google Scholar

9 

Hutarew G, Hauser-Kronberger C, Strasser F, Llenos IC and Dietze O: Immunohistochemistry as a screening tool for ALK rearrangement in NSCLC: Evaluation of five different ALK antibody clones and ALK FISH. Histopathology. 65:398–407. 2014. View Article : Google Scholar : PubMed/NCBI

10 

Ilie MI, Bence C, Hofman V, Long-Mira E, Butori C, Bouhlel L, Lalvée S, Mouroux J, Poudenx M, Otto J, et al: Discrepancies between FISH and immunohistochemistry for assessment of the ALK status are associated with ALK 'borderline'-positive rearrangements or a high copy number: A potential major issue for anti-ALK therapeutic strategies. Ann Oncol. 26:238–244. 2015. View Article : Google Scholar

11 

Lantuejoul S, Rouquette I, Blons H, Le Stang N, Ilie M, Begueret H, Grégoire V, Hofman P, Gros A, Garcia S, et al: French multicentric validation of ALK rearrangement diagnostic in 547 lung adenocarcinomas. Eur Respir J. 46:207–218. 2015. View Article : Google Scholar : PubMed/NCBI

12 

McLeer-Florin A, Moro-Sibilot D, Melis A, Salameire D, Lefebvre C, Ceccaldi F, de Fraipont F, Brambilla E and Lantuejoul S: Dual IHC and FISH testing for ALK gene rearrangement in lung adenocarcinomas in a routine practice: A French study. J Thorac Oncol. 7:348–354. 2012. View Article : Google Scholar

13 

Paik JH, Choe G, Kim H, Choe JY, Lee HJ, Lee CT, Lee JS, Jheon S and Chung JH: Screening of anaplastic lymphoma kinase rearrangement by immunohistochemistry in non-small cell lung cancer: Correlation with fluorescence in situ hybridization. J Thorac Oncol. 6:466–472. 2011. View Article : Google Scholar : PubMed/NCBI

14 

Savic S, Diebold J, Zimmermann AK, Jochum W, Baschiera B, Grieshaber S, Tornillo L, Bisig B, Kerr K and Bubendorf L: Screening for ALK in non-small cell lung carcinomas: 5A4 and D5F3 antibodies perform equally well, but combined use with FISH is recommended. Lung Cancer. 89:104–109. 2015. View Article : Google Scholar : PubMed/NCBI

15 

Selinger C, Cooper W, Lum T, McNeil C, Morey A, Waring P, Amanuel B, Millward M, Peverall J, Van Vliet C, et al: Equivocal ALK fluorescence in-situ hybridization (FISH) cases may benefit from ancillary ALK FISH probe testing. Histopathology. 67:654–663. 2015. View Article : Google Scholar : PubMed/NCBI

16 

Selinger CI, Rogers TM, Russell PA, O'Toole S, Yip P, Wright GM, Wainer Z, Horvath LG, Boyer M, McCaughan B, et al: Testing for ALK rearrangement in lung adenocarcinoma: A multicenter comparison of immunohistochemistry and fluorescent in situ hybridization. Mod Pathol. 26:1545–1553. 2013. View Article : Google Scholar : PubMed/NCBI

17 

Sholl LM, Aisner DL, Varella-Garcia M, Berry LD, Dias-Santagata D, Wistuba II, Chen H, Fujimoto J, Kugler K, Franklin WA, et al LCMC Investigators: Multi-institutional oncogenic driver mutation analysis in lung adenocarcinoma: the lung cancer mutation consortium experience. J Thorac Oncol. 10:768–777. 2015. View Article : Google Scholar : PubMed/NCBI

18 

Sullivan HC, Fisher KE, Hoffa AL, Wang J, Saxe D, Siddiqui MT and Cohen C: The role of immunohistochemical analysis in the evaluation of EML4-ALK gene rearrangement in lung cancer. Appl Immunohistochem Mol Morphol. 23:239–244. 2015. View Article : Google Scholar

19 

Teixidó C, Karachaliou N, Peg V, Gimenez-Capitan A and Rosell R: Concordance of IHC, FISH and RT-PCR for EML4-ALK rearrangements. Transl Lung Cancer Res. 3:70–74. 2014.

20 

Wynes MW, Sholl LM, Dietel M, Schuuring E, Tsao MS, Yatabe Y, Tubbs RR and Hirsch FR: An international interpretation study using the ALK IHC antibody D5F3 and a sensitive detection kit demonstrates high concordance between ALK IHC and ALK FISH and between evaluators. J Thorac Oncol. 9:631–638. 2014. View Article : Google Scholar : PubMed/NCBI

21 

Zwaenepoel K, Van Dongen A, Lambin S, Weyn C and Pauwels P: Detection of ALK expression in non-small-cell lung cancer with ALK gene rearrangements - comparison of multiple immunohistochemical methods. Histopathology. 65:539–548. 2014. View Article : Google Scholar : PubMed/NCBI

22 

Gruber K, Horn H, Kalla J, Fritz P, Rosenwald A, Kohlhäufl M, Friedel G, Schwab M, Ott G and Kalla C: Detection of rearrangements and transcriptional up-regulation of ALK in FFPE lung cancer specimens using a novel, sensitive, quantitative reverse transcription polymerase chain reaction assay. J Thorac Oncol. 9:307–315. 2014. View Article : Google Scholar : PubMed/NCBI

23 

Gruber K, Kohlhäufl M, Friedel G, Ott G and Kalla C: A novel, highly sensitive ALK antibody 1A4 facilitates effective screening for ALK rearrangements in lung adenocarcinomas by standard immunohistochemistry. J Thorac Oncol. 10:713–716. 2015. View Article : Google Scholar : PubMed/NCBI

24 

Kim H, Yoo SB, Choe JY, Paik JH, Xu X, Nitta H, Zhang W, Grogan TM, Lee CT, Jheon S, et al: Detection of ALK gene rearrangement in non-small cell lung cancer: A comparison of fluorescence in situ hybridization and chromogenic in situ hybridization with correlation of ALK protein expression. J Thorac Oncol. 6:1359–1366. 2011. View Article : Google Scholar : PubMed/NCBI

25 

Nitta H, Tsuta K, Yoshida A, Ho SN, Kelly BD, Murata LB, Kosmeder J, White K, Ehser S, Towne P, et al: New methods for ALK status diagnosis in non-small-cell lung cancer: An improved ALK immunohistochemical assay and a new, Brightfield, dual ALK IHC-in situ hybridization assay. J Thorac Oncol. 8:1019–1031. 2013. View Article : Google Scholar : PubMed/NCBI

26 

Pekar-Zlotin M, Hirsch FR, Soussan-Gutman L, Ilouze M, Dvir A, Boyle T, Wynes M, Miller VA, Lipson D, Palmer GA, et al: Fluorescence in situ hybridization, immunohistochemistry, and next-generation sequencing for detection of EML4-ALK rearrangement in lung cancer. Oncologist. 20:316–322. 2015. View Article : Google Scholar : PubMed/NCBI

27 

Gainor JF, Varghese AM, Ou SH, Kabraji S, Awad MM, Katayama R, Pawlak A, Mino-Kenudson M, Yeap BY, Riely GJ, et al: ALK rearrangements are mutually exclusive with mutations in EGFR or KRAS: An analysis of 1,683 patients with non-small cell lung cancer. Clin Cancer Res. 19:4273–4281. 2013. View Article : Google Scholar : PubMed/NCBI

28 

Jokoji R, Yamasaki T, Minami S, Komuta K, Sakamaki Y, Takeuchi K and Tsujimoto M: Combination of morphological feature analysis and immunohistochemistry is useful for screening of EML4-ALK-positive lung adenocarcinoma. J Clin Pathol. 63:1066–1070. 2010. View Article : Google Scholar : PubMed/NCBI

29 

Just PA, Cazes A, Audebourg A, Cessot A, Pallier K, Danel C, Vacher-Lavenu MC, Laurent-Puig P, Terris B and Blons H: Histologic subtypes, immunohistochemistry, FISH or molecular screening for the accurate diagnosis of ALK-rearrangement in lung cancer: A comprehensive study of Caucasian non-smokers. Lung Cancer. 76:309–315. 2012. View Article : Google Scholar

30 

Paik JH, Choi CM, Kim H, Jang SJ, Choe G, Kim DK, Kim HJ, Yoon H, Lee CT, Jheon S, et al: Clinicopathologic implication of ALK rearrangement in surgically resected lung cancer: A proposal of diagnostic algorithm for ALK-rearranged adenocarcinoma. Lung Cancer. 76:403–409. 2012. View Article : Google Scholar

31 

Shaw AT, Yeap BY, Mino-Kenudson M, Digumarthy SR, Costa DB, Heist RS, Solomon B, Stubbs H, Admane S, McDermott U, et al: Clinical features and outcome of patients with non-small-cell lung cancer who harbor EML4-ALK. J Clin Oncol. 27:4247–4253. 2009. View Article : Google Scholar : PubMed/NCBI

32 

Solomon BJ, Mok T, Kim DW, Wu YL, Nakagawa K, Mekhail T, Felip E, Cappuzzo F, Paolini J, Usari T, et al PROFILE 1014 Investigators: First-line crizotinib versus chemotherapy in ALK-positive lung cancer. N Engl J Med. 371:2167–2177. 2014. View Article : Google Scholar : PubMed/NCBI

33 

Salido M, Pijuan L, Martínez-Avilés L, Galván AB, Cañadas I, Rovira A, Zanui M, Martínez A, Longarón R, Sole F, et al: Increased ALK gene copy number and amplification are frequent in non-small cell lung cancer. J Thorac Oncol. 6:21–27. 2011. View Article : Google Scholar

34 

Won JK, Keam B, Koh J, Cho HJ, Jeon YK, Kim TM, Lee SH, Lee DS, Kim DW and Chung DH: Concomitant ALK translocation and EGFR mutation in lung cancer: A comparison of direct sequencing and sensitive assays and the impact on responsiveness to tyrosine kinase inhibitor. Ann Oncol. 26:348–354. 2015. View Article : Google Scholar

35 

Camidge DR, Kono SA, Flacco A, Tan AC, Doebele RC, Zhou Q, Crino L, Franklin WA and Varella-Garcia M: Optimizing the detection of lung cancer patients harboring anaplastic lymphoma kinase (ALK) gene rearrangements potentially suitable for ALK inhibitor treatment. Clin Cancer Res. 16:5581–5590. 2010. View Article : Google Scholar : PubMed/NCBI

36 

Abe H, Kawahara A, Azuma K, Taira T, Takase Y, Fukumitsu C, Murata K, Yamaguchi T, Akiba J, Ishii H, et al: Heterogeneity of anaplastic lymphoma kinase gene rearrangement in non-small-cell lung carcinomas: A comparative study between small biopsy and excision samples. J Thorac Oncol. 10:800–805. 2015. View Article : Google Scholar : PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Uguen A, Andrieu‑Key S, Vergne F, Descourt R, Quéré G, Quintin‑Roué I, Key S, Guéguen P, Talagas M, De Braekeleer M, De Braekeleer M, et al: ALK ambiguous-positive non-small cell lung cancers are tumors challenged by diagnostic and therapeutic issues. Oncol Rep 36: 1427-1434, 2016.
APA
Uguen, A., Andrieu‑Key, S., Vergne, F., Descourt, R., Quéré, G., Quintin‑Roué, I. ... Marcorelles, P. (2016). ALK ambiguous-positive non-small cell lung cancers are tumors challenged by diagnostic and therapeutic issues. Oncology Reports, 36, 1427-1434. https://doi.org/10.3892/or.2016.4962
MLA
Uguen, A., Andrieu‑Key, S., Vergne, F., Descourt, R., Quéré, G., Quintin‑Roué, I., Key, S., Guéguen, P., Talagas, M., De Braekeleer, M., Marcorelles, P."ALK ambiguous-positive non-small cell lung cancers are tumors challenged by diagnostic and therapeutic issues". Oncology Reports 36.3 (2016): 1427-1434.
Chicago
Uguen, A., Andrieu‑Key, S., Vergne, F., Descourt, R., Quéré, G., Quintin‑Roué, I., Key, S., Guéguen, P., Talagas, M., De Braekeleer, M., Marcorelles, P."ALK ambiguous-positive non-small cell lung cancers are tumors challenged by diagnostic and therapeutic issues". Oncology Reports 36, no. 3 (2016): 1427-1434. https://doi.org/10.3892/or.2016.4962
Copy and paste a formatted citation
x
Spandidos Publications style
Uguen A, Andrieu‑Key S, Vergne F, Descourt R, Quéré G, Quintin‑Roué I, Key S, Guéguen P, Talagas M, De Braekeleer M, De Braekeleer M, et al: ALK ambiguous-positive non-small cell lung cancers are tumors challenged by diagnostic and therapeutic issues. Oncol Rep 36: 1427-1434, 2016.
APA
Uguen, A., Andrieu‑Key, S., Vergne, F., Descourt, R., Quéré, G., Quintin‑Roué, I. ... Marcorelles, P. (2016). ALK ambiguous-positive non-small cell lung cancers are tumors challenged by diagnostic and therapeutic issues. Oncology Reports, 36, 1427-1434. https://doi.org/10.3892/or.2016.4962
MLA
Uguen, A., Andrieu‑Key, S., Vergne, F., Descourt, R., Quéré, G., Quintin‑Roué, I., Key, S., Guéguen, P., Talagas, M., De Braekeleer, M., Marcorelles, P."ALK ambiguous-positive non-small cell lung cancers are tumors challenged by diagnostic and therapeutic issues". Oncology Reports 36.3 (2016): 1427-1434.
Chicago
Uguen, A., Andrieu‑Key, S., Vergne, F., Descourt, R., Quéré, G., Quintin‑Roué, I., Key, S., Guéguen, P., Talagas, M., De Braekeleer, M., Marcorelles, P."ALK ambiguous-positive non-small cell lung cancers are tumors challenged by diagnostic and therapeutic issues". Oncology Reports 36, no. 3 (2016): 1427-1434. https://doi.org/10.3892/or.2016.4962
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