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8 protocols using clone sp44

1

Evaluating MET Amplification in Samples

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MET amplification was determined by MET FISH (Roche/Ventana) and NGS. FISH assays were performed with laboratory-developed reagents as previously described10 (link). Amplification by FISH was considered present when the MET/CEP7 ratio was > 2.2.
IHC for MET (clone SP44, Roche/Ventana) was independently validated at each site. MET IHC was defined as positive if the sample had an H-score ≥ 200, following a previously established method11 (link). Pathologist training and interlaboratory proficiency testing were used for IHC scoring (Supplemental Methods).
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2

Immunohistochemical Validation of C-Met, TrkA, and pERK

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C-Met immunohistochemistry was performed with clone SP44 (Ventana Medical Systems) at a concentration of 9.75 μg/ml and ready to use dilution. Trk A immunohistochemistry was performed with clone EP105BY (Abcam) at a concentration of 0.643 mg/ml and 1:750 dilution. Both C-Met and Trk A immunohistochemistry are clinical validated and were performed in a CLIA accredited laboratory. pERK immunohistochemistry was performed with clone D13.14.4E (Cell Signaling Technology) at a concentration of 1 μg/ml by the Molecular Cytology Core Facility at Memorial Sloan Kettering Cancer Center using Discovery XT processor (Ventana Medical Systems).
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3

Comprehensive Genomic Profiling of Lung Cancer

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DNA extraction and mutation analysis of prestudy tumor samples were performed in a central laboratory (Theragen Etex, Suwon, Korea). Mutational status was analyzed by Ion Torrent deep-amplicon sequencing using an Ion Torrent AmpliSeq Cancer Hotspot customized lung cancer panel (Thermo Fisher Scientific Inc., Waltham, MA). Fluorescent in situ hybridization (FISH) of MET (c-MET Probe KBI-10719, Kreatech, LG Amsterdam, Netherlands), EGFR, and HER2 was performed on available tumor tissues using the standard protocol [7 (link),12 (link)], and MET expression status was also analyzed using immunohistochemistry (IHC) (clone SP44, Ventana, Tucson, AZ). Tumors with a staining-intensity score of 3 and with more than 50% positive nuclei were considered to have MET overexpression.
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4

C-Met Immunohistochemical Analysis of FFPE Samples

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Archival FFPE material from all consenting study participants was requested for immunohistochemical analysis (IHC) of c-Met using monoclonal antibodies against c-Met (clone SP44; Ventana, Tucson, AZ, USA). The staining was conducted using the Ventana BenchMark Autostainer as per the company's recommended protocol (SP44) as reported previously [14 (link)]. Expression levels of c-Met were assessed semi-quantitatively using the standard H score ≥200.
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5

Immunohistochemical Validation of C-Met, TrkA, and pERK

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C-Met immunohistochemistry was performed with clone SP44 (Ventana Medical Systems) at a concentration of 9.75 μg/ml and ready to use dilution. Trk A immunohistochemistry was performed with clone EP105BY (Abcam) at a concentration of 0.643 mg/ml and 1:750 dilution. Both C-Met and Trk A immunohistochemistry are clinical validated and were performed in a CLIA accredited laboratory. pERK immunohistochemistry was performed with clone D13.14.4E (Cell Signaling Technology) at a concentration of 1 μg/ml by the Molecular Cytology Core Facility at Memorial Sloan Kettering Cancer Center using Discovery XT processor (Ventana Medical Systems).
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6

Immunohistochemical Evaluation of Protein Expression

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MET IHC was performed on 1–2 µm thick FFPE slides cut and mounted on X-tra Adhesive Slides (Leica, Wetzlar, Germany) using a Ventana Benchmark Ultra automated immunostainer and the clone SP44 (Ventana Medical Systems, Tucson, AZ) as previously described [13] (link). Each sample was assessed using the following scoring criteria for staining intensity: 0 = no staining or <50% of tumor cells with any intensity; 1+ = ≥50% of tumor cells with weak staining but <50% with moderate or higher intensity, 2+ = ≥50% of tumor cells with moderate or higher staining but <50% with strong intensity and 3+ = ≥50% of tumor cells were stained with strong intensity. Score 2+ and 3+ were defined as positive and score 0 and 1+ as negative.
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7

Immunohistochemical Staining Protocol

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IHC was performed with a Ventana XT automated staining instrument. Antibodies recognizing the following targets were used: MutL homolog 1 (MLH1, ready to use, clone M1, Roche, Basel, Schweiz), MutS protein homolog 2 (MSH2, ready to use, clone G219-1129, Roche), MutS homolog 6 (MSH6, 1:100, clone 44, Cell Marque, Rocklin, CA), postmeiotic segregation increased 2 (PMS2, 1:40, clone MRQ28, Cell Marque), HER2 (ready to use, clone 4B5, Roche), EGFR (1:100, EP38Y, Abcam, Cambridge, UK), c-MET (ready to use, clone SP44, Roche), PTEN (1:100, clone 138G6, Cell signaling, Danvers, MA), and p53 (1:300, DO7, Novocastra, Newcastle, UK). Sections were deparaffinized using EZ Prep solution (Ventana Corporation, Tucson, AZ). CC1 standard (pH 8.4 buffer containing Tris/borate/EDTA) was used for antigen retrieval and blocked with inhibitor D (3% H2O2) for 4 min at 37°C. Slides were incubated with primary antibody for 40 min at 37°C, followed by a universal secondary antibody for 20 min at 37°C. Slides were incubated in streptavidin-horseradish peroxidase (SA-HRP) D for 16 min at 37°C, after which the substrate, 3,3′-diaminobenzidine tetrahydrochloride (DAB) H2O2, was added for 8 min, followed by hematoxylin and bluing reagent counterstaining at 37°C.
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8

Immunohistochemistry Profiling of Biomarkers

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IHC was performed on a Ventana XT automated staining instrument (Ventana Medical Systems, Tucson, AZ, USA). The following target-specific antibodies were used according to the manufacturer's instructions and a previous study [20 (link)]: MutL homolog 1 (MLH1, ready to use, clone M1, Roche, Basel, Switzerland), MutS protein homolog 2 (MSH2, ready to use, clone G219-1129, Roche), MutS homolog 6 (MSH6, 1:100, clone 44, Cell Marque, Rocklin, CA, USA), postmeiotic segregation increased 2 (PMS2, 1:40, clone MRQ28, Cell Marque), ERBB2 (ready to use, clone 4B5, Roche), EGFR (1:100, EP38Y, Abcam, Cambridge, UK), c-MET (ready to use, clone SP44, Roche), PTEN (1:100, clone 138G6, Cell Signaling, Danvers, MA, USA), and p53 (1:300, DO7, Novocastra, Newcastle, UK). Epstein-Barr virus-encoded small RNAs (EBER) in situ hybridization (ISH) was performed using a Ventana Benchmark ISH system and ISH iView kit (Ventana Medical Systems, Tucson, AZ, USA).
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