Research ArticlesProtein Microarray-based Comparison of HER2, Estrogen Receptor, and Progesterone Receptor Status in Core Biopsies and Surgical Specimens From FFPE Breast Cancer TissuesBerg, Daniela PhD*; Langer, Rupert MD*; Tran, Kai*; Walch, Axel MD†; Schuster, Tibor PhD‡; Bronger, Holger MD§; Becker, Karl-Friedrich PhD*Author Information *Department of Pathology ‡Department of Medical Statistics and Epidemiology §Department of Obstetrics and Gynaecology, Technische Universität Munchen, Munich †Department of Pathology, Helmholtz Zentrum Muenchen, German Research Center for Environmental Health, Neuherberg, Germany Supported by the German Federal Ministry of Education and Research (BMBF) Grant No. 01GR0805 to Karl-Friedrich Becker. Conflict of interest statement: Karl-Friedrich Becker is a named inventor of a patent related to protein extraction from FFPE tissues. Reprints: Karl-Friedrich Becker, PhD, Technische Universität München, Institut für Pathologie, Trogerstraße 18, 81675 München, Germany (e-mail: [email protected]). Received October 20, 2010 Accepted November 4, 2010 Applied Immunohistochemistry & Molecular Morphology: July 2011 - Volume 19 - Issue 4 - p 300-305 doi: 10.1097/PAI.0b013e3182054f9f Buy Metrics Abstract Currently, core biopsies are routinely used for diagnosis of breast cancer and they are often the only sample for providing prognostic and predictive markers before treatment. However, biopsies may not accurately reflect protein expression profiles from the whole tumor. In the last few years, reverse phase protein arrays (RPPA) have become a very promising tool for biomarker profiling allowing quick, precise, and simultaneous analysis of many components of a protein network. After extraction of full-length proteins from formalin-fixed and paraffin-embedded (FFPE) tissues, we compared human epidermal growth factor receptor 2 (HER2), estrogen receptor (ERα), and progesterone receptor (PGR) expression levels in a series of 35 FFPE breast cancer surgical specimens and their corresponding core biopsies using RPPA. We found a high concordance between protein expression in core biopsies and surgical specimens with concordance and κ-values of 91.4% and κ=0.677 for HER2; 80% and κ=0.587 for ERα; and 82.8% and κ=0.656 for PGR. In this study, we could show that HER2, ERα, and PGR expression can be assessed reliably on core biopsies of FFPE breast cancer tissues using RRPA. These results might facilitate the implementation of RPPA technology in routine clinical settings. © 2011 Lippincott Williams & Wilkins, Inc.