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Herceptest assay

Manufactured by Agilent Technologies

The HercepTest assay is a qualitative immunohistochemical assay that detects the human epidermal growth factor receptor 2 (HER2) protein in formalin-fixed, paraffin-embedded breast cancer tissue samples. The assay is designed to aid in the assessment of patients for whom Herceptin (trastuzumab) treatment is being considered.

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2 protocols using herceptest assay

1

Immunohistochemical Profiling of Breast Tumors

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Prediluted antibodies for estrogen receptor (ER; clone EP1), progesterone receptor (PR; clone 636) and Ki67 (clone MIB-I) were obtained from Dako (Glostrup, Denmark). Sections were processed in a PT Module using Dako high pH buffer (Dako) for deparaffinization and antigen retrieval. Sections for the Ki-67 study were processed with Dako low pH buffer. All immunohistochemical stains were performed in an Autostainer Link using the EnVision method (Dako). HER2 overexpression was analyzed using the HercepTest assay (Dako). Tumors were classified as ER or PR positive when at least 1% of the tumor cells showed staining in the nuclei cells [29] (link). HER2 was considered overexpressed when a uniform intense (3 +) membrane staining was present in > 30% of invasive tumor cells [30] (link). The percentage of Ki67-stained nuclei was evaluated independently of the intensity and its positivity cutoff value was ≥ 20% [31] (link). Two pathologists independently evaluated all immunostainings, and discordant results were reviewed to reach an agreement.
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2

Histological Evaluation of Xenograft HER2 Expression

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The xenografts and kidneys from each mouse in the therapy experiment were formalin-fixed and paraffin-embedded using standard procedures. For histologic evaluation, 4-mm sections were stained with hematoxylin and eosin. To evaluate HER2 expression after therapy, an immunohistochemical evaluation was performed using HercepTest Assay (Dako).
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